STATE OF MAINE DisTRICT cout Docket No. PORDC-FH-2008-00510 rooR waEio v Tileaiog | witha mojudice, ae Garnp supbort onDER ‘This Child Support Order is made a part of the (Divorce Judgment) (Protection from Abuse Order) (Parental Rights and Responsibilitjes Judonent) (Paternity Judgment) (Case aphaenant order) (other mua Aiton mci” ) of this dace LI] dared Pursuant to 19-A MRSA Section 2006, the court has made certain findings of fact concerning the current parental support obligation as computed under the presumptive application of the guidelines. Those findings are contained within the child support eorkshert which is attached and inrnrpnrated ie ordered to pay to a es onttger Nane of te the sum of ¢_1S: _. per week toward the support of Mame of child Date of Birth MILA VALENKO 31/28/2005 qe a chila ‘the child support paymente are to start, ‘tqr that child ehall be mace to the receives public assistance, the child support paynent| State of Maine Department of Health & Hunan Services: 1 the court finds that the child(ren) currently receive(s) dependent benefita as a result of the obligor's disability. In any month that the benefits received by the child(ren) mest or exceed the total monthly support obligation, the obligor shall receive B credit for the total amount of support dus. To the extent chat the monthly benefits received by the child(ren) do not satiety the obligor's monthly support obligation, the obligor shall pay the monthly support obligation minus the credits received by the child(ren). The obligor shall not be given credit toward past or future obligations for benefits which exceed the current monthly support obligation Cl the enita aupport ob: (eucther order ox unt4l expiration of any underlying Protection fron Abu whichever occurs first) order, (1 the child support obligation shall continue for each child until that child reaches the age of 16; provided, however, that Lf the child has not graduated, withdrawn, or been expelled from secondary school as defined in Title 20-A, the child support shall continue until the child graduates or reaches the age of 19, whichever occurs first. of the minor child(ren) if it ia available at 2 reasonable cost, which means health ingurance that is ewployment-related or other group health insurance. Proof of such Aneurance mist be furnished to che other party within 18 days. If the child(ren) ie (axel recipients of public assistance, proof of such insurance shall be provided to the Department of Health & Human Services within 15 days. FM-132, Rev. 09/2005 Page 2 of 3my uninsured medical and dental expenses of the child(ren), in excess of $250 per calendar yee, shell be pald Lu Ue fodtowng manner: Bel by the obligor and 4s by the obligee. The first $250 of annual uninsured medical expenses shall be paid by the obliges. Cl the child cupport obligation is based on the fact the parents are providing substantially equal care for their child(ren). Day care costs, health ingurance premiums, and uninsured medical expenses shall be shared as follows: % to be paid by the higher income parent and 3 to be paid by the lower income parent. (] The child support amount set forch above has been adjusted to reflect each party's proportionate share of these costs. [) gach party's proportionate share will be paid as follow Tf the Maine Department of Health & Human Services p: services and/or if the obligor is required to pay child support to the Maine Department of Health © Human Sexvices, the obligow shall notify che Department within 28 days af ©! date of this Order of the following:1. The obligor'a current address. 2. The nane and address of the obligor's current employer, and 3. Whether the obligor has access to health inourance at a reasonable cost, and, if so, the health insurance policy information, within 15 days of any change in the obligor's current address, any change in the name or address of the obligor's current employer, or any change in the health insurance policy Anrormation, tne obligor shall notify the Department of the change. Failure to report a change of address or employer to the Department within 15 days of such change is a civil violation for which a forfeiture not to exceed $200 may be adjudged for each violation. Any party to this action may ask the court to review the arount of child support and if appropriate, to modify it in accordance with the state's child support quidelines. To start thie process, a party must file with the court a Motion te Modify. If it has been lees than 3 years since the child support order wad iasued or sodified, the party must prove @ substantial change in circumstances C1 there istare) child(ren) who da (are) 10 or 11 years of age. Beginning when reaches the age of 12 Years, the child aupport will be §. per week. Beginning i when roaches the ago Of 12 years, the child sappert will be 5. per week att of the minor children are age 12 or older. As long as there are children entitled to parental support, that sum 48 §. por week. As long as there are children entitled to parental support, that eum is _ per week. When only one child is entitled to parental support, the sum per week 1 the amount(s) set forth above for child support constitute(s) a deviation from the presumptive amount required by the child support guidelines. rm this case the court tinds that @ child support order based on che guidelines would be inequitable or unjust for the following reasons: (See forth the reasons for the deviation.) PM-132, Rev. 09/2005 Page 2 of 31 wo trmediate income Withholding Order ehall issue because: 1 the court finds there is good cause not to issue such an order for the following C1 the parties have submitted and the court has approved a written agreement providing for an alternative arrangenent. The clerk 1s dizectet to make the foltoving entzy Joythe civ} docket pursuant to M.R.Civ.P, 75(a). "Child Support order filed. ot 1 ordered vo pay child suppor: of ¢ _1BG.€0 por Gof. This Order Incorporated into the docket by reforance at the specific direction of the court. pate:_ Ald |g A True Copy Gieuk Important Notice to the Parties Any party who wishes to appeal a Magistrate's final order shall file an objection to the final order in the District Court within 21 days of the entry of that order. The court clerk's office has a form available for this purpose. If no objection is filed, the parties are deemed to have waived their right to object and to appeal, and the Magistrate's final order shall become the judgment of the court and have the same effect as any final judgment signed by a District Court judge. No appeal may be taken from a judgment entered without objection to the final order of a Magistrate. An appeal from a judgment entered after objection shall be taken in accordance with the Maine Rules of Appellate Procedure. Any party who wishes to appeal a final order of a judge or justice shall file a Notice of Appeal within 21 days. O ev: FH-132, Rev. 09/2005 Page 2 of 3‘SUPERIOR COURT STATE OF MAINE pistRIcT courT ss. Location__Port land Docket No, Docket Na, 20 1GOR_NALENKO Plains ws CHILD SUPPORT WORKSHEET LORI_HANDRAHAN Defendant 1, a, Primary cara provider (parent children live with most of the time): J] Plaintiff A Defendant] Both Lt parents provide substantially equal ear, higher income parent shouldbe shown asthe non-pimary ene provide. b, Parent providing health insurance for the children: OPlaintite WA Defendant CT] Neither 2. Child's Name Date of Binh Chile's Name Date of Birth Mila Malenko 11/28/2006 “Yearly Amounts ‘Primary Care Provider | Non-Pimacy Care Provider | Combined Income Beltaupponraaive Below poverty evel 3. Gross income 5 87,000.00 $23,000.00 4, Minus other obligations a. Support paid (6 former spouse a Support pad for other eildren b 6. Other childzen living with non-pimary care A envi (See nections on verse tide) 5, Total of da, bc 0.00 {0.00 6. Adjusted Yearly Gross Income 4.87, 000.00 ®. 23,000.00 ¢. 110, 000.00 {Subract line 5 from line 3) 7. Shaze of Gross Income 2 b (Add 6 6) ‘Divide each rents income by combined income) 73.09% 20.92 % 8, Basic weekly support forall children up to 18 years (or up to 19 years if stil in high school) (See instructions on reverse.) a, Total number of children _2 ’b. Number of children ages 0°11 1 muliplied by amount from table 223 $223 ¢. Number of children ages 12-17 0 multiplied by amount from table 9 $0 ‘Total (add 8b and 8}: 8223 9, Weekly health insurance cost for children ‘Name & amount per child per week Mila Malenko Total:9. 35.00 10, Weekly chill care expenses ‘Name & amount per child por week #212 maienko spuu.wu s Total: 0. 500.00 11, Extraordinary medical expenses ‘Name & amount per child per week 8, 8, Total: 11. 0-09 “If parents provide substantially equal care, continue caleulations on supplemental worksheet, 12, TOTAL WEEKLY SUPPORT OBLIGATION (Add lines 8, 9, 10 and 11.) 1 I3. WEEKLY PARENTAL SUPPORT OBLIGATIO} @. Primary Care Now Primary Care $_158.00 Provider's support obligat (Multiply fine 7b by Hine 12) Provider spends directly §_ 609.00 (Multiply line Ta by Hine 12) Health insurance adjustment T 1 1 1 ' (See instructions on reverse side) i Date M040, Prepared by: