Form 12.996(A) "Income Deduction Order" - Florida

What Is Form 12.996(A)?

This is a legal form that was released by the Florida Circuit Court - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Florida Circuit Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form 12.996(A) by clicking the link below or browse more documents and templates provided by the Florida Circuit Court.

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Download Form 12.996(A) "Income Deduction Order" - Florida

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INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM
12.996(a), INCOME DEDUCTION ORDER (12/19)
When should this form be used?
This form should be used in all cases when the court has ordered that support be paid by the obligor’s
payor through an income deduction order.
This form includes several blanks that must be filled in as applicable. The obligor is the person who is
obligated to pay the support ordered by the court and the obligee is the person entitled to receive the
support awarded by the court.
In Paragraph 1, one of the three lines must be checked off. The court order that establishes the support
award and/or the settlement or mediation agreement entered into between the parties should state the
effective date of the Income Deduction Order. The appropriate effective date should be checked off in
Paragraph 1.
The blank lines in Paragraph 2 should be completed tracking the same terms of support as are in the court
order that establishes the support award and/or the settlement or mediation agreement. The first blank
in each line should state the amount of the support payment and the second blank in each line should
state the time period that covers said support award. For example, if the child support is $100 per month
the first blank would say $ “100” and the second blank in that line would say “month”. Similarly, if the
payments are to be payable weekly, then the second blank would say “week”. If there are any arrearages
owed at the time the Income Deduction Order is entered, they must be included in the line for arrears,
along with the amount and frequency of the payments due for the arrears, which must be no less than
20% of the current support obligation. All orders for immediate income deduction must be paid through
the State Disbursement Unit. The actual dollar amount of the Clerk’s fee for the support awarded in your
case (4% of each payment not to exceed $5.25 per payment) must be included on the appropriate line.
Paragraph 6 must be completed to show what percentage, if any, of a one-time payment made to the
obligor should be applied to any arrearage in support that may be due to the obligee.
If the Income Deduction Order is addressing child support, you must complete the schedule in paragraph
7 to show the amount of child support for all the minor children at the time of the entry of this order and
the amount of the child support that will be owed for any remaining child(ren) after one or more of the
children are no longer entitled to receive child support. You should also show in the schedule the day,
month, and year that the child support obligation terminates for each minor child. The date child support
terminates should be listed as the child’s 18th birthday unless the court has found that section 743.07(2),
Florida Statues, applies, or the parties have otherwise agreed to a different date. You should use the
record existing at the time of this order for the basis of computing all child support obligations.
If the Income Deduction Order is addressing child support, you must also complete and attach the federal
INCOME WITHHOLDING FOR SUPPORT (IWO) FORM (OMB Form 0970-0154) to the Income Deduction
Order. When filling out an Income Withholding for Support Form, please note the following additional
instructions for that form:
1. The Remittance Identifier is the County Code for the county in which the case was heard
followed by the Case Number. A list of county codes is included with these instructions.
2. The FIPS code may be found on the attached list. Use the code for the County in which the
Florida Family Law Rules of Procedure Form 12.996(a), Income Deduction Order (12/19)
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM
12.996(a), INCOME DEDUCTION ORDER (12/19)
When should this form be used?
This form should be used in all cases when the court has ordered that support be paid by the obligor’s
payor through an income deduction order.
This form includes several blanks that must be filled in as applicable. The obligor is the person who is
obligated to pay the support ordered by the court and the obligee is the person entitled to receive the
support awarded by the court.
In Paragraph 1, one of the three lines must be checked off. The court order that establishes the support
award and/or the settlement or mediation agreement entered into between the parties should state the
effective date of the Income Deduction Order. The appropriate effective date should be checked off in
Paragraph 1.
The blank lines in Paragraph 2 should be completed tracking the same terms of support as are in the court
order that establishes the support award and/or the settlement or mediation agreement. The first blank
in each line should state the amount of the support payment and the second blank in each line should
state the time period that covers said support award. For example, if the child support is $100 per month
the first blank would say $ “100” and the second blank in that line would say “month”. Similarly, if the
payments are to be payable weekly, then the second blank would say “week”. If there are any arrearages
owed at the time the Income Deduction Order is entered, they must be included in the line for arrears,
along with the amount and frequency of the payments due for the arrears, which must be no less than
20% of the current support obligation. All orders for immediate income deduction must be paid through
the State Disbursement Unit. The actual dollar amount of the Clerk’s fee for the support awarded in your
case (4% of each payment not to exceed $5.25 per payment) must be included on the appropriate line.
Paragraph 6 must be completed to show what percentage, if any, of a one-time payment made to the
obligor should be applied to any arrearage in support that may be due to the obligee.
