Form Dr 7.14 - Agreed Entry (Parenting And Support)

ADVERTISEMENT

COURT OF COMMON PLEAS{PRIVATE }
DIVISION OF DOMESTIC RELATIONS
HAMILTON COUNTY, OHIO
Enter:
Plaintiff
( ) Obligor
( ) Obligee
Date:
xxx-xx-
SS#
DOB
Case No.
-vs-
File No.
CSEA No.
Defendant
( ) Obligor
( ) Obligee
Judge
xxx-xx-
SS#
DOB
AGREED ENTRY (PARENTING AND SUPPORT)
BY AGREEMENT OF THE PARTIES and the consent of the Court it is hereby ordered that:
I
A._____Father/Mother is hereby designated the residential parent and legal custodian for the minor child(ren) ________________
________________________________________________________with the other party being awarded parenting time as follows:
[ ]Standard Order [ ]Other: __________________________________________________________________________________
B._____The Shared Parenting Decree is modified as it relates to companionship rights as follows: __________________________
_________________________________________________________________________________________________________
II A._____Father/Mother shall pay to_______________for the current support of the minor child(ren) the sum of $____________ per
month per child, total $_________per month, excluding processing charge.
B._____Obligor shall pay to _______________as spousal support the sum of $__________ per month until___________________.
Jurisdiction is/is not reserved to the Court to modify said award in conformity with O.R.C.3105.18(E).
C._____ Obligor shall pay to_______________for payment on a child support/spousal support arrearage of $_______________as of
___________________, the sum of $________________per month. The C.S.E.A. records shall reflect this arrearage.
D. X All of the above payments shall be made with the requisite processing charge through the
Ohio Child Support Payment Central, P. O.
Box 182394, Columbus OH 43218.
III A._____ Father/Mother shall obtain/maintain health insurance for the benefit of the minor child(ren). __________________shall be
designated to receive reimbursements.
B._____ Additional document/orders are attached and incorporated herein for all purposes including
[ ]Support Worksheet [ ] 3121.03 Order [ ]Health Care Order [ ]Standard Parenting Time Order [ ] Other: _________________________
It is further ordered that _______________________________________________________________________________________
___________________________________________________________________________________________________________
IV A._____ Obligee acknowledges that he/she is under no disability.
B._____ Obligor acknowledges that: He/she is under no disability; has received a copy of the Support Order, the O.R.C.3119 and
3121 orders; and he/she waives service of same.
By signature on this agreed entry, both parties expressly, knowingly and voluntarily waive their right, if any, to a Magistrate’s Decision or Order as well as any
requirements that the Court issue separate findings of fact/conclusions of law pursuant to O.R.C. 3l09.04, 3l09.05l, 3l09.052 and 3119.
All support under this order shall be withheld or deducted from the income or assets of the obligor pursuant to a withholding
or deduction notice or appropriate order issued in accordance with Chapters 3119., 3121., 3123., and 3125. of the Revised Code or a
withdrawal directive issued pursuant to sections 3123.24 to 3123.38 of the Revised Code and shall be forwarded to the obligee in
accordance with Chapters 3119., 3121., 3123., and 3125. of the Revised Code. The specific withholding or deduction requirements,
other appropriate requirements plus court orders to be used to collect the support, shall be set forth in and determined by reference to
the notices that are mailed by the Court or The Division Of Child Support Of The Department Of Human Services Agency in
accordance with Section 3121 of the Revised Code. Those notices and court orders plus the notices provided by the court or agency
that require the obligor to notify The Division Of Child Support Of The Department Of Human Services Agency of any change in
their employment status or of any other change in the status of their assets, are final and are enforceable by the Court.
This order is effective______________________________________________, 20_____________.
Plaintiff/Petitioner
Magistrate
Attorney for Plaintiff/Petitioner
Defendant/Petitioner
Child Support Attorney for C.S.E.A.
Attorney for Defendant/Petitioner
DR 7.14
(Revised 01/01/2007)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Dr-7 Ar - Annual Consolidated Sales And Use Tax Registration Fee - 2000 Form Dr-7 Ar - Annual Consolidated Sales And Use Tax Registration Fee - 2000 Financial
Form Dr-7 Ar - Annual Consolidated Sales And Use Tax Registration Fee - 2000 Form Dr-7 Ar - Annual Consolidated Sales And Use Tax Registration Fee - 2000 Financial
Form Dr 2.16 - Agreed Change Of Residential Parent And Legal Custodian Form Dr 2.16 - Agreed Change Of Residential Parent And Legal Custodian Legal
Form Dr-7 - Consolidated Sales And Use Tax Return- 2012 Form Dr-7 - Consolidated Sales And Use Tax Return- 2012 Financial
Form Dr 7.3 - Affidavit Of Income, Expenses And Financial Disclosure Form - Court Of Common Pleas, Ohio Form Dr 7.3 - Affidavit Of Income, Expenses And Financial Disclosure Form - Court Of Common Pleas, Ohio Legal
Form Dr-7 - Consolidated Sales And Use Tax Return Form Dr-7 - Consolidated Sales And Use Tax Return Financial
Form Dr-7 - Consolidated Sales And Use Tax Return Form Dr-7 - Consolidated Sales And Use Tax Return Financial
Form Dr-7 - Consolidated Sales And Use Tax Return Form Dr-7 - Consolidated Sales And Use Tax Return Financial
Form Dr-7 Draft - Consolidated Sales And Use Tax Return Form Dr-7 Draft - Consolidated Sales And Use Tax Return Financial
Form Ssa-7-f6 - Application For Parent's Insurance Benefits Form Ssa-7-f6 - Application For Parent's Insurance Benefits Legal

Related Categories

Parent category: Legal
Download
Go