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Level 1 Level 2 Level 3 Level 4 Level 5(C2o$ 6'S!..     (C2o$ 6'S!..     ($'dxd./012C<< c3|P(('S$..    hp deskjet 960c,,,,,,0(9 Z6Times New Roman Regular8Xi)J|=Z i=:i+00U '  6Child Support Addendum 0SGJC - 2nd district 0 .    6'S!..     _L  M  L  M  L  M  L  M  L  M  XXX8XL  M  L  M  L  M  L  M  L  M  L  M  L  M  L  M  L  M   +"#$%&'()*(03     XL  M    ! !X!L  M  L  M  L  M  !XXXX  !6XXXX     $ !!$XXXXXXXX   U  L  M   U݌̌XXXXXXXX  $ !!$   _XXL  M  _   $ !!$XXXXXX     L  M   ݌ | ЌXX  $ !!$       ?( 4 <DL!? G~G~G~    L  M  L  M  XXG~INTHESUPERIORCOURTFOR_______________COUNTYS݌ b Ќ  XX   ! !X!         ?( 4 <DL!? G~G~G~    XXG~STATEOFGEORGIAv ݌ H Ќ  XX   ! !X!     G~    ?( 4 <DL!? G~G~G~G~       L  M  XXG~ } ݌̌  G~XXG~G~   ! !X!         ?( 4 <DL!? G~G~G~G~       XXG~____________________, <   : U ݌  d Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~ 4  Plaintiff, <   :  O݌  J Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~ 4    <   :b݌  0 Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~vs. 4    <   :  CIVILACTIONNUMBER:___________k݌    Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~ 4    <   :  ݌    Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~____________________, <   :݌   Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~ 4  Defendant. <   :݌ x  Ќ  G~XXG~G~   ! !X!       ?( 4 <DL!? G~G~G~G~      XXG~݌̌  G~XXG~G~   ! !X!           ?( 4 <DL!? G~G~G~G~    L  M  CHILDSUPPORTORDERADDENDUML  M  XXG~}݌ D  Ќ  G~XXG~G~   ! !X!           ?( 4 <DL!? G~G~G~G~    XXG~݌̌  G~XXG~G~   ! !X!     X  <%4 4 <DL!<  X  <( 4 <DL44X< G~G~G~G~  X X9%4 4 <DLX9   L  M  G~ThisAddendummaybeusedbutisnotrequiredforfiling. !݌ 6 Ќ  G~G~G~    44X44X XX  G~ X X !44X    <( 4 <DL< G~G~G~  #  L  M  G~[Youmustcheckoneofthefollowing_boxes.]#t$݌  Ќ     X   _        <( 4 <DL< G~G~G~  %  _L  M  G~%&݌ s Ќ     X   _    <( 4 <DL<    <( 4 <DLX<G~G~G~    F(  L  M  XXG~() 4 L  M  &) %XXThepartieshaveagreedtothetermsofthisOrderandthisinformationhasbeenfurnished 2 bybothpartiestomeettherequirementsof_O.C.G.A._Ԁ19615.Thepartiesagreeontheterms h oftheOrderandaffirmtheaccuracyoftheinformationprovided,asshownbytheirsignaturesat ; theendofthis_Addendum.F()݌  Ќ   %&)   XX   _      <( 4 <DLX< G~G~G~    ,,  L  M  &) %G~Ԅor,,,݌  Ќ   %&)    XX         <( 4 <DLX< G~G~G~    .  &) %G~..݌̌   %&)    XX         <( 4 <DLX< G~G~G~    /  L  M  &) %G~() 4 ThisAddendumincludesfindingsoffactandconclusionsoflawandfactmadebythe 7 Court,incompliancewith_O.C.G.A._Ԁ196_Ԅ15./0݌  Z Ќ   %&)   XX   _      <( 4 <DLX< G~G~G~    2  _ &) %G~2k3݌ - Ќ   %&)   XX   _        <( 4 <DLX<G~G~G~    4  L  M  &) %G~ 4 APPLICATIONOFCHILDSUPPORTGUIDELINES.L  M  Thestatutoryrequirements  of_O.C.G.A._Ԁ19615havebeenappliedinreachingtheamountofchildsupportprovidedunder  thefinalorderinthisaction.Thespecificsareas_follows: L  M  XX %&)4l5݌ V Ќ  XX   XX   _      <( 4 <DLX<G~G~G~    48  _L  M  XXG~488݌ ) y  Ќ  XX   XX   L  M  _"""  X9%4 4 <DLX9    "H:2  1  .3   4   L  M  GrossIncome:L  M  &) %ԀTheFathersgrossmonthlyincome(beforetaxes)is$__________;the !_! Mothersmonthlyincome(beforetaxes)is$__________."H::݌ !2" Ќ X X44X   G~ %&) ,<( 4 <DLX<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<L=  _L  M  &) %G~L=f>݌ "# Ќ  G~ %&)G~G~  $ 4X4X$ ,,  L  M  _"""  X,<%4 4 <DL4X<  "?2  2  .3   4   L  M  NumberofChildren:L  M  &) %G~ԀThenumberofchildrenforwhomsupportisbeing #$ providedinthisOrderis_____."?\@݌ $% Ќ ,X! 4X44X!   G~ %&) ,?( 4 <DL4X?    <( 4 <DLX<G~G~G~G~    B  _L  M  &) %G~BVC݌ g% & Ќ  G~ %&)G~G~   XX   L  M  _"""  X9%4 4 <DLX9  "D2  3  .3   4   L  M  Attachments:L  M  &) %G~ԀThe L  M  ChildSupportWorksheet L  M  ,alongwithotherapplicableSchedules, :&!' includingScheduleE,ifnecessary,areattachedandmadeapartofthisAddendum."DCE݌ F'"( Ќ X X44X   G~ %&)<( 4 <DLX<    <( 4 <DLX<G~G~G~G~    G  _L  M  &) %G~GH݌ (i#) Ќ  G~ %&)G~G~   XX   L  M  _"""  X9%4 4 <DLX9  "I2  4  .3   4   L  M  ChildSupportAmount:L  M  &) %G~ԀThe______________shallpaytothe (<$* ______________,forthesupportoftheminorchildren,thesumof )H%+ __________________________Dollars($__________)permonth,beginningon *&, ____________________,20__. L  M  XX %&)"IJ݌ +&- Ќ X X44X   G~XX<( 4 <DLX<    <( 4 <DLX<G~G~G~G~    M  _L  M  XXG~MQN݌ q,'. Ќ  G~XXG~G~   XX   __        <( 4 <DLX< G~G~G~G~    O  XXG~OsP݌ W-(/ Ќ  G~XXG~G~   XX   _    <( 4 <DLX< G~G~G~G~    Q  _ XXG~QIR݌  Ќ  G~XXG~G~   XX _      <( 4 <DLX< G~G~G~G~    eS  _ XXG~eS/T݌  Ќ  G~XXG~G~   XX _  L  M  """  X9%4 4 <DLX9      "bU2  5  .3   4   L  M  DurationofChildSupportL  M  "bU V݌ | Ќ X X44X   ,<( 4 <DLX<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<W  _L  M  &) %G~WX݌  Ќ  G~ %&)G~G~  $ 4X4X$ ,,_  X,  <%4 4 <DL4X<  X  <( 4 <DL44X<G~G~G~G~  X9%4 4 <DLX9QZ  L  M  &) %G~[Youmustcheck&complete L  M  onlyoneL  M  ofthefollowing_paragraphs.]QZY[݌ [ Ќ  G~ %&)G~G~   44X44X XX_        X  <( 4 <DL44X< G~G~G~G~  X#]  _L  M  &) %G~#]]݌ . ~ Ќ  G~ %&)G~G~   44XX XX_        X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX9S_  L  M  &) %G~()(a) L  M  BeyondAge18forHighSchoolL  M  :Thechildsupportshallcontinuemonthly  Q thereafteruntileachchildreachestheageofeighteen,dies,marries,orotherwise  $ becomesemancipated;providedthatifachildbecomeseighteenyearsoldwhileenrolled   orattendingsecondaryschoolonafulltimebasis,thenthechildsupportshallcontinue z   forthechilduntilthechildhasgraduatedfromsecondaryschoolorreachestwentyyears M   ofage,whicheveroccurs_first.S_g`݌  p  Ќ  G~ %&)G~G~   44X44X XX_        X  <( 4 <DL44X< G~G~G~G~  X  d  _ &) %G~dd݌ C  Ќ  G~ %&)G~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  f  &) %G~()(b) L  M  StopsatAge18L  M  :Thechildsupportshallcontinuemonthlythereafteruntileach   childreachestheageofeighteen,dies,marries,orotherwisebecomes_emancipated.ff݌   Ќ  G~ %&)G~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  i  _ &) %G~ii݌ l  Ќ  G~ %&)G~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  k  &) %G~()(c) L  M  UntilFurtherOrderL  M  :Thisisnotafinalorder,sothechildsupportshall ?  