S T A T E In re the O F W I S C O N S I N Marriage C I R C U I T C O U R T FAMILY COURT BRANCH K E N O S H A C O U N T Y Paternity of ______: (initials) ____________________________________, Petitioner / Joint Petitioner and ____________________________________, RESPONDENT Arrears Order Case # ____________________ (Mark only one with an X) STATE OF WISCONSIN is NOT a party STATE OF WISCONSIN IS a party I. Hearing: 1. Presiding Judge/Commissioner 2. Address 3. Date of Hearing ________________________________ Kenosha County Courthouse 912 56th Street Kenosha, WI 53140 ________________ ____, 20 __ __ (Month) (Day) (Year) II. APPEARANCES: 1. Petitioner/Joint Petitioner self-represented OR Firm Name Attorney's Name did not appear OR appeared in person AND was represented by _____________________________________________________ _____________________________________________________ 2. Respondent/Joint Petitioner did not appear OR appeared in person AND was self-represented OR represented by Firm Name _____________________________________________________ Attorney's Name 3. _____________________________________________________ State of Wisconsin, by the Kenosha County Child Support Division ____________________ State Attorney's Name 4. Others Appearing at the Hearing: ________________________________________________________________________________ ________________________________________________________________________________ 3003F-Post Judgment – Forms Page 1 of 3 Arrears Order WCCSH Rev. 5/21/02 American LegalNet, Inc. www.USCourtForms.com III. FINDINGS and ORDER: The court makes the following Findings and Orders: A. Direct Payments The court denies the request to credit Direct Payments for the following reasons: ___________________________________________________________________________ ___________________________________________________________________________ The court approves the request to credit Direct Payments. The arrears balances on the KIDS computer system shall be changed to give credit for the direct payments. The following arrears should be reduced by the amount of the direct payments: (Write the amount of the direct payment in the blank.) Child support direct payment of Maintenance direct payment of Family support direct payment of Other direct payment B. $_______________ $_______________ $_______________ $_______________ (Specify type of payment)____________ Arrears Balances The court denies the request to credit Arrears Balances for the following reasons: ___________________________________________________________________________ ___________________________________________________________________________ The court approves the request to credit Arrears Balances for the following reasons: ___________________________________________________________________________ ___________________________________________________________________________ The Arrears Balances shall be changed on the KIDS computer system as follows: Child support arrears set to balance of Child support interest arrears set to balance of Maintenance arrears set to balance of Family support arrears set to balance of Other arrears set to balance of $_______________ $_______________ $_______________ $_______________ $_______________ (Specify type of arrears) _________________________________ All changes shall be effective as of ________________ ___, __ __ __ __. (Month) (Day) (Year) This Order only affects arrears between the parties and does not affect arrears due to the State of Wisconsin. 3003F-Post Judgment – Forms Page 2 of 3 Arrears Order WCCSH Rev. 5/21/02 American LegalNet, Inc. www.USCourtForms.com C. Arrears Payments The payer shall start paying the arrears beginning on ____________ ____, 20__ __ (Month) (Day) (Year) in the monthly amount of $ _________________ by income assignment until further order of the court. __________________________________________________ (Employer's Name) __________________________________________________ (Street Address) ____________________________, ___ ___ (City) (__ __ __ ) __ __ __ -__ __ __ __ (Phone Number) (State) __ __ __ __ __ (ZIP Code) __________________________________________ (Contact Person) D. Other Findings and Orders: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ E. ALL PAYMENTS SHALL BE MADE TO: WISCONSIN SUPPORT COLLECTIONS TRUST FUND (WI SCTF), Box 74200, Milwaukee, Wisconsin 53274-0200. F. Both parties shall notify the Clerk of Courts and the Child Support Division, in writing, within 10 days of any change of address. G. Payer shall notify the Clerk of Courts and the Child Support Division, in writing, within 10 days, of any change of employment and of any substantial change in income affecting the ability to pay support. This notification does not change the support order. Any party may file a motion to change this order. H. If this matter was heard by a Court Commissioner, and you would like to request a new hearing, the Motion for De Novo Review must be filed with the Clerk of Court’s Family Division within 15 days of the signing of this order. FAILURE TO OBEY THIS ORDER IS PUNISHABLE AS CONTEMPT OF COURT AND MAY RESULT IN A JAIL SENTENCE. Dated: _______________ ___, ___ ___ ___ ___ (Month) (Day) (Year). ____________________________________________________ Family Court Commissioner/Circuit Judge 3003F-Post Judgment – Forms Page 3 of 3 Arrears Order WCCSH Rev. 5/21/02 American LegalNet, Inc. www.USCourtForms.com