Property & Finances

a. Child Support

Temporary support or voluntary / direct support payments Check this box if temporary or voluntary support payments were already made during the period listed above. in the amount of $ Enter the total dollar amount of support that was already paid during that period. the past support amount is adjusted to $ Enter the new past support total after subtracting what was already paid. The court finds no past support amount due and owing. Check this box if the court decided no past support is owed. No evidence was presented in support of past child support. Check this box if no proof was shown for past child support. The court finds no temporary support or voluntary / direct support payments were paid. Check this box if the court found that no temporary or voluntary support was paid. No evidence was presented in support temporary support or voluntary / direct support payments. Check this box if no proof was shown about temporary or voluntary support payments. Petitioner shall pay the additional amount of $ Check this box if the petitioner is the one who must pay the extra amount toward the judgment. Respondent shall pay the additional amount of $ Check this box if the respondent is the one who must pay the extra amount toward the judgment. shall pay the additional amount of $ Enter the extra dollar amount to be paid each month toward what is owed. payable on the first day of each month beginning Enter the date the extra monthly payments will start. Payments must include Petitioner's name Check this box if payments should list the petitioner's name. Payments must include Respondent's name Check this box if payments should list the respondent's name. Petitioner shall make total monthly payments Check this box if the petitioner is the one who must make the total monthly payments. Respondent shall make total monthly payments Check this box if the respondent is the one who must make the total monthly payments. shall make total monthly payments to Petitioner Check this box if the payments go to the petitioner. Respondent in the amount of $ Check this box if the payments go to the respondent. in the amount of $ Enter the full dollar amount that must be paid each month. payable on the first day of each month, beginning Enter the date the monthly payments will start. Current child support payment as ordered above: $ Enter the monthly child support amount listed earlier in this order. Past-due child support payment $ Enter the monthly amount to pay back old, unpaid child support.

b. Health & Medical Support

Current cash medical support payment $ Enter the monthly amount for current medical support paid in cash. Past-due cash medical support payment $ Enter the monthly amount to pay back old, unpaid cash medical support. Current spousal maintenance payment $ Enter the monthly amount for current spousal support (alimony). Past-due spousal maintenance payment $ Enter the monthly amount to pay back old, unpaid spousal support. TOTAL MONTHLY PAYMENT: $ Add up all the amounts above, plus the $8.00 handling fee, and write the total here. Petitioner is ordered to pay Check this if the petitioner must pay a share of medical costs that insurance does not cover. Petitioner is ordered to pay ____% Enter the percent of uncovered medical bills the petitioner must pay. The petitioner and respondent percents should add up to 100. Respondent is ordered to pay Check this if the respondent must pay a share of medical costs that insurance does not cover. Respondent is ordered to pay ________% Enter the percent of uncovered medical bills the respondent must pay. The petitioner and respondent percents should add up to 100. Petitioner ____% Enter the share of long-distance travel costs the petitioner will pay, as a percent. Respondent ____% Enter the share of long-distance travel costs the respondent will pay, as a percent.