Rule 24.12. Required Income Deduction Order Form

Any income deduction order issued pursuant to Rule 24.11 shall be in the following form: IN THE SUPERIOR COURT OF _____________ COUNTY STATE OF GEORGIA ___________________, ) Plaintiff, ) ) CIVIL ACTION ) v. ) FILE No. _______________ ) ___________________, ) Defendant. INCOME DEDUCTION ORDER This Court having entered an order establishing, modifying or enforcing a child support obligation owed by the (check one) Plaintiff � Defendant � , and the Court having determined that an Income Deduction Order ("IDO") should be entered in accordance with Official Code of Georgia Annotated ("OCGA") § 19-6-30 et seq., it is ORDERED AND ADJUDGED: 1. Identification of Parties Name of Person Paying Support ("Obligor"): _________________________________________ Address of Obligor: _____________________________________________________________ Name of Person Receiving Support ("Obligee"): ______________________________________ Child(ren): Name: ______________________________ Year of Birth: ________ Name: ______________________________ Year of Birth: ________ Name: ______________________________ Year of Birth: ________ � Check here if a page is attached naming additional children. 2. Service The Obligee shall initiate wage withholding by completing and transmitting all documents and notices required by OCGA § 19-6-30 et seq.;

42 USC § 666 (b) (6) (A) (ii); and the Georgia Family Support Registry. Additionally, the Obligee shall serve upon the Obligor a copy of this order and all other documents required to be served pursuant to OCGA § 19-6-30 et seq. Service on the Obligor shall be made by personal service, certified mail, statutory overnight delivery with return receipt requested, or by regular mail in accordance with the alternative service provisions of OCGA §§ 9-11-4 (j) and 19-6-33 (c). The Obligee shall also mail a copy of this order to: Family Support Registry P.O. Box 1800 Carrollton, Georgia 30112-1800 3. Effective Date of this Order The effective date of this order shall be as follows: � Immediately. � Upon a delinquency equal to one month's support. This Court finds that good cause was shown to delay the effective date of this order. The Obligee or the IV-D agency* may enforce this IDO by serving a "Notice of Delinquency" on the Obligor as provided in OCGA § 19-6-32 (h). * An "IV-D agency" is a state agency that runs a child support enforcement program under Title IV-D of the federal Social Security Act. 4. Duration of this Order This order hereby supersedes any previous IDO; and it shall remain in force so long as the order of support upon which it is based is effective or arrearages remain upon payment due under such order, or until further order of this Court. Thus, this order shall continue until (check one): � the last child of the parties for whom the Obligor has a duty to support reaches the age of majority; � the last child of the parties for whom the Obligor has a duty of support graduates from high school and reaches the age of majority, or reaches the age of 20 years, whichever shall first occur. See OCGA § 19-6-15 (e). 5. Income Deduction The Obligor's employer, future employer, or any other person, private entity, federal or state government, or any unit of local government providing or administering any periodic form of payment due to the Obligor, regardless of source, including without limitation wages, salary, commissions, bonuses, workers' compensation, disability, payments from a pension or retirement program, personal injury awards or settlements, and interest, shall deduct from all monies due the Obligor the amounts specified in paragraphs 6 and 7. 6. Amount of Deduction The amount deducted pursuant to this order shall be calculated as follows:

(a) Current Support: $________ per month.

(b) Alimony: $________ per month.

(c) Past Due Support: $________ per month.

(d) Family Support Registry ("FSR") Fee: $_____**per deduction payment per OCGA § 19-6-33.1 (h). ** Such administrative fee shall be the lesser of $2 per payment, five percent of amount of each payment, or the actual cost of processing and distributing the child support from the source to the Obligee, which is $1.50 as determined by the Family Support Registry. 7. Past Due Support The Obligor named above owes past due support in the amount of $_______ as of __________________________, 20. The Obligee shall have the right to any additional arrearage that may accrue through the date of the first deduction of income and for all other periods of non-payment. 8. Payment Address The total amount deducted shall be forwarded by the Obligor's employer ("Payor") within two business days after each payment date to: Family Support Registry P.O. Box 1800 Carrollton, Georgia 30112-1800 9. Payment Instructions

(a) If Payor is deducting child support for more than one IDO, Payor must, upon future modification by Child Support Services or court order, deduct the FSR Fee for each IDO. If the amount Payor is deducting for any one case is $40 or more, the FSR Fee for that IDO is $1.50. If the deduction is less than $40, the FSR Fee is five percent of the amount deducted, but in no event shall the fee exceed $1.50.

(b) The total amount of the Child Support Deduction will decrease, if applicable, after all past due support is paid in full; at that point the amount deducted will be the amount of current support plus the FSR Fee. 10. Consumer Credit Protection Act The maximum amount to be deducted by a Payor shall not exceed the amount allowable under Section 303 (b) of the federal Consumer Credit Protection Act (Pub. L. 90-321), 15 USC § 1673 (a), as amended. 11. Duty of Obligor to Ensure Compliance The Obligor is hereby ordered to perform all acts necessary for the proper withholding of the sums stated in this IDO, including delivery of the IDO to his or her employer and future employers, and to personally monitor and confirm on an ongoing basis that the payments withheld are timely and properly deducted from his or her income and forwarded as ordered, correctly identified with the above case. Failure of the employer to perform under this order does not relieve the Obligor of his or her obligation to ensure that payment is made. 12. Wrongful Discharge No Payor shall discharge an Obligor by reason of the fact that income has been subjected to an IDO under OCGA § 19-6-32. A Payor who violates this paragraph is subject to a civil penalty not to exceed $250 for the first violation or $500 for any subsequent violation. Penalties shall be paid to the Obligee or the Division of Child Support Services, whichever is enforcing the IDO, if any support is due and payable. If no support is due and payable, the penalty shall be paid to the Obligor. SO ORDERED this ____ day of ______________, 20. ______________________________, Judge Superior Court of _______________County Prepared and presented by: ______________________________________ ______________________________________ ______________________________________

Committee Notes

Adopted effective June 4, 2015; amended effective July 15, 2021.