Permanent Parenting Plan Order (Page 9 of 9) in pdf

Permanent Parenting Plan Order Page 9

__________________________________

Father

Date and Place Signed

Sworn to and subscribed before me this ______ day of __________________, 20_____.

My commission expires:________________

_______________________________

Notary Public

APPROVED FOR ENTRY:

________________________________

_________________________________

Attorney for Mother

Attorney for Father

__________________________________________

____________________________________________

Address

__________________________________________

____________________________________________

Address

__________________________________________

____________________________________________

Phone and BPR Number

Note: The judge or chancellor may sign below or, instead, sign a Final Decree or a

separate Order incorporating this plan.

COURT COSTS (If applicable)

Court costs, if any, are taxed as follows:

_____________________________________________.

It is so ORDERED this the ________ day of ____________, ______.

Judge or Chancellor

10/17/2016

Permanent Parenting Plan Order Page 9