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Get Ucs 111 2016-2024

UCS-111 rev 08/11 CHILD SUPPORT SUMMARY FORM SUPREME COURT COMPLETE FORM FOR EACH BASIC CHILD SUPPORT OBLIGATION ORDER 1 A. NEW YORK STATE UNIFIED COURT SYSTEM SUPPORT SUMMARY FORM FAMILY SUPREME COURT INSTRUCTION SHEET Prepare one report for each proposed judgment or final order granted pursuant to Article 4 or 5 of the Family Court Act and DRL 240 and 236 B 9 b which includes a provision for child support including modification of order. Court B. 9 Supreme K. If answer to J was yes circle court s reason s County Tax consequences. Non-monetary contribution toward care and well-being of child. Educational needs of either parent. Substantial differences in gross income of parents. Needs of other children of non-custodial Extraordinary visitation expenses of noncustodial parent. Date Action Commenced / Date Judgment/Order Submitted or Signed G* F* Child s expected standard of living had household remained intact. Index E* Physical/emotional health of child special needs or aptitudes. D. Financial resources of parents/child. C. Of Children Subject to Child Support Order Annual Gross Income 1. Plaintiff Defendant 10. Other specify H. Amount of Child Support Payment annually I. Additional Child Support Circle as many as appropriate L* 1. None M. 3. Education 4. Other Circle one Value of Maintenance/Spousal Support 2. Child Care 1. Medical/Med* Ins* 1. Medical/Med* Ins* Maintenance/Spousal Support J* Did the court make a finding that the child support award varied from the Child Support Standards Act amount Circle one 1. Yes N* Allocation of Property 2. No Defined by FCA 413 2 and DRL 240 1-b b 2 Child Support shall mean a sum to be paid pursuant to court order or decree by either or both parents or pursuant to a valid agreement between the parties for care maintenance and education of any unemancipated child under the age of twenty-one years. SUBMIT COMPLETED FORM TO Office of Court Administration 25 Beaver Street Room 975 New York New York 10004 GENERAL INSTRUCTIONS ALL ITEMS MUST BE ANSWERED If a number or amount in dollars is required and the answer is none write 0. If a certain item is not applicable write NA. If the information is unknown or not known to the party filling out the form write UK. mm/dd/yy means month/day/year. SPECIAL INSTRUCTIONS FOR PARTICULAR ITEMS Use gross income figures from the last complete calendar year. Do not include maintenance or child support as income. H. If the child support award is calculated weekly multiply it by 52 for the annual amount if biweekly multiply it by 26 if monthly multiply it by 12. If the maintenance award is calculated weekly multiply it by 52 for the annual amount if biweekly multiply it by 26 certain amount for five years and half that amount for another three years then provide the average of the awards total amount for all years divided by the number of years. NOTE THIS INFORMATION IS CONFIDENTIAL AND WILL BE USED FOR STATISTICAL PURPOSES ONLY. IT WILL NOT BE RETAINED IN THE CASE FILE*. Court B. 9 Supreme K. If answer to J was yes circle court s reason s County Tax consequences. Non-monetary contribution toward care and well-being of child. Educational needs of either parent. Substantial differences in gross income of parents. Needs of other children of non-custodial Extraordinary visitation expenses of noncustodial parent.

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