continueuntilfurtherorderofthe_Court.kk݌ b Ќ  G~ %&)G~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  m  _ &) %G~mn݌ 5 Ќ  G~ %&)G~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  o  &) %G~()(d) L  M  UntilSpecificDateL  M  :Thechildsupportshallcontinuemonthlythereafteruntil  ________________________________________________________________________. L  M  XX %&)op݌  Ќ  G~XXG~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  r  _ XXG~rs݌ ^ Ќ  G~XXG~G~   44XX XX_  L  M  """  XX9%4 4 <DL44X9      "t2  6  .3   4   L  M  DeviationfromPresumptiveAmountofChildSupportL  M  "tu݌ D Ќ XX 44X44X   ,X<( 4 <DL44X<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<Kw  _L  M  &) %G~Kwex݌ P Ќ  G~ %&)G~G~  $ 4X4X$ ,,_  ,  ?( 4 <DL4X?    <( 4 <DLX<G~G~G~G~  y  L  M  &) %G~[Youmustcheck&complete L  M  onlyoneL  M  ofthefollowing_paragraphs.]yz݌ #s Ќ  G~ %&)G~G~   XX _          <( 4 <DLX< G~G~G~G~  |  _L  M  &) %G~|@}݌ F Ќ  G~ %&)G~G~   XX _     X  9%4 4 <DLX9  X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX9~  L  M  &) %G~()(a) L  M  NoDeviationL  M  :IthasbeendeterminedthatnoneoftheDeviationsallowedunder  _O.C.G.A._Ԁ19615applyinthiscase L  M  .TheamountofsupportinParagraph4aboveis  thePresumptiveAmountofChildSupportshownontheattached L  M  ChildSupport o _Worksheet L  M  .~݌ B Ќ  G~ %&)G~G~   44X44X XX_        X  <( 4 <DL44X< G~G~G~G~  X  -  _ &) %G~-݌ e Ќ  G~ %&)G~G~   44XX XX_      X  <( 4 <DL44X< G~G~G~G~  X  -  &) %G~()(b) L  M  DeviationL  M  :IthasbeendeterminedthatoneormoreoftheDeviationsallowed 8 under_O.C.G.A._Ԁ19615appliesinthiscase,asshownbytheattached L  M  ScheduleE L  M  .The    PresumptiveAmountofChildSupportthatwouldhavebeenrequiredunder_O.C.G.A._Ԁ  ! 19615ifthedeviationshadnotbeenappliedis$_______________permonth,as a!" shownontheattached L  M  ChildSupportWorksheet L  M  .Theattached L  M  ScheduleE L  M  explainsthe 4"# reasonsforthedeviation,howtheapplicationoftheguidelineswouldbeunjustor #W$ inappropriateconsideringtherelativeabilityofeachparenttoprovidesupport,andhow #*% thebestinterestofthechildrenwhoaresubjecttothischildsupportdeterminationis $& servedbydeviationfromthepresumptiveamountofchild_support. L  M  XX %&)-݌ % ' Ќ  G~XXG~G~   44XX XX_  X  <( 4 <DL44X<    <( 4 <DLX<G~G~G~G~  f  _L  M  XXG~f'݌ S&!( Ќ  G~XXG~G~   XX _  L  M  """  X9%4 4 <DLX9    "n2  7  .3   4   L  M  Health,Dental&VisionInsuranceforChildrenL  M  "n ݌ 9'") Ќ X X44X   ,<( 4 <DLX<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<  _L  M  &) %G~ב݌ E(#* Ќ  G~ %&)G~G~  $ 4X4X$ ,,_  ,  ?( 4 <DL4X?    <( 4 <DLX<G~G~G~G~  i  L  M  &) %G~[Youmustcheck&complete L  M  onlyoneL  M  ofthefollowingparagraphs,(a)or_(b).]i*݌ )h$+ Ќ  G~ %&)G~G~   XX _          <( 4 <DLX< G~G~G~G~    _L  M  &) %G~݌ );%, Ќ  G~ %&)G~G~   XX _          <( 4 <DLX<G~G~G~G~    "  L  M  &) %G~ 4 ()(a) L  M  InsuranceAvailableL  M  :Thefollowinginsuranceforthechildreninvolvedinthis *&- actionisavailableatareasonablecosttothe_______________throughthatparentsemployer, +&. privateinsurance,orthePeachCare_program:"݌ d,'/ Ќ  G~ %&)G~G~   XX _  ___        <( 4 <DLX< G~G~G~G~      &) %G~|݌ 7-(0 Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    x  &) %G~xB݌  .Z)1 Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    >  &) %G~>݌  Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      &) %G~ 4  ()Health(medical,mentalhealthandhospitalization)Ρ݌  Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      &) %G~ 4  ()Dental݌ V Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      &) %G~ 4  ()Visionͥ݌ )y Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      L  M  XXG~݌ L Ќ  G~XXG~G~   XX         <( 4 <DLX< G~G~G~G~    Ҩ  XXG~ 4 L  M  &) %XXSolongasitremainsavailabletothatparent,the_______________shallmaintainthe  typesofinsurancecheckedaboveforthebenefitoftheminorchildren,untileachchildreaches   theageofeighteen,dies,marries,orotherwisebecomesemancipated;exceptthatifachild u  becomeseighteenyearsoldwhileenrolledinorattendingsecondaryschoolonafulltimebasis, H  thentheinsuranceshallbecontinuedforthechilduntilthechildhasgraduatedfromsecondary  k  schoolorreachestwentyyearsofage,whicheveroccursfirst.Ҩ݌  >  Ќ  G~ %&)G~G~   XX         <( 4 <DLX< G~G~G~G~    b  &) %G~b,݌    Ќ  G~ %&)G~G~   XX           <( 4 <DLX<G~G~G~G~    C  L  M  &) %G~ 4 (1)Theparentwhomaintainstheinsuranceshallprovidetheotherparentwithan   insuranceidentificationcardorsuchotheracceptableproofofinsurancecoverageandshall g  cooperatewiththeotherparentinsubmittingclaimsunderthepolicy.C݌ :  Ќ  G~ %&)G~G~   XX           <( 4 <DLX< G~G~G~G~    b  &) %G~b,݌  ]  Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    (  &) %G~ 4 (2)Allmoneyreceivedbyoneofthepartiesforclaimsprocessedundertheinsurance 0  policyshallbepaidwithinfive(5)daysafterthepartyreceivesthemoney,totheotherparty(if  thatotherpartypaidtheapplicablehealthcareserviceprovider)ortotheapplicablehealthcare  provider(iftheproviderhasnotbeenpaidbyoneoftheparties).(݌ Y Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      &) %G~c݌ ,| Ќ  G~ %&)G~G~   XX           <( 4 <DLX<G~G~G~G~    z  L  M  &) %G~ 4 ()(b) L  M  InsuranceNotAvailableL  M  :Insurance(otherthanMedicaid)isnotavailableatthis O timetoeitherpartyatareasonablecost.Ifhealthinsuranceforthechildrenlaterbecomes " availabletotheparentwhoisrequiredtopaychildsupportforthesechildren,thenthatparent  mustobtainthefollowingtypesofinsurance,unlessitisthebeingprovidedbytheotherparent:zG݌ x Ќ  G~ %&)G~G~   XX           <( 4 <DLX< G~G~G~G~    d  &) %G~d.݌ K Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    *  &) %G~ 4  ?Health(medical,mentalhealthandhospitalization)*݌ n Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    >  &) %G~ 4  ?Dental>݌ A Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    %  &) %G~ 4  ?Vision%݌  Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~       &) %G~ ݌  Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      &) %G~ 4 Wheninsurancehasbeenobtainedbyeitherparty,Paragraphs7(a)(1)and(2)shall j apply.