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IN THE SUPERIOR COURT OF DEKALB COUNTY
STATE OF GEORGIA
STANLEY MICHAEL WILLIAMS,
Plaintiff, Civil Action
v. Case Number 20FM5772-2
SARA REBECCA CAUTHEN WILLIAMS,
Defendant.
CHILD SUPPORT ADDENDUM
The parties have agreed to the terms of this order and this information has been furnished by both
Parties to meet the requirements of OCGA § 19-6-15. The parties agree on the terms of the order
and affirm the accuracy of the information provided, as shown by their signatures at the end of this
addendum.
& This addendum includes findings of fact and conclusions of law and fact made by the Court, in
compliance with OCGA § 19-6-15.
Application of Child Support Guidelines. The statutory requirements of OCGA § 19-6-15 have
been applied in reaching the amount of child support provided under the final order in this action. The
specifics are as follows:
1 Gross Income — The Father’s gross monthly income (before taxes) is $5833.00 (imputed); the
Mother’s gross monthly income is $10,050.00 (before taxes).
Number of Children — The number of children for whom support is being provided in this case is
one.
Attachments — The Child Support Worksheet is attached and made a part of this addendum, along
with any other applicable schedules.
Child Support Amount- The Father shall pay to the Mother, for the support of the minor children,
the sum of One Thousand, One Hundred and Nine Dollars and No Cents ($1,109.00) per month,
beginning on July 1, 2023.
Duration of Child Support
C1 @) Beyond Age 18 for High School- The child support shall continue monthly thereafter until
the child reaches the age of eighteen, dies, marries, or otherwise becomes emancipated; provided
that if a child becomes eighteen years old while enrolled in and attending secondary school on
a full-time basis, then the child support shall continue for the child until the child has graduated
from secondary school or reaches twenty years of age, whichever occurs first.
LX] (b) Stops at Age 18 — The child support shall continue monthly thereafter until each child
reaches the age of eighteen, dies, marries, or otherwise becomes emancipated.
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1 ©) Until Further Order - This is not a final order, so the child support shall continue until
further order of this court
C (@) Until Specific Date — The child support shall continue monthly thereafter until
Deviation from Presumptive Amount
© (a) No Deviation — It has been determined that none of the Deviations allowed under OCGA
§ 19-6-15 applies in this case, as shown by the attached Schedule E. The amount of support in
Paragraph 4 above is the Presumptive Amount of Child Support shown on the attached Child
Support Worksheet.
(b) Deviation — It has been the determination that one or more of the Deviations allowed
under OCGA § 19-6-15 applies in this case, as shown by the attached Schedule E. The
Presumptive Amount of Child Support that would have been required under OCGA §19-6-15
if the deviations had not been applied is Schedule E explains the reasons for the deviation, how
the application of the guidelines would be unjust or inappropriate considering the relative
ability of each parent to provide support, and how the best interest of the children who are
subject to this child support determination is served by deviation from the presumptive amount
of child support.
Health, Dental & Vision Insurance for Children
KX @ Insurance Available — The following insurance for the children involved in this action
is available at a reasonable cost to the Mother through that parent’s employer or PeachCare
program:
XX Health (medical, mental health and hospitalization) &X] Dental KK] Vision.
So long as it remains available to that parent, the Mother shall maintain the types of insurance checked above
for the benefit of the minor children, until each child reaches the age of eighteen, dies, marries, or otherwise
becomes emancipated; except that if a child becomes eighteen years old while enrolled in and attending
secondary school on a full time basis, then the insurance shall be continued for the child until the child has
graduated from secondary school or reaches twenty years of age, whichever occurs first.
1) The parent who maintains the insurance shall provide the other parent with an insurance
identification card or such other acceptable proof of insurance coverage and shall
cooperate with the other parent in submitting claims under the policy.
2) All money received by one of the parties for claims processed under the insurance policy
shall be paid within thirty (30) days after the party receives the money, to the other party
(if that other party paid the applicable health care service provider) or to the applicable
health care provider (if the provider has not been paid by one of the parties).
O ® Insurance Not Available — Insurance (other than Medicaid) is not available at this time
to either party at a reasonable cost. If health insurance for the children later becomes available
to either parent, then that parent must obtain the following types of insurance, unless it is then
being provided by the other parent:
(J Health (medical, mental health and hospitalization) (] Dental Di Vision.
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When insurance has been obtained by either party, Paragraphs 7(a)(1) and (2) shall apply and
the parent who is not providing insurance shall reimburse the other parent for one half (1/2)
of the premium paid to cover the children only each month.
Uninsured Health Care Expenses — The Father shall pay 50% and the Mother shall pay 50% of
all expenses incurred for the children’s health care (including medical, dental, mental health, hospital
and vision care) that are not covered by of the amount to the other party. That other party shall
reimburse the incurring party (or pay the health care provider directly) for the appropriate percentage
of the expense, within thirty (30) days after receiving the verification of a particular health care
expense.
Parenting Time Amounts- Pursuant to the visitation schedule, the noncustodial parent’s
parenting time is approximately 25 percent annually.
10. Social Security Benefits-
XK @ Not Received — The children do not receive Title II Social Security benefits under the
account of the parent ordered to pay child support.
oO (b) Received — The children receive Title II Social Security benefits under the account of
the parent ordered to pay child support. The benefits received by the children shall be counted
as child support payments and shall be applied against the final child support order to be paid
by that parent.
(1) Ifthe amount of benefits received is less than the amount of support ordered, the obligor shall
pay the amount exceeding the Social Security Benefit.
(2) If the amount of benefits received is equal to or more than the amount of the support ordered,
the obligor’s responsibility is met and no further support shall be paid.
(3) Any Title II benefits received for the children’s benefit shall be retained by the custodial parent
or nonparent custodian for the children’s benefit shall be retained by the custodial parent or nonparent
custodian for the children’s benefit, and it shall not be used as a reason for decreasing the final child support
order or reducing arrearages.
lL. Modification-
KX @ Not Modification Action — This is an initial determination of child support, not a
modification action.
0 ®&) Support Not Modified — This action is a modification action, but the order does not
modify the amount of child support that was previously ordered for these children. The date of
the initial support order concerning this child support case was:
0 ©) Support Amount Modified — the order modifies the amount of child support that was
previously ordered for these children. The basis for the modification is:
(_] (1) Substantial change in the income and financial status of the Father;
(] (2) Substantial change in the income and financial status of the Mother;
(_](3) Substantial change in the needs of the Children;
(1 (4) The noncustodial parent failed to exercise visitation provided under the prior order;
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(1 (5) The noncustodial parent has exercised more visitation than was provided under the
prior order;
12 Continuing Garnishment for Child Support- Whenever, in violation of the terms of the order,
there shall have been a failure to make the support payments, so that the amount unpaid is equal to
or greater than the amount payable for one month, the payments required to be made may also be
collected by the process of continuing garnishment for support.
13. Income Deduction Order
[You must check & complete only one of the following paragraphs (a), (b), or (c).]
0 @) An Income Deduction Order shall be entered by the Court, under OCGA § 19-6-32, for
payment of the child support and alimony (if any) provided. The Income Deduction Order shall
take effect:
[To finish (a), you must check either (1) or (2). Do not check both]
(1 (1) immediately upon entry by the Court.
Oe) upon accrual of a delinquency equal to one month’s support. The Income
Deduction Order may be enforced by serving a “Notice of Delinquency,” as provided
inOCGA § 19-6-32 (f).
KI (b) The parties agree that an Income Deduction Order is not immediately necessary.
CJ ©) The court finds that there is good cause not to require income deduction, having determined
that income deduction will not serve the children’s best interest and that there has been sufficient
proof of timely payment of any previously ordered support.
ORDER
The court has reviewed the foregoing Child Support Addendum, and it is hereby made the
order of this Court.
SA
ITISSO ORDERED THIS _9th__ day of, June
ad
HON. DAVID B. IRWIN, PRESIDING
JUDGE
DEKALB COUNTY SUPERIOR COURT
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IN THE SUPERIOR COURT OF DEKALB COUNTY STATE OF GEORGIA STANLEY MICHAEL WILLIAMS, Plaintiff, Civil Action v. Case Number 20FM5772-2 SARA REBECCA CAUTHEN WILLIAMS, Defendant. CHILD SUPPORT ADDENDUM The parties have agreed to the terms of this order and this information has been furnished by both Parties to meet the requirements of OCGA § 19-6-15. The parties agree on the terms of the order and affirm the accuracy of the information provided, as shown by their signatures at the end of this addendum. & This addendum includes findings of fact and conclusions of law and fact made by the Court, in compliance with OCGA § 19-6-15. Application of Child Support Guidelines. The statutory requirements of OCGA § 19-6-15 have been applied in reaching the amount of child support provided under the final order in this action. The specifics are as follows: 1 Gross Income — The Father’s gross monthly income (before taxes) is $5833.00 (imputed); the Mother’s gross monthly income is $10,050.00 (before taxes). Number of Children — The number of children for whom support is being provided in this case is one. Attachments — The Child Support Worksheet is attached and made a part of this addendum, along with any other applicable schedules. Child Support Amount- The Father shall pay to the Mother, for the support of the minor children, the sum of One Thousand, One Hundred and Nine Dollars and No Cents ($1,109.00) per month, beginning on July 1, 2023. Duration of Child Support C1 @) Beyond Age 18 for High School- The child support shall continue monthly thereafter until the child reaches the age of eighteen, dies, marries, or otherwise becomes emancipated; provided that if a child becomes eighteen years old while enrolled in and attending secondary school on a full-time basis, then the child support shall continue for the child until the child has graduated from secondary school or reaches twenty years of age, whichever occurs first. LX] (b) Stops at Age 18 — The child support shall continue monthly thereafter until each child reaches the age of eighteen, dies, marries, or otherwise becomes emancipated. Page | 1 ©) Until Further Order - This is not a final order, so the child support shall continue until further order of this court C (@) Until Specific Date — The child support shall continue monthly thereafter until Deviation from Presumptive Amount © (a) No Deviation — It has been determined that none of the Deviations allowed under OCGA § 19-6-15 applies in this case, as shown by the attached Schedule E. The amount of support in Paragraph 4 above is the Presumptive Amount of Child Support shown on the attached Child Support Worksheet. (b) Deviation — It has been the determination that one or more of the Deviations allowed under OCGA § 19-6-15 applies in this case, as shown by the attached Schedule E. The Presumptive Amount of Child Support that would have been required under OCGA §19-6-15 if the deviations had not been applied is Schedule E explains the reasons for the deviation, how the application of the guidelines would be unjust or inappropriate considering the relative ability of each parent to provide support, and how the best interest of the children who are subject to this child support determination is served by deviation from the presumptive amount of child support. Health, Dental & Vision Insurance for Children KX @ Insurance Available — The following insurance for the children involved in this action is available at a reasonable cost to the Mother through that parent’s employer or PeachCare program: XX Health (medical, mental health and hospitalization) &X] Dental KK] Vision. So long as it remains available to that parent, the Mother shall maintain the types of insurance checked above for the benefit of the minor children, until each child reaches the age of eighteen, dies, marries, or otherwise becomes emancipated; except that if a child becomes eighteen years old while enrolled in and attending secondary school on a full time basis, then the insurance shall be continued for the child until the child has graduated from secondary school or reaches twenty years of age, whichever occurs first. 1) The parent who maintains the insurance shall provide the other parent with an insurance identification card or such other acceptable proof of insurance coverage and shall cooperate with the other parent in submitting claims under the policy. 