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IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT
WILL COUNTY, ILLINOIS
_______________________________________
CASE NO:
_______________________________
Plaintiff
vs.
Illinois Department of Healthcare & Family Services is or has been,
granted leave to intervene
IDHFS NO:
_______________________________
Defendant
ORDER FOR SUPPORT
THE COURT FINDS AS FOLLOWS:
1. This order of support covers the following minor child(ren):
Child(ren)'s Initial(s):
Year of Birth
Child(ren)'s Initial(s):
Year of Birth
____________
______________________
____________
2. The net income of the obligor as of the date of this order is $__________ per ____________.
3. The obligor shall pay as indicated below:
MAINTENANCE:
or
UNALLOCATED SUPPORT:
Current Maintenance Amount
: $
Payment Frequency
:
every week
:
Current Unallocated Support Amount
$__________
every other week
monthly
Arrearage Payment:
$_____________
twice each month on ________&________
(date)
every year
Is in arrears
greater than or
less than 12 weeks
other
: __________________
Total Payment Due
: ______________
First Payment Due
Termination Date
: ___________________
: ________________________
date
date
(
)
(
)
DOLLAR AMOUNT OF CHILD SUPPORT
:
(Do not complete this section if Unallocated Support is ordered)
Payment Frequency
Current Support Payment
: $____________
:
every week
Please check if percentage is also ordered
every other week
Arrearage Payment
monthly
: $_____________
twice each month on ________&________
Is in arrears
greater than or
less than 12 weeks
(date)
every year
Total Payment Due
other
: _____________
: ___________________
First Payment Due
Termination Date
: ____________________
: _________________________________
(date)
ANDREA LYNN CHASTEEN, CLERK OF THE CIRCUIT COURT OF WILL COUNTY
Original – Court
Copy – Plaintiff
Copy – Defendant
F-SO-002-A (rev. 12/01/16) Page 1 of 5