݌ = Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~      L  M  XXG~݌ `  Ќ  G~XXG~G~   XX   L  M  """  X9%4 4 <DLX9      "2  8  .3   4   L  M  UninsuredHealthCareExpensesL  M  : L  M  &) %G~ԀThe____________________shallpay 3! _____%andthe____________________shallpay_____%ofallreasonableand  ?" necessaryexpensesincurredforthechildrenshealthcare(includingmedical,dental, !# mentalhealth,hospitalandvisioncare)thatarenotcoveredbyinsurance.Thepartywho "$ incursahealthcareexpenseforoneofthechildrenshallprovideverificationofthe h#% amounttotheotherparty.Thatotherpartyshallreimbursetheincurringparty(orpaythe ;$& healthcareproviderdirectly)fortheappropriatepercentageoftheexpense,withinfifteen %^ ' (15)daysafterreceivingtheverificationofaparticularhealthcareexpense."݌ %1!( Ќ X X44X   G~ %&) ,<( 4 <DLX<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<  L  M  XXG~݌ &") Ќ  G~XXG~G~  $ 4X4X$ ,,  L  M  """  X,<%4 4 <DL4X<  "2  9  .3   4   L  M  ParentingTimeAmountsL  M  : L  M  &) %G~ԀTheapproximatenumberofdaysofparentingtime '"* peryearaccordingtothevisitationorderis_____daysforthefatherand_____daysfor (#+ theMother."݌ f)$, Ќ ,X! 4X44X!   G~ %&) ,?( 4 <DL4X?    <( 4 <DLX<G~G~G~G~    N  L  M  &) %G~N݌ 9*%- Ќ  G~ %&)G~G~   XX           <( 4 <DLX< G~G~G~G~    C  &) %G~C ݌  +\&. Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~       &) %G~ ݌ +/'/ Ќ  G~ %&)G~G~   XX   L  M  "" "  X9%4 4 <DLX9      "2  10  .3   4   L  M  ԀSocialSecurityBenefitsL  M  "݌ ,(0 Ќ X X44X   ,<( 4 <DLX<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<-  L  M  &) %G~-G݌ -)1 Ќ  G~ %&)G~G~  $ 4X4X$ ,,  ,  ?( 4 <DL4X?    <( 4 <DLX<G~G~G~G~    L  M  &) %G~[Youmustcheck&complete L  M  onlyoneL  M  ofthefollowingparagraphs.] L  M  XX %&)z݌  Ќ  G~XXG~G~   XX           <( 4 <DLX< G~G~G~G~  ]  L  M  XXG~]݌  Ќ  G~XXG~G~   XX      X  9%4 4 <DLX9  X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX9  L  M  &) %G~()(a) L  M  NotReceivedL  M  :ThechildrendonotreceiveTitleIISocialSecuritybenefitsunder i theaccountoftheparentorderedtopaychildsupport.݌ < Ќ  G~ %&)G~G~   44X44X XX        X  <( 4 <DL44X< G~G~G~G~  X    &) %G~݌ _ Ќ  G~ %&)G~G~   44XX XX      X  <( 4 <DL44X< G~G~G~G~  X    &) %G~()(b) L  M  ReceivedL  M  :ThechildrenreceiveTitleIISocialSecuritybenefitsundertheaccount 2 oftheparentorderedtopaychildsupport.Thebenefitsreceivedbythechildrenshallbe   countedaschildsupportpayments,andshallbeappliedagainstthefinalchildsupport   ordertobepaidbythatparent.o݌ [  Ќ  G~ %&)G~G~   44XX XX  ,X  <( 4 <DL44X<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<^  L  M  &) %G~^x݌ . ~  Ќ  G~ %&)G~G~  $ 4X4X$ ,,  ,9" <DL4X9    <( 4 <DL  X<G~G~G~G~    6" <DLX6  L  M  &) %G~(1)Iftheamountofbenefitsreceivedislessthantheamountofsupportordered,  Q  theobligorshallpaytheamountexceedingtheSocialSecuritybenefit.