WPC  H+ƨ!S4!|= T?s뭲!Y"R=s;qw5Ba X=3S ir{Yl܂&!Xb$=1CC"쟁…Ӯ$t8V~tӧFQLźPK'^Uaؽ ]9?#`yx#u`n% Nd |v+ mZgΘZ\2Fb    0  requiringthepaymentofsameshallbepaiddirectlyto:____________________________ H&H&     #XX%&v#&v%XXaddress:___________________________________City/State/Zip:___________________ i \      Childsupportpaymentsshallstarton______________.#XX%&vT#XX#XXF#&v%XXԀ2.0  #XX%&v#&v%XXPAYMENTSTHROUGHSTATEDISBURSEMENTUNIT: Allchildsupportand/oralimony   and/orarrearageshallbemadepayabletoandmailedtothe StateofFloridaDisbursementUnit,Post UH  OfficeBox8500,Tallahassee,FL323148500. # H&H& ,w#XX%&v#XX#XXg #&v%XXԀ3.  CHILDSUPPORT: Thefollowingprovisionsforpaymentshallapply: 򀀀$______Total    #XX%&v #h XX    #XX h # XXԀTemporary#XX  #h XX#XX h> # XXPermanent#XX ݄ #h XX#XX h # XXModified(ChildSupportPayment) A4   0  #XX  #&v%XXChildsupportpaymentsshallstarton________________#XX%&v # XX(Date)#XX W #&v%XXԀandshallstop:[NH&H&   #XX%&v #h XX0  #XX h# XXԀ#XX n#&v%XXuponthechildreachingtheageof18.)H&H& 0    #XX%&v#h XX#XX hQ#&v%XXԀuponthechildsgraduationfromhighschooloratage19.C6H&H&   #XX%&v#h XX0  #XX hB#&v%XXԀuponthechildsgraduationfromcollegeoratage________.]PH&H& 0    #XX%&v#h XX#XX hM#&v%XXԀbyfurtherorderofCourtorinaccordancewiththelaw.wjH&H&     #XX%&v#h XX#XX hE#&v%XX#&\%%&vz#&v%%&\Ԁpursuanttothetermsofthesettlementagreement.  #XX%&v#XX#XXW#&v%XXԀ4.  ALIMONY: Thefollowingprovisionsforpaymentshallapply: 򀀀$______Total       #XX%&v# XXԀ(AlimonyPayment)  0    #XX #h XX#XX h# XXԀTEMPORARY$_________________ @ #XX #h XX#XX hQ# XXԀREHABILITATIVE$_______________H&H&   #XX ݗ#h XX0  #XX h$# XXԀPERMANENTPERIODIC$_______ @ #XX v#h XX#XX h# XXԀLUMPSUM$____________________H&H& #XX &#&v%XX0    Paymentsshallstarton________________andshallstopon________________H&H& 0    oruponfullpayment. H&H& #XX%&v#XX#XXŰ# XXԀ#XX #&v%XX5#XX%&v9# XX.   ARREARAGE 󀀀$_______________DUEASOF___________________. #XX |#&v%XX$_________Total     #XX%&v+# XXԀ(ArrearagePayment)#XX ݾ#&v%XX    0  Arrearagepaymentsshallstarton_______________intheamountof$__________ H&H& 0    andshallstopuponfullpayment.#XX%&v# XXԀ#XX ݳ#&v%XX!x!H&H& #XX%&v#XX#XXZ#&v%XXԀ6.   OTHERPAYMENTS: DUEFOR___________________________________ 򀀀$______Total  S"F " Ѐ#XX%&v# XX(equitabledistribution,attorneysfees,etc ) #!# 0    #XX #&v%XXPaymentsshallstarton_______________intheamountof$__________q$d"$H&H&   0  andshallstopuponfullpayment.#XX%&v # XX(Date)#XX k!#&v%XX?%2#%H&H& #XX%&v!#XX#XX"#&v%XXԀ7.0  SERVICECHARGE :4%ofeachpayment,nottoexceed$5.25: $_______Total  &$&H&H& #XX%&vZ"#XX#XX=##&v%XXԀ8.  PAYMENTSCHEDULE: Paymentshallbemade:dd񀀀 $ __________ ]'P%' 0    #XX%&v##h XX#XX h$# XXԀWEEKLY #XX $#h XX#XX h&%# XXԀMONTHLY#XX l%#&v%XX  򀀀GRANDTOTAL(&(H&H&    #XX%&v%#h XX0  #XX h&# XXԀEVERYOTHERWEEK  #XX &#h XX#XX h?'#h XXԀ#XX h'# XXTWICEMONTHLY#XX '# XXԀ # ##XSbX(#|XXSb |d(AddChildSupport,#| ѹ(# |ԀAlimony,d#| )# #XSbX|(#XXSb )')H&H& Ѐ#XX ݠ)#h XX#XX h?