COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CUYAHOGA COUNTY, OHIO _________________________________________ PLAINTIFF _________________________________________ ADDRESS _________________________________________ CITY/STATE/ZIP CODE vs _________________________________________ DEFENDANT _________________________________________ ADDRESS _________________________________________ CITY/STATE/ZIP CODE : CASE NO. __________________________________ : DATE ______________________________________ : JUDGE _____________________________________ : : : : JUDGMENT ENTRY ORDER TO POST BOND Order on Obligor Order on Obligee ______________________________ (OBLIGOR) is ordered to post a cash bond in the amount of $____________. The bond is to be posted with the Clerk of the Court of Common Pleas and conditioned upon the making of support payments as previously ordered. The OBLIGOR is furthered ordered to immediately notify the Cuyahoga Support Enforcement Agency (hereinafter C.S.E.A.), in writing, of any change in employment (including self-employment) and the name, business address and telephone number of any employer. Upon commencement of employment, the OBLIGOR may request this Court to cancel the bond order and issue an order requiring withholding of an amount for child support from his/her personal earnings. The OBLIGOR is further ordered to comply with the request of C.S.E.A. or the Court to provide a copy of his/her health insurance benefits, Federal Income tax return from the previous year, all pay stubs within the preceding six (6) months, all other records evidencing the receipt of any other salary, wages, or compensation within the preceding six (6) months. Said records include, but are not limited to: proof of employment status, financial institution accounts and any benefits (i.e. unemployment, sub-pay, sick leave, Workers' Compensation, severance pay, retirement, disability or annuities, Social Security and Veteran's Administration). The OBLIGOR is further ordered to immediately notify C.S.E.A., in writing of his/her current mailing and residence address, as well as any changes in either address until further order of Court. The OBLIGOR'S failure to provide any earnings/benefits information pursuant to this order, or failure to comply with the foregoing order to post bond and order of notification shall be considered contempt of Court, punishable by a fine and/or jail sentence. Attorney fees and Court costs may then be assessed against the OBLIGOR held in contempt. ORDER ON THE OBLIGEE The OBLIGEE is ordered to immediately notify C.S.E.A., in writing , of any reason for which the support order should terminate, including but not limited to: death, marriage, emancipation (age 18 or high school completion/termination), incarceration, enlistment in Armed Services, deportation, or change of legal or physical custody of the child. The OBLIGEE is further ordered to comply with the request of C.S.E.A. or the Court to provide a copy of his/her health insurance benefits, Federal Income tax return from the previous year, all pay stubs within the preceding six (6) months, all other records evidencing the receipt of any other salary, wages, or compensation within the preceding six (6) months. Said records include but are not limited to: proof of employment status, financial institution accounts and any benefits (i.e. unemployment, sub-pay, sick leave, Workers' Compensation, severance pay, retirement, disability or annuities, Social Security and Veteran's Administration). The OBLIGEE is further ordered to immediately notify C.S.E.A. of his/her current mailing address and residence address, as well as any changes in either address until further order of Court. The OBLIGEE'S failure to provide any earnings/benefits information pursuant to this order, or failure to comply with the foregoing order of notification shall be considered contempt of Court, punishable by a fine and/or jail sentence. THIS ORDER TO POST BOND SUPERSEDES ANY PRIOR ORDER TO POST BOND PREVIOUSLY ISSUED UNDER THIS CASE NUMBER. COSTS ADJUDGED AGAINST _________________________. IT IS SO ORDERED. ___________________________________________ Judge DR0706115 Order to Post Bond American LegalNet, Inc. www.FormsWorkflow.com