Fillable FL-485 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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FL-485 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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FL-485
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
NOTICE OF DELINQUENCY
1. NOTICE TO PERSON ORDERED TO PAY CHILD SUPPORT (OBLIGOR)
Obligor’s name:
The child support payments listed on this form are more than 30 days in arrears on the date of filing this notice. If they are
not paid within 30 days of the date of service of this notice on you, a penalty of 6% per month may be charged on the
unpaid balance. The penalty may accumulate to a maximum of 72% of the original amount of the unpaid support.
California law provides: “Within a timely fashion after service of the Notice of Delinquency the
[obligor may file] and
serve a motion to determine arrearages” and show the court why the 6% penalty should not be imposed. Forms (FL-490
and FL-300) for filing the motion (also known as a "request for order") for a court hearing to establish your possible
exemption were served on you with this Notice of Delinquency. You should file the Request for Order (form FL-300) as
soon as possible, before the person to whom child support is paid (support obligee) obtains a court order or writ of
execution.
2. The court ordered payment of child support on (date):
TOTAL CHILD SUPPORT ORDERED PAID ACTUALLY PAID BALANCE DUE
ON ACCRUED ON ACCRUED
ON ORDER
DATE DUE AMOUNT
DATE PAID ON ORDER INTEREST
INTEREST
continued on attached page. Total due on order:
Total due on interest:
Page 1 of 2
NOTICE OF DELINQUENCY
Form Adopted for Mandatory Use
Judicial Council of California
FL-485 [Rev. July 1, 2013]
Family Code, §§ 4720-4733
www.courts.ca.g
ov
The payments listed below are more than 30 days in arrears on the date of filing this notice:
CHECK BOX IF
AMOUNT
LISTED
ON PREVIOUS
NOTICE OF
DELINQUENCY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
FAX NO. (Optional):
OTHER PARENT/PARTY:
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
end of the form when finished.
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
3. Address of chiIdren (complete a or b):
There is a protective order that prohibits the support obl
igor from knowing the location of the child or children for whom
support is payable or that excuses completion of part b.
a.
—OR—
The name, current address, and telephone number of children for whom support is due are as follows:
b.
Name: Address:
Court papers should be served at the address shown at the top of page 1 of this form.
4. a.
b.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME OF SUPPORT OBLIGEE)
(SIGNATURE OF SUPPORT OBLIGEE)
To Support Obligee: Have a completed copy of the Notice of Delinquency and a blank Application to Determine Arrearages
(form FL-490) as well as a blank Request for Order (form FL-300) served on the support obligor by someone at least age 18
other than yourself. The person serving must complete the proof of service below. The proof of service must be filed with the
court before you can collect the penalty.
PROOF OF SERVICE OF NOTICE OF DELINQUENCY
1. At the time of service I was at least 18 years of age and not a party to this action. I served the completed Notice of Delinquency,
blank Application to Determine Arrearages (form FL-490), and bla
nk Request for Order (form FL-300) on (name):
By personal delivery to the person served
a.
(3) Address:
(2) Place mailed:
By mailing by certified mail (1) Date mailed:
b.
Acknowledgment of Receipt (form 982(a)(4)) and a return envelope, postage prepaid, addressed to the sender. (Attach
completed Acknowledgment of Receipt)
Other (specify code section):
d.
Additional page is attached.
2. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(SIGNATURE OF PERSON SERVING NOTICE)
Name and address of person serving notice:
Page 2 of 2FL-485 [Rev. July 1, 2013]
NOTICE OF DELINQUENCY
Phone No.
The address at which court papers should be served on the support obligee is (address):
(Attach signed return receipt)
c.
(1) Date served:
(2) Time served:
By mailing (by first-class mail or airmail) copies to the person served, together with two copies of the Notice and
OTHER PARENT/PARTY:
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FL-485 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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Completed 23 January 2021

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