2) All money received by one of the parties for claims processed under the insurance policy shall be paid within thirty (30) days after the party receives the money, to the other party (if that other party paid the applicable health care service provider) or to the applicable health care provider (if the provider has not been paid by one of the parties). O ® Insurance Not Available — Insurance (other than Medicaid) is not available at this time to either party at a reasonable cost. If health insurance for the children later becomes available to either parent, then that parent must obtain the following types of insurance, unless it is then being provided by the other parent: (J Health (medical, mental health and hospitalization) (] Dental Di Vision. Page 2 When insurance has been obtained by either party, Paragraphs 7(a)(1) and (2) shall apply and the parent who is not providing insurance shall reimburse the other parent for one half (1/2) of the premium paid to cover the children only each month. Uninsured Health Care Expenses — The Father shall pay 50% and the Mother shall pay 50% of all expenses incurred for the children’s health care (including medical, dental, mental health, hospital and vision care) that are not covered by of the amount to the other party. That other party shall reimburse the incurring party (or pay the health care provider directly) for the appropriate percentage of the expense, within thirty (30) days after receiving the verification of a particular health care expense. Parenting Time Amounts- Pursuant to the visitation schedule, the noncustodial parent’s parenting time is approximately 25 percent annually. 10. Social Security Benefits- XK @ Not Received — The children do not receive Title II Social Security benefits under the account of the parent ordered to pay child support. oO (b) Received — The children receive Title II Social Security benefits under the account of the parent ordered to pay child support. The benefits received by the children shall be counted as child support payments and shall be applied against the final child support order to be paid by that parent. (1) Ifthe amount of benefits received is less than the amount of support ordered, the obligor shall pay the amount exceeding the Social Security Benefit. (2) If the amount of benefits received is equal to or more than the amount of the support ordered, the obligor’s responsibility is met and no further support shall be paid. (3) Any Title II benefits received for the children’s benefit shall be retained by the custodial parent or nonparent custodian for the children’s benefit shall be retained by the custodial parent or nonparent custodian for the children’s benefit, and it shall not be used as a reason for decreasing the final child support order or reducing arrearages. lL. Modification- KX @ Not Modification Action — This is an initial determination of child support, not a modification action. 0 ®&) Support Not Modified — This action is a modification action, but the order does not modify the amount of child support that was previously ordered for these children. The date of the initial support order concerning this child support case was: 0 ©) Support Amount Modified — the order modifies the amount of child support that was previously ordered for these children. The basis for the modification is: (_] (1) Substantial change in the income and financial status of the Father; (] (2) Substantial change in the income and financial status of the Mother; (_](3) Substantial change in the needs of the Children; (1 (4) The noncustodial parent failed to exercise visitation provided under the prior order; Page 3 (1 (5) The noncustodial parent has exercised more visitation than was provided under the prior order; 12 Continuing Garnishment for Child Support- Whenever, in violation of the terms of the order, there shall have been a failure to make the support payments, so that the amount unpaid is equal to or greater than the amount payable for one month, the payments required to be made may also be collected by the process of continuing garnishment for support. 13. Income Deduction Order [You must check & complete only one of the following paragraphs (a), (b), or (c).] 0 @) An Income Deduction Order shall be entered by the Court, under OCGA § 19-6-32, for payment of the child support and alimony (if any) provided. The Income Deduction Order shall take effect: [To finish (a), you must check either (1) or (2). Do not check both] (1 (1) immediately upon entry by the Court. Oe) upon accrual of a delinquency equal to one month’s support. The Income Deduction Order may be enforced by serving a “Notice of Delinquency,” as provided inOCGA § 19-6-32 (f). KI (b) The parties agree that an Income Deduction Order is not immediately necessary. CJ ©) The court finds that there is good cause not to require income deduction, having determined that income deduction will not serve the children’s best interest and that there has been sufficient proof of timely payment of any previously ordered support. ORDER The court has reviewed the foregoing Child Support Addendum, and it is hereby made the order of this Court. SA ITISSO ORDERED THIS _9th__ day of, June ad HON. DAVID B. IRWIN, PRESIDING JUDGE DEKALB COUNTY SUPERIOR COURT Page 4