Free FL-687 Order After Hearing (Governmental) - California


File Size: 26.2 kB
Pages: 2
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: Judicial Council of California
Word Count: 700 Words, 4,571 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courtinfo.ca.gov/forms/documents/fl687.pdf

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Preview FL-687 Order After Hearing (Governmental)
FL-687
GOVERNMENTAL AGENCY (under Family Code, 17400,17406): FOR COURT USE ONLY

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

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT:

ORDER AFTER HEARING
Uncontested 1. This matter proceeded as follows: By stipulation a. Date: Dept.: Judicial officer: Attorney present (name): b. Petitioner/plaintiff present Attorney present (name): c. Respondent/defendant present Attorney present (name): d. Other parent present e. Local child support agency attorney (Family Code, 17400, 17406) by (name): Other (specify): f. g. The obligor (the parent ordered to pay support) is 2. 3.

CASE NUMBER:

Contested

petitioner/plaintiff respondent/defendant other parent 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, will become the court's findings.

This order is based on the attached documents (specify):

THE COURT ORDERS 4. a. All orders previously made in this action remain in full force and effect except as specifically modified below. b. Obligor is the parent of and must pay current child support for the following children: Name Date of birth Monthly support amount

(1) (2) (3)

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

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. 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.
Page 1 of 2 Form Adopted for Alternative Mandatory Use in Lieu of Form FL-692 Judicial Council of California FL-687 [Rev. July 1, 2008]

ORDER AFTER HEARING
(Governmental)

Family Code, 17402, 17404,17400 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com

FL-687
PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT:
CASE NUMBER:

4. c.

Obligor owes support arrears as follows, as of (date): Child support: $ Spousal support: $ (1) (2) Interest is not included and is not waived. day of each month Payable: $ on the: (3) (4)

Family support: $

beginning (date): Interest accrues on the entire principal balance owing and not on each installment as it becomes due.

d. No provision of this order may operate 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. g.

An Income Withholding for Support (form FL-195) must issue. Obligor Obligee must (1) provide and maintain health insurance coverage for the children if it is available through employment or a group plan, or otherwise available at no or reasonable cost, and must 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 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; (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. The Notice of Rights and Responsibilities and Information Sheet on Changing a Child Support Order (form FL-192) is attached. The following person (the "other parent") is added as a party to this action under Family Code section 17404 (name):

k.

The court further orders (specify):

Date: 5. Number of pages attached: Approved as conforming to court order: Date:

JUDICIAL OFFICER

SIGNATURE FOLLOWS LAST ATTACHMENT

(SIGNATURE OF ATTORNEY FOR OBLIGOR)

FL-687 [Rev. July 1, 2008]

ORDER AFTER HEARING
(Governmental)

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