*# XXԀ(1ST&15TH)#XX ݅*#h XXԀ#XX h*# XXԀ(15TH&30TH) dArrearageServiceChargeand #XX %+# XX *(* d#XX +#&v%XX b (5h8 3 b______________________0 0 H& H& #XX%&vI,# XXdotherpayment) # ݿ)##XSbX-#d&\%XXSb&v%%&\+)+H&H&   #&\%%&vD.#&\%%&\#XSbX%&\%.#XXSbThepreparerofthisformshallinserta specificcommencementdate whichcoincideswiththefirstpayrollcycledateofthe_Obligor_Ԁfollowing ,*, entryoftheimplementingjudgment(order),butnoearlierthan30daysfromentryofthejudgment(order).ThisisbecausetheCourtacknowledgesthatitwilltakesometimetohavetheClerkestablishthe_C.S.E._ԀLedgerandtoeffectuateincomedeductionorder.Accordingly,intheinterim,forthenext30days,thosepostjudgmentsupportobligationsshallbepaid directly betweentheparties,withtheCourtreserving .,/ jurisdictiontoenforcenonpaymentuponthefilingoftheappropriatemotion.Thefirstpostjudgmentsupportpaymentmadethrough_F.L.S.D.U._shalloccuronthefirstpaymentdateafterexpirationofthe30days_hereinabove_Ԁreferenced.#.##XSbX.#&\%XXSb&v%%&\ ?02.1  0.2 Ї ******CLERK:PLEASEKEEPTHISPAGESEPARATEFROMFILEANDKEEPCONFIDENTIAL ******   b (Uh88b 3   342Uh  9  .3  0      PERSONALINFORMATION: 344݌wjH&H& Ќ    PersonPayingSupport(_Obligor_)PersonReceivingSupport(_Obligee_)Name:___________________________________  Name:______________________________________  Address:_________________________________  Address:____________________________________ K >  City/State/Zip:____________________________  City/State/Zip:_______________________________    #XX%&v73#&v%XXPhoneNumber:(____)______________________  PhoneNumber:(_____)________________________ Q D  Driver'sLicenseNo.:_____________________  Driver'sLicenseNo.:________________________   CarTagNumber:__________________________  CarTagNumber:_____________________________ % DateofBirth:__________/__________/________  DateofBirth:__________/__________/___________  SocialSecurityNumber:___________________  SocialSecurityNumber:______________________  Employer:___________________________________Employer:___________________________________EmployerAddress:____________________________EmployerAddress:__________________________________________________________________________________________________________________Employer'sPhoneNumber(____)______________Employer'sPhoneNumber(____)______________Children:Name:__________________________________DOB:__________/__________/__________SSNo.:_____________Name:__________________________________DOB:__________/__________/__________SSNo.:_____________Name:__________________________________DOB:__________/__________/__________SSNo.:_____________Name:__________________________________DOB:__________/__________/__________SSNo.:_____________PREPAREDBY:_________________________________________________________________    NameDateREVIEWEDBY:_________________________________________________________________    NameDate#XX%&v7#XXsis2/1/05#XXA?##XSbXXXV3#