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Voluntary Support Agreement And Approval By Court Form. This is a North Carolina form and can be use in Civil Statewide.
Tags: Voluntary Support Agreement And Approval By Court, CV-607, North Carolina Statewide, Civil
Court File No.
STATE OF NORTH CAROLINA
County
In The General Court Of Justice
District Court Division
Name Of Obligee (Index As Plaintiff)
VOLUNTARY SUPPORT AGREEMENT
AND APPROVAL BY COURT
VERSUS
Name Of Obligor (Index As Defendant)
(NON-IV-D CASES)
G.S. 110-133
VOLUNTARY SUPPORT AGREEMENT
I acknowledge that I am the parent of the child(ren) named below and that I am legally responsible for his/her/their support.
Name Of Child(ren)
1. I agree to pay $
Date Of Birth
per month in child support beginning (date):
.
a. The amount of my child support payment is based on the child support guidelines.
b. The amount of my child support payment is not based on the child support guidelines but has been determined by the
parties to be adequate to meet the reasonable needs of the child(ren) considering the parties' ability to support the
child(ren).
2. The parties agree that child support payments will be made:
a. through immediate income withholding. (Attach Order To Withhold Wages To Enforce Child Support, AOC-CV-618)
b. to the North Carolina Centralized Collection Office.
c. directly to the obligee.
3. I agree to provide health insurance for the benefit of my child(ren) through the employment or group policy indicated below and to
maintain this coverage as long as it is available to me at a reasonable cost.
Name Of Insurance Company or Employer-Related Insurance Plan (If Currently Available)
4. I further agree to be responsible for
Policy No.
% of unreimbursed medical expenses.
5. I agree to keep the plaintiff informed of my current residence and mailing address and to cooperate fully with the plaintiff in the
verification of my income.
6. Other (specify):
NOTE: Complete and attach Child Support Worksheet (AOC-CV-627, 628 or 629), as applicable, and Cover Sheet For Child
Support Cases (Non-IV-D Only) AOC-CV-640.
AOC-CV-607, Rev. 3/09
© 2009 Administrative Office of the Courts
(Over)
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ACKNOWLEDGMENT AND AGREEMENT BY OBLIGOR
I understand that this Agreement to support when signed by me, approved by a District Court Judge, and filed in the
office of the Clerk of Superior Court will have the same force and effect as a child support order entered by the district
court, and that it may be enforced and modified in the same manner as a court order for child support.
Date
SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME
Signature
Date
Name Of Obligor (Type Or Print)
Signature Of Obligor
Deputy CSC
Assistant CSC
Clerk Of Superior Court
Date My Commission Expires
Notary
County Where Notarized
SEAL
ACKNOWLEDGMENT AND CONSENT BY OBLIGEE
I have read this Agreement and understand that when it is approved by a District Court Judge and filed in the office of
the Clerk of Superior Court it will have the same force and effect as a child support order entered by the district court,
and that it may be enforced and modified in the same manner as a court order for child support.
Date
SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME
Signature
Date
Name Of Obligee (Type Or Print)
Signature Of Obligee
Deputy CSC
Assistant CSC
Clerk Of Superior Court
Date My Commission Expires
Notary
County Where Notarized
SEAL
APPROVAL BY COURT
The above Voluntary Support Agreement, the terms of which are incorporated by reference herein, is approved by the
Court, and shall have the same force and effect as an order of the court and shall be enforceable and subject to
modification in the same manner as is provided by law for orders of this Court entered in child support cases, including
contempt of court.
Immediate income withholding
is required. (Attach Order To Withhold Wages To Enforce Child Support, AOC-CV-618.)
is not required because the parties have agreed in writing to an alternative arrangement for payment of child
support, or there is good cause not to require immediate income withholding.
Date Entered
Name Of Judge (Type Or Print)
AOC-CV-607, Side Two, Rev. 3/09
© 2009 Administrative Office of the Courts
Signature Of Judge
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