Form Dr 2.16 - Agreed Change Of Residential Parent And Legal Custodian

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COURT OF COMMON PLEAS
DIVISION OF DOMESTIC RELATIONS
HAMILTON COUNTY, OHIO
Enter:
Plaintiff
( ) Obligor
( ) Obligee
Date:
Case No.
-vs/and-
File No.
CSEA No.
Defendant
( ) Obligor
( ) Obligee
Judge
AGREED CHANGE OF RESIDENTIAL PARENT
AND LEGAL CUSTODIAN
BY AGREEMENT OF THE PARTIES and with the consent of the Court it is hereby ordered that:
1. The residential parent and legal custodian of (name of minor children) ______________________________________ is/are
hereby changed from __________________________(Plaintiff/Defendant) TO _____________________(Plaintiff/Defendant).
The non-residential parent shall have parenting time as follows: [ ] Standard Order; [ ] Other (You must be specific)
_______________________________________________________________________________________________________
2. _________________________ shall pay child support to _____________________ in the sum of $_______________ per month
per child, total $__________________, excluding processing fee.
3. _________________________ shall pay spousal support to ___________________ in the sum of $_______________ per month
until ______________________________.
4. _________________________ shall pay to _______________________
the sum of $______________________ per month
toward the support arrearage of $_____________ as of _________________________. The Child Support Enforcement Agency
records shall reflect this arrearage.
5. __________________________(Plaintiff/Defendant) obligation to pay support is terminated
effective_________________________, with an arrearage of $___________________ which shall be paid as
follows:________________________________________.
6. All of the above payments shall be made through the Child Support Enforcement Agency plus 2% processing charge and shall be
effective ____________________________________. Any payments not made through CSEA shall be deemed gifts.
7. ____________________shall obtain/maintain health insurance for the benefit of the minor child(ren). ____________________
8. Additional documents/orders as necessary are attached hereto and incorporated herein for all purposes including [ ] Support
Worksheet; [ ] §3121.03 Order; [ ] Health Care Order; [ ] Parenting Time Order; [ ]Other________________________________
It is further ordered that ___________________________________________________________________________________
Obligor acknowledges that they are under no disability; they have received a copy of the Support Order, the O.R.C. 3121.03 and 3119.30 orders; and that they
waive 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.
Magistrate
Plaintiff/Petitioner
Defendant/Petitioner
Attorney for Plaintiff/Petitioner
Attorney for Defendant/Petitioner
_______________________________________________________________
Child Support Attorney for C.S.E.A.
DR 2.16 (Revised 3/16/2016)

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