If the Income Deduction Order is addressing child support, you must complete the schedule in paragraph
7 to show the amount of child support for all the minor children at the time of the entry of this order and
the amount of the child support that will be owed for any remaining child(ren) after one or more of the
children are no longer entitled to receive child support. You should also show in the schedule the day,
month, and year that the child support obligation terminates for each minor child. The date child support
terminates should be listed as the child’s 18th birthday unless the court has found that section 743.07(2),
Florida Statues, applies, or the parties have otherwise agreed to a different date. You should use the
record existing at the time of this order for the basis of computing all child support obligations.
If the Income Deduction Order is addressing child support, you must also complete and attach the federal
INCOME WITHHOLDING FOR SUPPORT (IWO) FORM (OMB Form 0970-0154) to the Income Deduction
Order. When filling out an Income Withholding for Support Form, please note the following additional
instructions for that form:
1. The Remittance Identifier is the County Code for the county in which the case was heard
followed by the Case Number. A list of county codes is included with these instructions.
2. The FIPS code may be found on the attached list. Use the code for the County in which the
Florida Family Law Rules of Procedure Form 12.996(a), Income Deduction Order (12/19)
case is pending.
FIPS and County Codes
COUNTY
FIPS
COUNTY
COUNTY
FIPS
COUNTY
CODE
CODE
12001
01
LAKE
12069
ALACHUA
35
36
12003
02
LEE
12071
BAKER
37
12005
03
LEON
12073
BAY
38
12007
04
LEVY
12075
BRADFORD
39
12009
05
LIBERTY
12077
BREVARD
40
12011
06
MADISON
12079
BROWARD
41
12013
07
MANATEE
12081
CALHOUN
42
12015
08
MARION
12083
CHARLOTTE
43
12017
09
MARTIN
12085
CITRUS
44
12019
10
MONROE
12087
CLAY
45
12021
11
NASSAU
12089
COLLIER
46
12023
12
OKALOOSA
12091
COLUMBIA
47
12025
13
OKEECHOBEE
12093
DADE
48
12027
14
ORANGE
12095
DESOTO
49
12029
15
OSCEOLA
12097
DIXIE
50
12031
16
PALM BEACH
12099
DUVAL
51
12033
17
PASCO
12101
ESCAMBIA
52
12035
18
PINELLAS
12103
FLAGLER
53
12037
19
POLK
12105
FRANKLIN
54
12039
20
PUTNAM
12107
GADSDEN
55
12041
21
ST. JOHNS
12109
GILCHRIST
56
12043
22
ST. LUCIE
12111
GLADES
57
12045
23
SANTA ROSA
12113
GULF
58
12047
24
SARASOTA
12115
HAMILTON
59
12049
25
SEMINOLE
12117
HARDEE
60
12051
26
SUMTER
12119
HENDRY
61
12053
27
SUWANNEE
12121
HERNANDO
62
12055
28
TAYLOR
12123
HIGHLANDS
63
12057
29
UNION
12125
HILLSBOROUGH
64
HOLMES
12059
30
VOLUSIA
12127
65
INDIAN RIVER
12061
31
WAKULLA
12129
66
JACKSON
12063
32
WALTON
12131
67
JEFFERSON
12065
33
WASHINGTON
12133
LAFAYETTE
12067
34
Florida Family Law Rules of Procedure Form 12.996(a), Income Deduction Order (12/19)
What should I do next?
For this order to be effective, it must be signed by the judge. This form should be typed or printed in black
ink. After completing this form, you must first send a copy to the other party or his or her attorney, if he
or she is represented by an attorney, for approval or objection to the form before you send it to the judge
assigned to your case. If the opposing party or his or her attorney, if represented, approves the form
order, you may send the original proposed order and two copies to the judge assigned to your case with
a letter telling the judge that you have first sent a copy of this proposed order to the opposing counsel or
party, if unrepresented, and that they have no objection to the judge signing this order. If the other party
or his or her attorney, if represented, has an objection to the proposed order as completed by you, you
must tell the judge that you have sent a copy of this proposed order to the opposing party or his or her
counsel, if represented, and that they specifically object to the entry of the proposed form Income
Deduction Order. You must also send stamped self-addressed envelopes to the judge addressed to you
and the opposing party or his or her attorney, if represented. You should keep a copy for your own
records. If the judge signs the Income Deduction Order, the judge will mail you and the opposing party
(or their attorney) copies of the signed order in the envelopes you provide to the court.
Where can I look for more information?
Before proceeding, you should read “General Information for Self-Represented Litigants” found at the
beginning of these forms. The words that are in “bold underline” in these instructions are defined there.
For further information see section 61.1301, Florida Statutes.