݌  $  Ќ  G~ %&)G~G~     X  X           <( 4 <DL  X< G~G~G~G~      &) %G~݌   Ќ  G~ %&)G~G~     XX       <( 4 <DL  X< G~G~G~G~      &) %G~(2)Iftheamountofbenefitsreceivedisequaltoormorethantheamountof z  childsupportordered,theobligorsresponsibilityismetandnofurthersupport M  shallbepaid.l݌  p  Ќ  G~ %&)G~G~     XX       <( 4 <DL  X< G~G~G~G~    B  &) %G~B݌ C  Ќ  G~ %&)G~G~     XX       <( 4 <DL  X< G~G~G~G~      &) %G~(3)AnyTitleIIbenefitsreceivedforthechildrensbenefitshallberetainedby  thecustodialparentorthirdpartycustodianforthechildrensbenefit,anditshall  notbeusedasareasonfordecreasingthefinalchildsupportorderorreducing l arrearages. L  M  XX %&)݌ ? Ќ  G~XXG~G~     XX       <( 4 <DL  X< G~G~G~G~    l  XXG~lD݌ b Ќ  G~XXG~G~     XX   L  M  "" "  X9%4 4 <DL  X9      "W2  11  .3   4   L  M  ԀModificationL  M  :"W݌ H Ќ X   X44X   <( 4 <DL  X<    <( 4 <DLX<G~G~G~G~      L  M  &) %G~b݌ T Ќ  G~ %&)G~G~   XX         <( 4 <DLX<G~G~G~G~    L  M  &) %G~[Youmustcheck&complete L  M  onlyoneL  M  ofthefollowingparagraphs.]B݌ ' Ќ  G~ %&)G~G~   XX           <( 4 <DLX< G~G~G~G~    L  M  &) %G~݌  Ќ  G~ %&)G~G~   XX      X  9%4 4 <DLX9  X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX95  L  M  &) %G~()(a) L  M  NotModificationActionL  M  :Thisisaninitialdeterminationofchildsupport,nota } modificationaction.5I ݌ P Ќ  G~ %&)G~G~   44X44X XX        X  <( 4 <DL44X< G~G~G~G~  X  #   &) %G~#  ݌ #s Ќ  G~ %&)G~G~   44XX XX      X  <( 4 <DL44X< G~G~G~G~  X     &) %G~()(b) L  M  SupportAmountNotModifiedL  M  :Thisactionisamodificationaction,butthe F orderdoesnotmodifytheamountofchildsupportthatwaspreviouslyorderedforthese  children.Thedateoftheinitialsupportorderconcerningthischildsupportcasewas:  ________________________________.  ݌ o  Ќ  G~ %&)G~G~   44XX XX      X  <( 4 <DL44X< G~G~G~G~  X  s  &) %G~sK݌ B ! Ќ  G~ %&)G~G~   44XX XX      X  <( 4 <DL44X< G~G~G~G~  X  S  &) %G~()(c) L  M  SupportAmountModifiedL  M  :Theordermodifiestheamountofchildsupportthat !e" waspreviouslyorderedforthesechildren.Thebasisforthemodificationis:S+݌ !8# Ќ  G~ %&)G~G~   44XX XX      X  <( 4 <DL44X< G~G~G~G~  X    &) %G~݌ " $ Ќ  G~ %&)G~G~   44XX XX    X  6" <DL44X6    <( 4 <DL  X<G~G~G~G~    6" <DLX6M  L  M  &) %G~()(1)SubstantialchangeintheincomeandfinancialstatusoftheFather;M^݌ #% Ќ  G~ %&)G~G~     X  X           <( 4 <DL  X< G~G~G~G~      &) %G~()(2)SubstantialchangeintheincomeandfinancialstatusoftheMother;݌ a$& Ќ  G~ %&)G~G~     XX       <( 4 <DL  X< G~G~G~G~      &) %G~()(3)SubstantialchangeintheneedsoftheChildren;݌ 4% ' Ќ  G~ %&)G~G~     XX       <( 4 <DL  X< G~G~G~G~      &) %G~()(4)Thenoncustodialparentfailedtoexercisevisitationprovidedunderthe &W!( priororder;݌ &*") Ќ  G~ %&)G~G~     XX       <( 4 <DL  X< G~G~G~G~    O   &) %G~()(5)Thenoncustodialparenthasexercisedmorevisitationthanwasprovided '"* inthepriororder. L  M  XX %&)O '!݌ (#+ Ќ  G~XXG~G~     XX       <( 4 <DL  X< G~G~G~G~    "  XXG~"#݌ S)$, Ќ  G~XXG~G~     XX     X  9%4 4 <DL  X9  X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX9 %  L  M  &) %G~Thedateoftheinitialsupportorderconcerningthischildsupportcasewas: 9*%- _______________________________. %&݌  +\&. Ќ  G~ %&)G~G~   44X44X XX        X  <( 4 <DL44X< G~G~G~G~  X  '  L  M  XXG~'(݌ +/'/ Ќ  G~XXG~G~   44XX XX  L  M  "" "  XX9%4 4 <DL44X9      ")2  12  .3   4   L  M  ContinuingGarnishmentforChildSupportL  M  : L  M  &) %G~ԀWhenever,inviolationof ,(0 thetermsoftheorder,thereshallhavebeenafailuretomakethesupportpayments,so -)1 thattheamountunpaidisequaltoorgreaterthantheamountpayableforonemonth,the  paymentsrequiredtobemademayalsobecollectedbytheprocessofcontinuing  garnishmentforsupport.")