IN ACCORDANCE WITH CHAPTER 61, FLORIDA STATUTES YOU ARE HEREBY NOTIFIED ON THE FOLLOWING:

1. You were ordered by the Court to pay $ (amount plus fee) each for child support, alimony, or both beginning .

2. According to the records of the Clerk=s Office, you are delinquent in your payments. As of the date of this notice you owe a total of $ .

This amount is calculated as follows:

$ Child Support

$ Alimony

$ Child Support Arrearage

$ Collection Fee

$ Total Due

3. The Clerk=s Office has authority to release information regarding the delinquency to consumer reporting agencies. You have the right to request a hearing with the Court to contest the accuracy of the information.

4. An Income Deduction Order will therefore become effective and will be served on your employer or payor along with a copy of this Notice of Delinquency unless you request in writing a hearing with the Court (with written notice to the Domestic Relations Enforcement Office), to contest enforcement of the order within 15 days after the date this Notice of Delinquency was served. Enforcement of the Income Deduction Order may be contested only on the following grounds:

a. Mistake of fact regarding the amount of the obligation owed pursuant to a court order

b. The amount of arrearage

c. The identity of the payor or identity of the payee

If you pay the amount of the arrearage and provide proof to the Domestic Relations Enforcement Office before the end of the 15 day period that you have done so, then the Notice of Delinquency will not be served, but the Income Deduction Order will still be served.

5. In addition to the amounts due for ongoing support and for the delinquency, you are liable for the administrative fee that your employer is permitted to deduct and retain ($5.00 for the first deduction and $2.00 for each subsequent deduction), for the Clerk=s initiation fee of $20.00, and for the Clerk=s collection fee.

6. The Income Deduction Order applies to current and subsequent employers or payors.

7. You are required to notify the Domestic Relations Enforcement Office within seven days of changes in your address, your employment and your employer=s address.

8. All notices are to be sent to: Richard M. Weiss, Clerk of Courts, Domestic Relations Enforcement, Drawer CC-15, P. O. Box 9000, Bartow, Florida 33831-9000.

BY ORDER OF THE COURT

I CERTIFY THAT A TRUE COPY OF THIS Notice of Delinquency has been served on (Defendant) whom this statement is directed by certified mail, return receipt, this day of , 1998.

RICHARD M. WEISS, CLERK OF COURTS

BY:

DEPUTY CLERK