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Agreed Entry Final Appealable Order Hearing Required DR 715 - Ohio
| Agreed Entry Final Appealable Order Hearing Required Form. This is a Ohio form and can be used in General Domestic Relations Butler County (Court Of Common Pleas) . |
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DR 715 Eff. 1/05 Rev. 1/11 IN THE COURT COMMON PLEAS DIVISION OF DOMESTIC RELATIONS BUTLER COUNTY, OHIO : : : Magistrate : AGREED ENTRY FINAL APPEALABLE ORDER (Hearing Required) Case No____________________ ______________________________________________ Plaintiff/1st Petitioner/Petitioner Address _______________________________________ ______________________________________________ SSN _______________________ DOB ______________ __________________________ vs./-and______________________________________________ Defendant/2nd Petitioner/Respondent Address _______________________________________ _____________________________________________ SSN _______________________ DOB ______________ : : On___________________, 20________ , a hearing was held before Magistrate/Judge ____________________________ on: Plaintiff's/1st Petitioner/Petitioner Defendant's/2nd Petitioner/Respondent motion(s) for: or contempt motion(s) for: Allocation of parental rights or shared parenting: establish modify terminate Visitation: modification restriction or termination standard order notice of relocation Child support: increase decrease terminate establish Spousal support: increase decrease terminate Other (specify): ___________________________________________________________________ . Appearing before the Court were: Plaintiff/1st Petitioner/Petitioner Defendant/2nd Petitioner/Respondent The following are the children of the parties: Name________________________ SSN:__________________ D.O.B:________ Name ________________________ SSN:__________________ D.O.B:________ Name ________________________ SSN:__________________ D.O.B:________ Name ________________________ SSN:__________________ D.O.B:________ This AGREED ENTRY applies to: All of the above children or Only these children: _____________________________________ _____________________________________ _____________________________________ _____________________________________ with with without Attorney _____________________________ Attorney__________________________ without THE PARTIES AGREE AS FOLLOWS: American LegalNet, Inc. www.FormsWorkFlow.com Sole Residential Parent Status (Custody): Plaintiff/1st Petitioner/Petitioner Defendant/2nd Petitioner/Respondent is designated the residential parent and legal custodian of the parties' minor child(ren). Plaintiff/1st Petitioner/Petitioner Defendant/2nd Petitioner/Respondent shall be designated the non-residential parent. The non-residential parent's parenting time shall be as follows: The non-residential parent shall have DR610 parenting time with the child(ren) or the following: ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ __________________________________________________________________________ OR Shared Parenting: The parties shall share the allocation of parental rights and responsibilities for the care of their minor child(ren). Plaintiff/1st Petitioner/Petitioner Defendant/2nd Petitioner/Respondent shall be designated the residential parent for school purposes. Parenting time shall be divided as follows: ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ __________________________________________________________________________________ All other terms of the existing Shared Parenting Plan remain in effect. Child Support: The support order does not change OR The support order is hereby amended as follows (worksheet is attached): The child support order is pursuant to the guidelines: The child support order is pursuant to the guidelines: "Based upon Father's adjusted gross income of $________ per year, and Mother's adjusted gross income of $_________ per year, an award of child support, in accordance with child support guidelines, ORC 3119.021, is payable as follows: When private health insurance IS being provided by a party in accordance with this order for the child(ren) named above, the Child Support Obligor shall pay child support for the minor child(ren) in the sum of $_____________ per month ($_____________ per month per child) ($__________ per ___________ pay period) to the Child Support Obligee, and/or his/her assignee(s), which includes the 2% processing fees. American LegalNet, Inc. www.FormsWorkFlow.com When private health insurance IS NOT being provided by a party in accordance with this order for the child(ren) named above, the Child Support Obligor shall pay child support for the minor child(ren) in the sum of $_____________ per month ($_____________ per month per child) ($__________ per ___________ pay period) to the Child Support Obligee, and/or his/her assignee(s), for the minor children, which includes the 2% processing fees. When private health insurance IS NOT being provided by a party in accordance with this order for the child(ren) named above, the Child Support Obligor shall pay cash medical support in the sum of $_____________ per month ($_____________ per month per child) ($__________ per ___________ pay period), which includes the 2% processing fees. Said order is effective ___________and the order of support shall be paid through CSEA or OCSPC. (Choose one) Insurance is available. The obligor shall pay child support in the amount of ___________ per month, per child, which includes the 2% processing fee. If private health insurance coverage is being provided and becomes unavailable or is terminated, the Child Support Obligor SHALL BEGIN paying cash medical support commencing the first day of the month immediately following the month in which private health insurance coverage became unavailable or is terminated, and SHALL CEASE paying cash medical support on the last day of the month immediately preceding the month in which private health insurance coverage begins or resumes. Cash medical support shall be paid in addition to child support." or Insurance is not available. The obligor shall pay child support in the amount of
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