Judge'S Memorandum Form

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CAUSE NO. _______________________
IN THE MATTER OF:
)
IN THE ________ DISTRICT COURT
______________________________________
)
OF COLLIN COUNTY, TEXAS
JUDGE’S MEMORANDUM
Temporary ______ Final ______
(When appropriate “child” means “children”)
[ ] AGREEMENT [ ] DEFAULT [ ] RULING after hearing [ ] Reporter present ___________________________
1.
APPEARANCES: Father:____________________________ and Attorney:___________________________
Mother:____________________________ and Attorney:___________________________
Other:____________________________ and Attorney:___________________________
2.
[ ] JOINT TEMPORARY MANAGING CONSERVATORS: Primary physical residence of child: ________
[ ] Child’s residence restricted to: [ ] Collin County [ ] Collin and contiguous counties [ ] Other __________
3.
TEMPORARY SOLE MANAGING CONSERVATOR: [ ] Father [ ] Mother [ ] Other _______
4.
TEMPORARY POSSESSORY CONSERVATOR: [ ] Father [ ] Mother [ ] Other ___________
5.
ACCESS & POSSESSION: [ ] Per Sec.153.311-153.317 TFC [ ] see attached page [ ] History of Family
Violence YES/NO
______________________________________________________________________________
______________________________________________________________________________
6.
SUPPORT: [ ] Father [ ] Mother to pay $__________ per ___________ with first payment due _____________ and
each ________________ thereafter by WAGE WITHHOLDING through [ ] CHILD SUPPORT OFFICE
[ ]
GUARDIAN AD LITEM [ ] Payment directly to other parent authorized [ ] ATTORNEY GENERAL’S OFFICE
[ ] Reduce to $__________ per ___________ per Sec. 154.001 TFC [ ] Reduce to $__________ per ___________
6a.
[ ] Father [ ] Mother required to maintain health insurance on child/spouse. [ ] Father ordered to pay ___%; Mother
ordered to pay ____ % of non-covered health expenses.
6b.
Support includes $_________ additional contribution to cover other parent maintaining health insurance.
7.
SUPPORT FINDINGS:
Net
Resources
Net
Resources
Percent Actually
Amount
if
Number
of
Reason
varies
Number
of
Number of other
(Obligor)
(Obligee)
applied to Net
percent applied
children before
from guidelines
children
not
children
for
Resources
to first $6,000
the Court
before
Court
Obligor
to
residing
with
support
by
Obligor
Court order
8.,
MUTUAL INJUNCTIONS:
[ ] persons/property
[ ] removal of child(ren) from [ ] jurisdiction
OR [ ] Collin & contiguous counties [ ] Use of [ ] alcohol [ ] illegal substances w/in 8 hrs of or during possession [
] no overnight with unrelated member of opposite sex in home [ ] Discussing litigation/disparage other party in
presence/hearing of child(ren) [ ] __________________________________________________

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