Free FL-530 JUDGMENT REGARDING PARENTAL OBLIGATIONS (UIFSA) - California

COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :
GOVERNMENTAL AGENCY (under Family Code, §§ 17400,17406):

Index No.
FOR COURT USE ONLY

FL-530

: Plaintiff(s)
TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name):

Calendar No.

: : : :

JUDICIAL SUBPOENA

-against-

FAX NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS:

CITY AND ZIP CODE:

Defendant(s) : ......................................................
BRANCH NAME:

PETITIONER: RESPONDENT: THE PEOPLE OF THE STATE OF NEW YORK

TO

OTHER:
CASE NUMBER:

JUDGMENT REGARDING PARENTAL OBLIGATIONS (UIFSA)
AMENDED 1. a. SUPPLEMENTAL

GREETINGS: the court and will become legally binding unless you fill out and file the Response to Uniform Support entered by ,

NOTICE: THIS IS A PROPOSED JUDGMENT. This Judgment Regarding Parental Obligations (UlFSA) will be

Petition (UlFSA) (form FL-520) with the court clerk within 30 days of the date you were served with the Summons WE COMMAND YOU, that Support Petition (form FL-500/OMB aside, you If you need you attend form, (UlFSA) (form FL-510) and Uniform all business and excuses being laid0970-0085). and each of a Responsebefore the Honorableget one from the local child support agency, the court clerk, or the family law facilitator. The family law at the Court you may the forms. facilitator will help you fill out located at To file the Response, follow the procedures listed in the information County of sheet in room attached on that form. day of , to the , 20 , at o'clock in the noon, and at any recessed b. or adjourned date, to testify and giveIt is now legallywitness in this action on the part of the NOTICE: THIS IS A JUDGMENT. evidence as a binding. 2. THIS MATTER PROCEEDED AS FOLLOWS: a. Judgment entered under Family Code section 5002. By court hearing, appearances as follows: b. Judicial officer: (1) Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Date: Dept.: (2) Petitioner present the party on whose behalf this subpoena was issued Attorney present (name): of $50 and all damages sustained as a for a maximum penalty Respondent present Attorney present (name): result(3) your failure to comply. of (4) Child support agency (Family Code, §§ 17400, 17406) by (name): (5) Other (specify): c. The obligor (the parent ordered to pay support) is 3. 4. 5.

Court in

This order is based on presumed income for the obligor under Family Code section 5002. Attached is a computer printout showing the parents' income and percentage of time each parent spends with the children. The printout, which shows the calculation of child support payable, shall become the court's findings. This order is based on the attached documents (specify): (Attorney must sign above and type name below)

Witness, Honorable County,

day of

petitioner

, 20

respondent

, one of the Justices of the
other (specify):

6. THE COURT ORDERS: is the parent of the children named in item 6b. a. Obligor Attorney(s) for has previously been determined to be the parent of the children named in item 6b. b. Obligor must pay current child support as follows: Name Date of birth Monthly support amount

Office and P.O. Address
(1) Other (specify):

Telephone No.: NOTICE: Any party required to pay child support must pay interest on overdue amounts at the legal rate, which is currently 10 percent per year. Facsimile No.:
Form Adopted for Mandatory Use Judicial Council of California FL-530 [Rev. July 1, 2005]

E-Mail Address: Mobile Tel. No.: JUDGMENT REGARDING PARENTAL OBLIGATIONS
(UIFSA)

Page 1 of 2 Family Code §§ 4921, 5002 www.courtinfo.ca.gov

American LegalNet, Inc. www.USCourtForms.com

PETITIONER: RESPONDENT: OTHER:

CASE NUMBER:

6. b. (2)

For a total of: $ beginning (date):

payable on the:

day of each month

(3)

The low-income adjustment applies. The low-income adjustment does not apply because (specify reasons):

(4) Any support ordered will continue until further order of court, unless terminated by operation of law. c. Obligor must pay child support for the past periods and in the amounts set forth below: Name Date of birth Period of support Amount

(1) (2)

Other (specify): For a total of: $ beginning (date): payable: $ on the: day of each month

(3)

Interest accrues on the entire principal balance owing and not on each installment as it becomes due.

d. No provision of this judgment operates to limit any right to collect the principal (total amount of unpaid support) or to charge and collect interest and penalties as allowed by law. All payments ordered are subject to modification. e. All payments must be made to (name and address of agency):

f. An earnings assignment order for support must issue. g. Obligee must (1) provide and maintain health insurance coverage for the children if it is available Obligor through employment or a group plan, or otherwise available at no or reasonable cost, and keep the local child support agency informed of the availability of the coverage; (2) if health insurance is not available, provide coverage when it becomes available; (3) within 20 days of the local child support agency's request, complete and return a health insurance form; (4) provide to the local child support agency all information and forms necessary to obtain health-care services for the children; (5) present any claim to secure payment or reimbursement to the other parent or caretaker who incurs costs for health-care services for the children; and (6) assign any rights to reimbursement to the other parent or caretaker who incurs costs for health-care services for the children. If the "Obligor" box is checked, a health insurance coverage assignment must issue.

h. The parents must notify the local child support agency in writing within 10 days of any change in residence or employment. i. j. k. Date:
JUDICIAL OFFICER

The Notice of Rights and Responsibilities and Information Sheet on Changing a Child Support Order (form FL-192) is attached. Obligor must pay costs of: $ The court further orders (specify):

7. Number of pages attached: Approved as conforming to court order: Date:

SIGNATURE FOLLOWS LAST ATTACHMENT

(SIGNATURE OF ATTORNEY FOR OBLIGOR) FL-530 [Rev. July 1, 2005]

JUDGMENT REGARDING PARENTAL OBLIGATIONS
(UIFSA)

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