1. RIGHT TO BE REPRESENTED BY A |
5. ADMISSION AND WAIVER OF RIGHTS. I |
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I agree to the terms of this |
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LAWYER. I understand that I have the right |
understand that by agreeing to the terms of |
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stipulation freely and voluntarily. |
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to be represented by a lawyer of my choice |
this stipulation, I am admitting that I am the |
9. |
I understand that the local child |
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at my expense. If I cannot afford a lawyer to |
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parent of the children named in the |
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support agency is required by state |
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represent me, I can ask the court to appoint |
stipulation and I am giving up the rights |
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law to enforce the duty of support. |
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one to represent me free of charge only if I |
stated above. |
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10. |
I UNDERSTAND THAT IF I |
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dispute that I am the parent of the children |
6. WHERE THE STIPULATION INCLUDES |
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named in this action and only on the issue |
CHILD SUPPORT. |
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WILLFULLY FAIL TO SUPPORT |
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of parentage. I understand that the attorney |
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MY CHILDREN, CRIMINAL |
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a. I understand that I will have the duty to |
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for the local child support agency does not |
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PROCEEDINGS MAY BE |
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obey the support order for the children |
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represent me. |
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INITIATED AGAINST ME. |
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named in the stipulation until the order is |
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2. RIGHT TO A TRIAL. I understand that I |
11. COLLECTION OF SUPPORT. I |
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have a right to have a judicial officer (1) |
changed by the court or ended by law. |
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understand that any support I owe |
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b. I also understand that the court will |
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determine if I am the parent of the children |
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may be collected from any of my |
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order any support payments to be paid |
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named in the stipulation, (2) decide how |
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property. This collection may be |
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directly from my wages or other |
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much child support I must pay, and (3) |
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made by intercepting money owed |
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earnings and sent to the local child |
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decide how much I owe for arrearages |
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to me by the state or federal |
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support agency if one is assigned to |
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(unpaid support). |
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government (such as tax refunds, |
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collect the support. |
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3. RIGHT TO CONFRONT AND CROSS- |
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unemployment and disability |
c. I have been advised of the amount of |
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EXAMINE WITNESSES. I understand that |
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benefits, and lottery winnings), by |
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in a trial any allegations made against me |
guideline child support and how the |
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taking property I own, by placing a |
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must be proved. At the trial I may be |
proposed child support amount was |
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lien on my property, or by any other |
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present with a lawyer when witnesses |
determined. |
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lawful means. |
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testify, and I may ask them questions. I may 7. WHERE THE STIPULATION INCLUDES |
12. |
IF I AM REPRESENTED BY AN |
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also present evidence and witnesses. |
A PROVISION FOR HEALTH |
ATTORNEY, MY ATTORNEY HAS |
4. RIGHT TO HAVE GENETIC TESTING |
INSURANCE. I understand that I must |
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READ AND EXPLAINED TO ME |
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WHERE THE LAW PERMITS. I |
keep health insurance coverage for the |
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THE TERMS OF THE |
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understand that, where the law permits, |
minor children if insurance is available or |
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STIPULATION AND THIS |
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I have the right to have the court order |
becomes available to me at no or |
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ADVISEMENT AND WAIVER OF |
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genetic testing. The court will decide |
reasonable cost. A health insurance |
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RIGHTS, AND I UNDERSTAND |
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on the testing. The court could order that |
coverage assignment/National Medical |
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THESE TERMS. |
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I pay none, some, or all of the costs of the |
Support Notice may be ordered to get |
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genetic testing. |
health insurance for my children. |
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I have read and understand the Advisement and Waiver of Rights for Stipulation; or |
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Attached is a translation of this Advisement and Waiver of Rights for Stipulation in (specify language): |
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I understand the translation. |
Date: |
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I understand the translation. |
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Date: |
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