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Addendum To Judgment RI-F28 - California

Addendum To Judgment Form. This is a California form and can be used in Family Riverside Local County .
 Fillable pdf Last Modified 7/23/2012
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PETITIONER: ____________________________________________ RESPONDENT: ________________________________________________ CASE NUMBER: _______________________ ADDENDUM TO JUDGMENT CUSTODY/VISITATION Primary and secondary physical custody of the minor child/ren shall be as follows: Child's Name Birth Date Legal Custody to: Primary Physical Custody to: The other parent shall have the following secondary physical custody rights: Reasonable right of visitation as agreed between the parties. As contained in the Recommendation and Order After Mediation, consisting of filed on and which is reproduced in its entirety herein. pages, which was Other: _________________________________________________________________________________ _____________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Pursuant to Family Code Section 3048 (a): (1) This Court exercises jurisdiction under Family Code Sections 3421-3424. (2) Notice and opportunity to be heard were given under Family Code Section 3425 (3) A clear description of the custody and visitation rights of each party is set forth herein. (4) Violation of the order may subject the party in violation to civil or criminal penalties, or both. (5) The habitual residence of the child/ren is the United States of America. CHILD SUPPORT CHILD SUPPORT PAYMENTS. Petitioner Respondent shall pay to the other party as and for child support the sum of $___________ per month due one-half on the first and one-half on the fifteenth day of each month commencing . The duty of support continues until each child has attained the age of 18 years and is no longer a full-time high school student, attains the age of 19 years, dies, marries, is emancipated, written agreement of the parties or further order of the court which ever first occurs. Support shall be allocated between the minor children as follows: $ $ for the support of the first (oldest) child; $ for the support of the third child; $ for the support of the second child; for the support of the fourth child. The Department of Child Support Services is collecting support for these children. RESERVED. The issue of child support is reserved for later determination upon noticed motion. ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ RESPONDENT: ________________________________________________ CASE NUMBER: _______________________ ADDENDUM TO JUDGMENT CONSOLIDATE: That this case shall be consolidated with Case number __________________. This case shall be the Master File GUIDELINE CHILD SUPPORT FINDINGS. Gross monthly incomes are as follows: Petitioner's $ ; Respondent's $ . % Respondent: % Percentage of time each parent has primary responsibility for the children: Petitioner: Petitioner Respondent is experiencing a statutory hardship of $ ___________________________per month. Petitioner is paying: Medical Insurance: $_______ Union Dues:________ Mandatory Pension $________ Respondent is paying: Medical Insurance: $______ Union Dues: ________ $________ $ per month. Mandatory Pension The amount of child support payable by Petitioner Respondent as calculated under the guideline is WE AGREE TO NON-GUIDELINE CHILD SUPPORT AS FOLLOWS: The Parties acknowledge that: (i.) they are fully informed of their rights concerning guideline child support; (ii) they have agreed to the child support provisions of this Agreement without coercion or duress; (iii) this Agreement is in the best interests of the child involved; (iv) the needs of the child will be adequately met by this agreed-upon child support; and they have not assigned the right to support to the county and no public assistance application is pending, except as set forth below. ARREARS. Petitioner Respondent owes to the other parent child support arrears in the principal sum of $ for the period of / / to / / . These arrears shall be paid as follows: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ MEDICAL/DENTAL/VISUAL INSURANCE. As and for additional child support, Petitioner Respondent shall obtain and/or maintain for the minor child/ren medical, dental and visual insurance if available at reasonable cost through an employment or union affiliation. Any health expenses not paid by insurance shall be shared: Petitioner 50 % and Respondent 50 %. Any request for reimbursement of uncovered expenses must be made within 30 days of the date the expense is incurred and should be presented with a copy of the bill or receipt of payment. Payment should thereafter be made within 30 days of receipt of request. PAYMENT OF SUPPORT An Income Withholding Order for the above support shall issue. The right to support has been assigned to the county or a public assistance application is pending. The Department of Child Support Services approves of the forgoing support order. Date: Signature of DCSS Attorney:_____________________________________________ ADDENDUM TO JUDGMENT Page ___ of ___ American LegalNet, Inc. www.FormsWorkFlow.com PETITIONER: ____________________________________________ RESPONDENT: ________________________________________________ CASE NUMBER: _______________________ ADDENDUM TO JUDGMENT The parties were married or registered as domestic partners on There are no minor child/ren of the marriage/domestic partnership. and were separated on __________. SPOUSAL/PARTNER SUPPORT WAIVER. Petitioner Respondent knowingly and intelligently waive(s) spousal/partner support forever. Jurisdiction shall be terminated over spousal/partner support. When a court has no jurisdiction over support, no support can be ordered regardless of the hardship that this might cause. TERMINATION. The court's jurisdiction to award spousal/partner support to the Respondent is terminated. RESERVED. The issue of spousal/partner support is reserved for later determination upon noticed motion. SPOUSAL/PARTNER SUPPORT PAYMENTS. Petitioner Respondent shall pay to the other Party for spousal/partner support, the sum of $ per month, payable one-half on the first and one-half on the fifteenth day
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