SCHEDULE "A"

___________(1)________________________ shall pay child support to ___________(2)______________________ in the sum of $_______________(A)____________

___________(3)________________, {if applicable: plus ___________(C___________________

___________(3)__________ for repayment of child support arrearage totaling ______________

(D)_________________ as of ________________(E)___________________} for the support of their minor child(ren):

NAMES BIRTH DATES

Child support shall continue for each child until such child becomes self-supporting, marries, dies, reaches the age of 18, or is dependent in fact, between the ages of 18 and19, enrolled in high school and expected to graduate before the nineteenth birthday, then through the date of graduation, or until further order of the Court.

___________(1)________________ shall pay alimony to ___________(2)__________________

the sum of $_________________(B)____________________, _________(3)_______________, until ________________________ or until further order of this court: {if applicable: plus _______________(F)____________, ____________(3)________________ for repayment of alimony arrearage totaling _____________(D)______________ as of ______________________

(E)__________________}

In Non-Title IV-D cases, each support payment shall include the statutory 4% fee, with a minimum fee of $1.25 and a maximum fee of $5.25 per periodic payment. The fee is $_________

(G)_____________ per payment.

The first payment totaling $__(H)__ shall be made on ______________(I)__________________ and shall continue ____________(3)________________________ thereafter, as ordered by the court.

Each payment shall be made by money order, cashier’s check, or certified check. No credit will be given by the court for payments made directly to the person to whom payments are directed after establishment of the depository account. Money orders and checks shall be made payable to the FLSDU, and if mailed, shall be addressed as follows:

State of Florida, Disbursement Unit

Post Office Box 8500

Tallahassee, Florida 32314-8500

Payments made by mail must be identified by the payor’s name, address, and case number. When the Domestic Relations Department assigns an account number, it must be used to identify all payments.

It has been represented to the court that the parties’ present mailing addresses, dates of birth and current employers are:

WIFE HUSBAND

Address:

Date of Birth:

Current Employer:

Both parties shall, effective immediately, keep the Domestic Relations Department and the State of Florida Disbursement Unit advised in writing of any change of the above information until such time as they have fully complied with each and every condition of this judgment.

Blanks as indicated should be completed as follows:

8510. Husband, Wife, Father, Mother

8511. Wife, Husband, Mother, Father

8512. Weekly, Biweekly, Semimonthly, Monthly

8595. Periodic Child Support Amount

8596. Periodic Alimony amount

8597. Periodic Child Support arrearage amount

8598. Total arrears

8599. Date arrears calculated

8600. Periodic Alimony arrearage amount

8601. Collection Fee

8602. Total of A + B (+G+C+D if applicable)

8603. Date of first payment

NOTE: All orders should contain only one periodic payment schedule. Orders containing more than one periodic payment schedule will have payment prorated to the most frequent payment schedule, and assessed on the adjusted basis. Fees will be adjusted accordingly.