Free PDF - Florida

IN THE CIRCUIT COURT OF THE IN AND FOR

JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division:

, Petitioner, and , Respondent. SUPPLEMENTAL FINAL JUDGMENT MODIFYING CHILD SUPPORT This cause came before this Court on a Supplemental Petition for Modification of Child Support. The Court, having heard the testimony and reviewed the file and financial affidavits of the parties and being otherwise fully advised, makes these findings of fact and reaches these conclusions of law: SECTION I. FINDINGS 1. The Court has jurisdiction over the subject matter and the parties. 2. The parties' dependent or minor child(ren) is (are): Name

Birth date

3. The last order awarding or modifying child support was entered on {date} _______________ 4. There has been a substantial change in circumstances of the parties since the entry of the last order, specifically: _________________________________________________________________

5. It is in the best interests of the minor child(ren) that the current child support order be changed because: _________________________________________________________________________
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/09)

. SECTION II. CHILD SUPPORT 1. The Court finds that there is a need for modification of child support and that the ( ) Mother ( ) Father (hereinafter Obligor) has the present ability to pay child support. The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), filed by the ( ) Mother ( ) Father are correct OR the Court makes the following findings: The Mother=s net monthly income is $ , (Child Support Guidelines %). The Father=s net monthly income is $ , (Child Support Guidelines %). Monthly child care costs are $ . Monthly health/dental insurance costs are $ . 2. Amount. Obligor shall be obligated to pay child support in the amount of $ , per month payable ( ) in accordance with Obligor's employer's payroll cycle, and in any event at least once a month ( ) other {explain} __________________________________________________________ , beginning {date} , and continuing until: ( ) the youngest of the minor child(ren) reaches the age of 18, become(s) emancipated, marries, dies, or otherwise becomes self-supporting; OR ( ) one of the minor children reaches the age of 18, become(s) emancipated, marries, dies, or otherwise becomes self-supporting and either party files a supplemental petition to modify child support and the court enters such an order; OR ( ) {date/event} {explain} , .

If the child support ordered deviates from the guidelines by more than 5%, the factual findings which support that deviation are:

3. Arrearage/Retroactive Child Support. [one only] a. ___There is no child support arrearage at the time of this Supplemental Final Judgment. b. ___( ) Mother ( ) Father shall pay to the other party the child support arrearage of: $ for retroactive child support, as of {date} . $ for previously ordered unpaid child support, as of {date} _______________The total of $ in child support arrearage shall be repaid in the amount of $ , per
Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/09)

month payable ( ) in accordance with his or her employer=s payroll cycle, and in any event at least once a month ( ) other {explain} ____________________________________ beginning {date} , until paid in full including statutory interest.

4. Insurance. [ all that apply] a. ___Health/Dental Insurance. ( ) Mother ( ) Father shall be required to maintain ( ) health ( ) dental insurance coverage for the parties' minor child(ren), so long as reasonably available. The party providing coverage shall be required to convey insurance cards demonstrating said coverage to the other party. OR ( ) Health ( ) Dental insurance is not reasonably available at this time. b. ___Reasonable and necessary uninsured medical/dental/prescription costs for the minor child(ren) shall be assessed as follows: ( ) Shared equally by both parents. ( ) Prorated according to the child support guideline percentages. ( ) Other {explain}: As to these uninsured medical/dental/prescription expenses, the party who incurs the expense shall submit a request for reimbursement to the other party within 30 days, and the other party, within 30 days of receipt, shall submit the applicable reimbursement for that expense, according to the schedule of reimbursement set out in this paragraph. 5. Life Insurance (to secure payment of support). To secure the child support obligations in this judgment, ( ) Mother ( ) Father ( ) Each party shall maintain life insurance coverage, in an amount of at least $ , on ( ) his life ( ) her life ( ) his/her life naming the ( ) minor child(ren) as the beneficiary(ies) OR naming the ( ) Mother ( ) Father ( ) other {name}____________________________________________________________________as Trustee for the minor child(ren), so long as reasonably available. The obligation to maintain the life insurance coverage shall continue until the first of the parties' minor children reaches the age of 18 or until one of the parties' children becomes emancipated, marries, dies, otherwise becomes self-supporting, at which time the amount of life insurance coverage shall be recomputed. 6. IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren) shall be as follows: ________________________________________________________________ . Further, each party shall execute any and all IRS forms necessary to effectuate the provisions of this paragraph. 7. Other provisions relating to child support: ________________________________________

Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/09)

SECTION III. METHOD OF PAYMENT 1. Central Governmental Depository. [if applies] a. ___Obligor shall pay court-ordered support directly to the Central Governmental Depository in {name of county} County, along with any depository service charge. b. ___Both parties have requested and the court finds that it is in the best interests of the child(ren) that support payments need not be directed through the Central Governmental Depository. However, either party may subsequently apply to the depository pursuant to section 61.13(1)(d)3, Florida Statutes, to require payments through the Central Governmental Depository. 2. Income Deduction. [ if applies] a. ___Immediate. Obligor shall pay through income deduction, pursuant to a separate Income Deduction Order which shall be effective immediately. Obligor is individually responsible for paying this support obligation until all of said support is deducted from Obligor's income. Until support payments are deducted from Obligor's paycheck, Obligor is responsible for making timely payments directly to the Central Governmental Depository or the Obligee, as previously set forth in this order. b. ___Deferred. Income deduction is ordered this day, but it shall not be effective until a delinquency of $ , or, if not specified, an amount equal to one month's obligation occurs. Income deduction is not being implemented immediately based on the following findings: Income deduction is not in the best interests of the child(ren) because: {explain} , AND there is proof of timely payment of a previously ordered obligation without an income deduction order, AND ( ) there is an agreement by the Obligor to advise the central governmental depository of any change in payor and health insurance OR ( ) there is a signed written agreement providing an alternative arrangement between the Obligor and the Obligee. 3. Bonus/one-time payments. ( ) All ( ) % ( ) No income paid in the form of a bonus or other similar one-time payment, up to the amount of any arrearage or the remaining balance thereof owed pursuant to this order, shall be forwarded to Obligee pursuant to the payment method prescribed above. 4. Other provisions relating to method of payment ______________________________________

Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/09)

SECTION IV. ATTORNEY FEES, COSTS, AND SUIT MONEY 1. ___( ) Petitioner's ( ) Respondent's request(s) for attorney fees, costs, and suit money is (are) denied because ____________________________________________________________ . 2. ___The Court finds there is a need for and an ability to pay attorney fees, costs, and suit money. ( ) Petitioner ( ) Respondent is hereby ordered to pay to the other party $ in attorney fees, and $ in costs. The Court further finds that the attorney fees awarded are based on the reasonable rate of $ per hour and reasonable hours. Other provisions relating to attorney fees, costs, and suit money are as follows:

SECTION V. OTHER 1. Other Provisions.

2. The Court reserves jurisdiction to modify and enforce this Supplemental Final Judgment. 3. Unless specifically modified by this supplemental final judgment, the provisions of all final judgments or orders in effect remain the same. ORDERED on . CIRCUIT JUDGE A copy of the {name of document(s)} ______________________________________________ was [only one] ( ) mailed ( ) faxed and mailed ( ) hand delivered to the parties listed below on {date}________________ by {clerk of court or designee}______________________________________.

Petitioner (or his or her attorney) Respondent (or his or her attorney) Central Governmental Depository Other: _______________________

Florida Supreme Court Approved Family Law Form 12.993(b), Supplemental Final Judgment Modifying Child Support (03/09)