*݌ V Ќ XX 44X44X   G~ %&) ,X<( 4 <DL44X<  ,  ?( 4 <DL4X?G~G~G~G~  ,  <( 4 <DLX<-  L  M  &) %G~-/݌ )y Ќ  G~ %&)G~G~  $ 4X4X$ ,,  L  M  "" "  X,<%4 4 <DL4X<  "D02  13  .3   4   L  M  IncomeDeductionOrderL  M  :"D00݌ L Ќ ,X! 4X44X!   ,?( 4 <DL4X?    <( 4 <DLX<G~G~G~G~    z2  L  M  &) %G~z2G3݌  X Ќ  G~ %&)G~G~   XX         <( 4 <DLX<G~G~G~G~  f4  L  M  &) %G~[Youmustcheck&complete L  M  onlyoneL  M  ofthefollowingparagraphs,(a),(b)or(c).]f4'5݌  + Ќ  G~ %&)G~G~   XX           <( 4 <DLX< G~G~G~G~  6  L  M  &) %G~67݌   Ќ  G~ %&)G~G~   XX      X  9%4 4 <DLX9  X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX9+9  L  M  &) %G~()(a)An L  M  IncomeDeductionOrder L  M  shallbeenteredbytheCourt,underO.C.G.A.+9?:݌   Ќ  G~ %&)G~G~   44X44X XX      X  <( 4 <DL44X< G~G~G~G~  X  ;  &) %G~19632,forpaymentofthechildsupportandalimony(ifany)provided.The L  M  Income T   DeductionOrder L  M  shalltakeeffect:;<݌ ' w  Ќ  G~ %&)G~G~   44XX XX      X  <( 4 <DL44X< G~G~G~G~  X  >  &) %G~>j?݌  J  Ќ  G~ %&)G~G~   44XX XX    X  <( 4 <DL44X<    <( 4 <DLX<G~G~G~G~  @  L  M  &) %G~[Tofinish(a),youmustcheckeither(1)or(2).Donotcheckboth.]@A݌   Ќ  G~ %&)G~G~   XX           <( 4 <DLX< G~G~G~G~   C  L  M  &) %G~ CC݌   Ќ  G~ %&)G~G~   XX           <( 4 <DLX<G~G~G~G~    E  L  M  &) %G~ 4  ()(1)immediatelyuponentryoftheCourt.EE݌ s  Ќ  G~ %&)G~G~   XX         <( 4 <DLX< G~G~G~G~    =G  &) %G~ 4  L  M  Ԅor=GH݌ F  Ќ  G~ %&)G~G~    XX     6" <DLX6    <( 4 <DL  X< G~G~G~G~    6" <DLX6I  L  M  &) %G~()(2)uponaccrualofadelinquencyequaltoonemonthssupport.The L  M  Income i  DeductionOrder L  M  maybeenforcedbyservinga NoticeofDelinquency,as < providedinO.C.G.A.19632(f).IJ݌  Ќ  G~ %&)G~G~     X  X           <( 4 <DL  X< G~G~G~G~    L  &) %G~LM݌  Ќ  G~ %&)G~G~     XX     X  9%4 4 <DL  X9  X  <( 4 <DL44X<G~G~G~G~  X  9%4 4 <DLX9O  L  M  &) %G~()(b)Thepartiesagreethatan L  M  IncomeDeductionOrder L  M  isnotimmediatelynecessary.O3P݌ e Ќ  G~ %&)G~G~   44X44X XX        X  <( 4 <DL44X< G~G~G~G~  X  Q  &) %G~QR݌ 8 Ќ  G~ %&)G~G~   44XX XX    X  <( 4 <DL44X< G~G~G~G~  X  S  &) %G~()(c)TheCourtfindsthatthereisgoodcausenottorequireincomededuction,having  [ determinedthatincomedeductionwillnotservethechildrensbestinterestsandthat . therehasbeensufficientproofoftimelypaymentofanypreviouslyorderedsupport.ST݌  Ќ  G~ %&)G~G~   44XX XX    X  <( 4 <DL44X< G~G~G~G~  X  V  L  M  XXG~VW݌  Ќ  G~XXG~G~   44XX XX    X<( 4 <DL44X<    <( 4 <DLX<G~G~G~G~    Y  L  M  XXG~14.L  M  G~XXTypeofAction:L  M  XXG~YY݌ W Ќ  G~XXG~G~    XX         <( 4 <DLX< G~G~G~G~  f[  L  M  XXG~f[$\݌̌  G~XXG~G~    XX         <( 4 <DLX< G~G~G~G~    ,]  L  M  &) %G~()PartiesConsent:L  M  Weknowinglyandvoluntarilyagreeonthetermsofthisorder.Eachofus I affirmsthattheinformationwehaveprovidedinthisAddendumistrueandcorrect.,]]݌ l Ќ  G~ %&)G~G~   XX         <( 4 <DLX<G~G~G~G~    _  L  M  &) %G~_`݌ ? Ќ  G~ %&)G~G~   XX         <( 4 <DLX< G~G~G~G~    a  &) %G~_____________________________     D ______________________________ab݌  Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    d  &) %G~ԀFathersSignature <      D   MothersSignaturedd݌   Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    Hf  &) %G~Hfg݌ h ! Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    h  &) %G~ 4    < __________________________hh݌ ;!" Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    j  &) %G~ 4    < ThirdPartyCustodianjj݌ "^# Ќ  G~ %&)G~G~   XX       <( 4 <DLX< G~G~G~G~    2l  &) %G~2ll݌ "1$ Ќ  G~ %&)G~G~   XX         <( 4 <DLX< G~G~G~G~    n  L  M  &) %G~()ContestedHearing.nn݌ #% Ќ  G~ %&)G~G~    XX         <( 4 <DLX< G~G~G~G~    p  &) %G~pp݌̌  G~ %&)G~G~    XX           <( 4 <DLX< G~G~G~G~  q  L  M   G~******qr݌ Z% ' Ќ  G~ G~G~    XX           <( 4 <DLX< G~G~G~G~  s  L  M  XXG~stt݌ &!( Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~  u  XXG~uBv݌ r'") Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~  >w  XXG~>ww݌ X(#* Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~  x  XXG~xy݌ >)$+ Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~  z  XXG~zp{݌ $*t%, Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~  l|  XXG~l|*}݌  +Z&- Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~  &~  XXG~&~~݌ +@'. Ќ  G~XXG~G~   XX         <( 4 <DLX< G~G~G~G~    L  M  ORDER݌ ,&(/ Ќ  G~G~G~G~    XX         <( 4 <DLX< G~G~G~G~      L  M  XXG~|݌  Ќ  G~XXG~G~   XX       <( 4 <DLX<G~G~G~G~      L  M  XXG~()L  M   4 ThisCourthasreviewedtheforegoing L  M  ChildSupportAddendum L  M  ,anditishereby  madetheorderofthisCourt.\݌ | Ќ  G~XXG~G~   XX           <( 4 <DLX< G~G~G~G~    a  XXG~a+݌ b Ќ  G~XXG~G~   XX         <( 4 <DLX< G~G~G~G~    3  L  M  XXG~Ԅor3݌ H Ќ  G~XXG~G~    XX         <( 4 <DLX< G~G~G~G~      L  M  XXG~݌̌  G~XXG~G~    XX         <( 4 <DLX< G~G~G~G~      L  M  XXG~()L  M   4 Afterahearingintheabovestyledcase,theCourtherebymakesthefindingsof  d factsasshownonthis L  M  ChildSupportOrderAddendum L  M  .݌  J Ќ  G~XXG~G~   XX         <( 4 <DLX< G~G~G~G~    ׎  XXG~׎݌  0 Ќ  G~XXG~G~   XX         <( 4 <DLX< G~G~G~G~      XXG~ 4 L  M  SOORDERED,L  M  onthis___dayof________________,20____.s݌    Ќ  G~XXG~G~   XX         <( 4 <DLX< G~G~G~G~      XXG~݌    Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~      XXG~}݌   Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~    y  XXG~yC݌ x  Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~    ?  XXG~ 4    <      D ________________________? ݌ ^  Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~    q  XXG~ 4    <      D JudgeofSuperiorCourtsq;݌ D  Ќ  G~XXG~G~   XX       <( 4 <DLX< G~G~G~G~      XXG~ 4    <      D SouthGeorgiaJudicialCircuitm݌ *z  Ќ  G~XXG~G~   XX     L  M  L  M  G~PreparedBy:      ! !X!XXXXXX  ?( 4 <DL!? V  L  M  L  M  _______________ V)݌  ЌXX   XX   L  M  L  M  XX_______________ t   _______________ Z _______________ @ _______________ &v XX