Georgia > Local County > Fulton > Superior Court > Family Division

Consent To Change Of Custody And Child Support - Georgia

Consent To Change Of Custody And Child Support Form. This is a Georgia form and can be used in Family Division Superior Court Fulton Local County .
 Fillable pdf Last Modified 4/2/2013
Get this form for FREE as a print-only pdf

IN THE SUPERIOR COURT OF FULTON COUNTY STATE OF GEORGIA FAMILY DIVISION Petitioner: Civil Action File No: and Respondent: CONSENT TO CHANGE OF CUSTODY AND CHILD SUPPORT 1. 2. I _____________________________, am the mother/father of the child(ren) named _____________________________________________________________________________. I consent in writing to the following custody arrangement: a) b) That the father/mother of said child(ren) have sole legal and sole physical custody of the child(ren). That the father/mother of said child share joint legal custody with me and I will be the primary physical custodian from ____________________ to ___________________and the mother/father shall be the secondary physical custodian from _________________________ (date) to __________________________ (date). That the father/mother of said child share joint legal custody with me and mother/father shall be the primary physical custodian from ______________________ to ___________________ and I will be secondary physical custodian from ___________________ to ________________________. c) 3. 4. I consent in writing to the following visitation arrangement attached hereto as Exhibit "A'. I consent to child support being modified as follows: a) My gross monthly income is __________________. b) The mother's/father's gross income is ___________________ . c) Child support is being determined for _____ number of children. d) NOTICE: The new Georgia Child Support Guidelines went into effect on 1/1/07. Any child support calculations must now be made using these guidelines. To obtain forms and instructions, go to: https://services.georgia.gov/dhr/cspp/do/public/SupportCalcDownload e) No special circumstances exist, or the following special circumstances exist and check those applicable: Ages of the child(ren). A child(ren)'s extraordinary medical costs or needs in addition to accident and sickness insurance, provided that all such costs or needs shall be considered if no insurance is available. Consent to Change of Custody-7/2012 © 1999 Fulton County Superior Court Family Division American LegalNet, Inc. www.FormsWorkFlow.com 1 f 2 Educational costs. Day-care costs. Shared physical custody arrangements, including extended visitation. A party's other support obligations to another household. Income that should be imputed to a party because of suppression of income. In-kind income for the self-employed, such as reimbursed meals or a company car. Other support a party is providing or will be providing, such as payment of a mortgage. A party's own extraordinary needs, such as medical expenses. Extreme economic circumstances including but not limited to: 1) Unusually high debt structure; or 2) Unusually high income of either party or both parties, which shall be construed as individual. Historical spending in the family for child(ren) which varies significantly from the percentage table. Considerations of the economic cost-of-living factors of the community of each party, as determined by the trier of the fact. In-kind contribution of either parent. The income of the custodial parent. The cost of accident and sickness insurance coverage for dependent children included in the order. Extraordinary travel expenses to exercise visitation or shared physical custody. Any other factor which the trier of fact deems to be required by the ends of justice, as described below: _________________________________________________________ _________________________________________________________________ _________________________________________________________________ f) 5. ______________ (person's name) shall pay to _______________ (person's name) child support in the amount of ____________ per week/biweekly/semimonthly/monthly. I make this consent freely, and knowingly. I have not been forced to sign this consent and I am not under any duress at the time that I am signing this consent. [day] [month] [year] This the ____________________ day of _____________________, ______. ___________________________________________________ Pro Se Name (print or print) __________________________________ Address: ___________________________________________ ___________________________________________________ Telephone number: ( ) (Sign your name here in front of the Notary) Sworn to and subscribed before me this ____day of ____________________ , ________. _________________________________________ Notary Public My Commission expires: (Notary Seal) Consent to Change of Custody Form-7/2012 © 1999 Fulton County Superior Court Family Division American LegalNet, Inc. www.FormsWorkFlow.com 2 f 2
Link/Embed this Document
URL
Embed


Popular Searches

  1. adoption
  2. contempt
  3. small claims
  4. appearance
  5. Unlawful Detainer
  6. eviction
  7. small estate affidavit
  8. motion to vacate
  9. proof of service by mail
  10. pro hac vice

Bookmark and Share