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_ • aO~iG~r~. ~ IN 'I1IE G_ ~:.'UIT OOURT OF '1NE
' NIIdC~T~i JUDICIAL CIRCUIT ~
OF FI~ORIDA, IN ArID FOR
S'T. I.LJCIE 001JNIY.
._M ~
c~sE rlo. ~ 9'~- ~i~-f~ ~L
DEPAI~NT OF ~~I.'ItI AND RgiABILTTATIVE
SIItVICk'S OF T1~ STATE OF FIARInA, as
assignee and subrogee of the rights of
KATHERINE B GHOM
~etitianers~
vs.
ROOSEVELT W~KE~R,1
J~,R~~~ligor.
/
Il`i~IATE
Il~1C,'CME DIDUCIZON'~tb~110rI'ICE TO PAYOR
. , , ES
.
Comcurrent with this Ca~rt' s entry of an Order of Support and p~suant
to Florida Statutes Sectio~n 61.1301, it is ~
ORDIItED AI~ID AATqDG'ID as follvws :
1. Effective i~nnediately, any Payor (e~loyer or incame prwider) of
the Obligor, pursuant to paragraph three (3) herein, shall deduct from all m~nies
due and payable to the Obligor, the sun of $ , o~ ever w e~ I~- and a.
like sum .every ~ Q-~- thereafter, siar? repre~ents t igor's
regular st~rt gat an. ditianally, the Payor shall deduct the applicable
Clerk's service ~harge.
2. The a~mqmt required under the tern~s of this order and other orders
' pertaining to child support, paymeints are as follc~ws: ~
t (A) current child support: $ ~S, O o
~ (B) depository fee: ~ ~ r~~t
r (C) other . $
~
,
~ cD> m~~, s 6- d o
? II,iPIDYIIt: FoYward the amrnmt set ort aragrap 3(D) to satisfy
g this order.
~ 3. Said sim shall be withheld frvm so~urces of income including, but
~ not limited to, the folla~ing: remmerati.on for present or past eaQloyment, i
; coa~nissians and banuses, retirement benefits~ pe~nsions, worker s comiQensatio~,
~ divid~nds, royalties or trust accovnCs. No manies shall be withheld from VA
benefits or tme~loymezit c.ompensation.
~ Zt1e total deductian on any one occasian including ac~dnistrative
~ charges, may not exceed the maximm allvwable tmder the Co~suner Credit Protectio~n
Act, 15 U.S.C. §1573(b), as applicable to the obligor (50X of disposible incame
i where the obligor has a secand family, 60Z where there is no second fa~il~ and an
` additional 5r of either limit if the arrearage is equal to 12 w~eeks or more in
support paymer~ts) . Zhis case does, does not qualify for the additio~al
5X. If the ama~.mt to be deducted w~ould o~rwise exceed these limits, you are to
rec~uce the amrnmt farwarded to the depository accordingly,
3 4. Th~e Obligor is notified of his rig~ts, remedies and duties imder
~ this order as follvws:
; (a) ZYee atroimt of incane to be deducted is specified in this order.
~ (b) This order applies to ctment and subseque~~t e~loyers or
~ periods of e~loyment.
(c) Zhi.s order will be served upan yaur em~loyer tmless ycu file a
~ Notice of Contest with the ca~t within fifteen (15) days of the date of this
~ order. A copy of the Notice must also be nBiled to Dk~A~3JT OF HI~'ALTH AAID
RgiABILITATIVE SFRVI(~S, whose gddress is 1505 Delaware Ave~ae, Fort Pierce,
Flori.da 33450. Tt?e er~forcerent of the arder may anly be caltested on tt~e gramd
s. of ~dstake of fact regarding the amaunt ofs~~po rt vw~ed, the ~mt of arrearages,
4 or the identity of the Obligor, and for no other reasan.
i (d) You mast notify the DEPAR'II~NT OF HF.ALTH APID REE1ABILTTATIVE
~ SIItVIC~ in writing of any change in your address, en~loyer, or ~loyer's
~ address, within seve~n (7) days of such change.
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~K~528 P~CFp~85
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