IMPORTANT INFORMATION REGARDING E-FILING
The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be
filed electronically except in certain circumstances. Self-represented litigants may file petitions or other
pleadings or documents electronically; however, they are not required to do so. If you choose to file
your pleadings or other documents electronically, you must do so in accordance with Florida Rule of
Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you file.
The rules and procedures should be carefully read and followed.
IMPORTANT INFORMATION REGARDING E-SERVICE ELECTION
The Florida Rules of Judicial Administration now require that all documents required or permitted to be
served on the other party must be served by electronic mail (e-mail) except in certain circumstances.
You must strictly comply with the format requirements set forth in the Rules of Judicial
Administration. If you elect to participate in electronic service, which means serving or receiving
pleadings by electronic mail (e-mail), or through the Florida Courts E-Filing Portal, you must review
Rule
Florida
of Judicial Administration 2.516. You may find this rule at www.flcourts.org through the
link to the Rules of Judicial Administration provided under either Family Law Forms: Getting Started, or
Rules of Court in the A-Z Topical Index.
Florida Family Law Rules of Procedure Form 12.996(a), Income Deduction Order (12/19)
-
SELF-REPRESENTED LITIGANTS MAY SERVE DOCUMENTS BY E-MAIL; HOWEVER, THEY ARE NOT
REQUIRED TO DO SO. If a self-represented litigant elects to serve and receive documents by e-mail, the
procedures must always be followed once the initial election is made.
To serve and receive documents by e-mail, you must designate your e-mail address by using the
Designation of Current Mailing and E-mail Address, Florida Supreme Court Approved Family Law Form
12.915, and you must provide your e-mail address on each form on which your signature appears.
Please CAREFULLY read the rules and instructions for: Certificate of Service (General), Florida Supreme
Court Approved Family Law Form 12.914; Designation of Current Mailing and E-mail Address, Florida
Supreme Court Approved Family Law Form 12.915; and Florida Rule of Judicial Administration 2.516.
Special Instructions...
When the Income Deduction Order becomes effective (either immediately or delayed until arrearage),
you must then also send a copy of the Income Deduction Order, by certified mail, return receipt
requested, to the obligor’s employer along with a Notice to Payor, Florida Family Law Rules of Procedure
Form 12.996(b), for the Income Deduction Order to take effect.
It is your responsibility to determine what extra steps and/or forms, if any, must be taken, supplied, and/or
filed to insure the Income Deduction Order is implemented.
Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fill out these
forms, that person must give you a copy of a Disclosure from Nonlawyer, Florida Family Law Rules of
Procedure Form 12.900(a), before he or she helps you. A nonlawyer helping you fill out these forms also
must put his or her name, address, and telephone number on the bottom of the last page of every form
he or she helps you complete.
Florida Family Law Rules of Procedure Form 12.996(a), Income Deduction Order (12/19)
IN THE CIRCUIT COURT OF THE __________________ JUDICIAL CIRCUIT,
IN AND FOR ______________________________ COUNTY, FLORIDA
Case No: ________________________
Division: ________________________
_________________________________,
Petitioner,
and
_________________________________,
Respondent.
INCOME DEDUCTION ORDER
TO:
ANY PRESENT OR SUBSEQUENT EMPLOYERS/PAYORS OF OBLIGOR
{name} ________________________________________________________
YOU ARE HEREBY ORDERED to make regular deductions from all income due and payable to the
above-named obligor in accordance with the terms of this order as follows:
1. This Income Deduction Order shall be effective
{Choose only one}
_____ immediately.
_____ upon a delinquency in the amount of $___________ but not to exceed one month’s payment,
pursuant to the order establishing, enforcing, or modifying the obligation.
_____ beginning {date} __________________.
2. You shall deduct:
$____________ per __________ for ongoing child support. Child support shall be automatically
reduced or terminated consistent with the schedule in paragraph 7; and
$____________ per ____________ for retroactive child support; and
$____________ per ____________ for child support arrears totaling $__________ as of
__________; and
$____________ per ____________ for bridge-the-gap alimony; and
$ ___________ per ____________ for permanent alimony; and
$____________ per ___________ for rehabilitative alimony; and
$____________ per ____________ for durational alimony; and
$____________ per ____________ for permanent alimony; and
$____________ per ____________ for retroactive alimony; and
$____________ per ____________ for alimony arrears totaling $________ as of________; and
$____________ per____________ for _____________________; and
$____________ per____________ for Clerk’s Fee (4% of each payment not to exceed $5.25 per
payment);
$____________Total amount of income to be deducted each ________________.
Florida Family Law Rules of Procedure Form 12.996(a), Income Deduction Order (12/19)