Uniform Domestic Relations Form 17 - Shared Parenting Plan Page 13

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EACH PARTY TO THIS SUPPORT ORDER MUST NOTIFY THE CHILD SUPPORT AGENCY
IN WRITING OF HIS OR HER CURRENT MAILING ADDRESS, CURRENT RESIDENCE
ADDRESS, CURRENT RESIDENCE TELEPHONE NUMBER, CURRENT DRIVER’S LICENSE
NUMBER AND OF ANY CHANGES IN THAT INFORMATION. EACH PARTY MUST NOTIFY
THE AGENCY OF ALL CHANGES UNTIL FURTHER NOTICE FROM THE COURT. IF YOU
ARE THE OBLIGOR UNDER A CHILD SUPPORT ORDER AND YOU FAIL TO MAKE THE
REQUIRED NOTIFICATIONS, YOU MAY BE FINED UP TO $50.00 FOR A FIRST OFFENSE,
$100.00 FOR A SECOND OFFENSE, AND $500.00 FOR EACH SUBSEQUENT OFFENSE. IF
YOU ARE AN OBLIGOR OR OBLIGEE UNDER ANY SUPPORT ORDER AND YOU
WILLFULLY FAIL TO MAKE THE REQUIRED NOTIFICATIONS YOU MAY BE SUBJECTED
TO FINES OF UP TO $1,000.00 AND IMPRISONMENT FOR NOT MORE THAN 90 DAYS.
IF YOU ARE AN OBLIGOR AND YOU FAIL TO MAKE THE REQUIRED NOTIFICATIONS, YOU
MAY NOT RECEIVE NOTICE OF THE FOLLOWING ENFORCEMENT ACTIONS AGAINST
YOU: IMPOSITION OF LIENS AGAINST YOUR PROPERTY; LOSS OF YOUR
PROFESSIONAL OR OCCUPATIONAL LICENSE, DRIVER'S LICENSE, OR RECREATIONAL
LICENSE; WITHHOLDING FROM YOUR INCOME; ACCESS RESTRICTIONS AND
DEDUCTIONS FROM YOUR ACCOUNTS IN FINANCIAL INSTITUTIONS; AND ANY OTHER
ACTION PERMITTED BY LAW TO OBTAIN MONEY FROM YOU AND TO SATISFY YOUR
SUPPORT OBLIGATION.
G.
Payment shall be made in accordance with Chapter 3121. of the Revised Code.
H.
Arrearage
Any temporary child support arrearage will survive this judgment entry.
Any temporary child support arrearage will not survive this judgment entry.
Other:
FIFTH: TAX EXEMPTIONS
Income tax dependency exemptions (check all that apply):
A.
The Plaintiff/Petitioner 1 shall be entitled to claim the following minor child(ren) for all tax
purposes for
even-numbered tax years
odd-numbered tax years
all eligible tax years, so
long as Plaintiff is substantially current in any child support Plaintiff is required to pay as of
December 31 of the tax year in question:
The Defendant/Petitioner 2 shall be entitled to claim the following minor child(ren) for all
tax purposes for
even-numbered tax years
odd-numbered tax years
all eligible tax years, so
long as Defendant is substantially current in any child support Defendant is required to pay
as of December 31 of the tax year in question:
Supreme Court of Ohio
Uniform Domestic Relations Form – 17
SHARED PARENTING PLAN
Approved under Ohio Civil Rule 84 and Ohio Juvenile Rule 46
Amended: March 15, 2016
Page 13 of 14

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