Oregon > Statewide > Circuit Court > Family Law > Custody Parenting Time And Child Support
Stipulation To Modify Custody-Parenting Time-Child Support 4C - Oregon
| Stipulation To Modify Custody-Parenting Time-Child Support Form. This is a Oregon form and can be used in Custody Parenting Time And Child Support Family Law Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF __________________ ) ) ________________________________, ) Petitioner, ) and ) ) ________________________________, ) Respondent. ) In the Matter of: Case No. ______________________ STIPULATION TO MODIFY ` CUSTODY ` PARENTING TIME ` CHILD SUPPORT; AND SUPPLEMENTAL JUDGMENT [ORS 107.135; 107.174] Based upon the request and stipulation of the parties, as shown by the notarized signatures below, and it appearing to the Court that a judgment of annulment, dissolution of marriage, separation, or establishing paternity, custody and parenting time was granted in this case on , in the , 20 , in case number County Circuit Court, that the parties jointly request a modification of the custody, parenting time and/or child support provisions of this judgment; Now, therefore, IT IS HEREBY ORDERED that: 1. Custody: a. ` The judgment with respect to custody remains in effect and unchanged. b. ` Petitioner ` Respondent is awarded sole custody of the child/ren (Names and dates of birth) c. ` The parties have agreed to joint custody of the following child/ren: (Names and dates of birth) as described in the attached parenting plan, labeled "Exhibit 1." 2. ` Father ` Mother shall have parenting time with the child/ren in accordance with 9 the attached parenting plan, labeled "Exhibit 1", or as follows: ` Neither parent shall move to a residence more than 60 miles further distant from the other parent without giving the other parent reasonable notice of the change of residence and providing a copy of such notice to the court, or ` the requirement of ORS 107.159 regarding notice of move is suspended for good cause found. Page 1 of 8, STIPULATION TO MODIFY ` CUSTODY ` PARENTING TIME ` CHILD SUPPORT, AND SUPPLEMENTAL JUDGMENT [ORS 107.135; 107.174] Modification-4C: ModStipJudgWithSupport4CVer10.wpd (7/05) American LegalNet, Inc. www.USCourtForms.com 3. Child Support: a. ` Child support as previously ordered remains in effect and unchanged. b. ` The Judgment is modified to terminate ` Petitioner's ` Respondent's support obligation effective for the child/ren: (name(s) and date(s) of birth) due to the change in custody. c. ` Child support should be paid by ` Petitioner to Respondent (or) ` Respondent to Petitioner beginning on the ` first or ` day of the month following the date of the judgment and continuing on the same day of each month thereafter. The support for each child shall continue until the child reaches eighteen (18) years of age, or is otherwise emancipated, unless the child is a student attending school as defined by Oregon law, in which case support shall continue until the child reaches 21 years of age. Until further order, the total payment per month shall be $___________________ for _____________ children. d. ` Petitioner ` Respondent shall be entitled to claim the following child(ren) as dependent(s) for tax purposes beginning the year this judgment is entered (list names): , OR ` Other (specify): e. Child Support Calculation. i. ` The child support worksheet on which the support amount was calculated is labeled "Exhibit ____" and attached to and incorporated in this judgment, or ii. ` The support award does not deviate from the amount presumed correct under the guidelines set out in the Oregon Administrative Rules, or iii. ` The support amount presumed correct under the guidelines set out in Oregon Administrative Rules is $ _______________. The support award deviates from this amount because this Court finds that application of the formula would be unjust or inappropriate in this case because of (check one or more that apply): ` Recurring medical expenses of _______________________________________________________________, ` Other ___________________________________________________________________________________. NOTICE ABOUT PERIODIC REVIEWS If you are receiving child support services through the Department of Justice pursuant to option (a) above, either parent may request that the Department of Justice/Division of Child Support review the amount of support ordered after two years from the date the order took effect or at any time upon a substantial change of circumstances. Page 2 of 8, STIPULATION TO MODIFY ` CUSTODY ` PARENTING TIME ` CHILD SUPPORT, AND SUPPLEMENTAL JUDGMENT [ORS 107.135; 107.174] Modification-4C: ModStipJudgWithSupport4CVer10.wpd (7/05) American LegalNet, Inc. www.USCourtForms.com f. Payment of Child Support. Pursuant to ORS 25.378(1), an income withholding order shall be issued to enforce the child support obligation unless an exception is indicated below. i. ` Exceptions to withholding. Income withholding is not ordered at this time because there is no support arrearage, the paying parent has not previously been granted an exemption from withholding, and: (a) ` The parents, and the State, if support rights are assigned, have agreed in writing to an alternative arrangement, or (b) ` Good cause not to require withholding is found because there is proof of timely payment of previously-ordered support and income withholding would not be in the best interests of the child. ii. ` All payments of child support shall be made (check either (a) or (b) below): (a) ` To the Oregon Department of Justice, Child Support Accounting Unit, P.O. Box 14506, Salem, Oregon, 97309 or ` by electronic payment withdrawal (EPW) or electronic funds transfer (EFT). By petitioner's or respondent's request, collection, accounting disbursement, and enforcement services of this obligation shall be through the State of Oregon's Department of Justice. (b) ` Pursuant to the above exception, directly to ` Petitioner's ` Respondent's checking or savings account. A receipt of deposit shall be kept by the parent paying support as proof of payment. A canceled check is also prima facie evidence that payment has been made. The person receiving support shall provide the paying parent with current deposit slips and/or bank name, account name and account number. NOTICE ABOUT PARENTING TIME AND CHILD SUPPORT The terms of child support and parenting time (visitation) are designed for the child's benefit and not the parents' benefit. You must pay support even if you are not receiving parenting time. You must comply with parenting time and visitation orders even if you are not receiving child support. Violation of child support orders and visitation or parenting time orders is punishable by fine, imprisonment or other penalties. Publicly funded help
|
|||||||
