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Supplemental Judgment Modifying Judgment (4A) - Oregon

Supplemental Judgment Modifying Judgment (4A) Form. This is a Oregon form and can be used in Modification Of Judgment Family Law Circuit Court Statewide .
 Fillable pdf Last Modified 10/23/2014
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of the Marriage of: ) ) , ) Petitioner, ) ) and ) ) , ) Respondent ) ) and ) ) , ) Child who is at least 18 and under 21 years ) of age and unmarried. (ORS 107.108) ) 1. This matter came before the Court: On the motion and affidavit of Petitioner Respondent, the default of Petitioner Respondent having been found. On the motion of Petitioner Respondent, the default of Petitioner Respondent having been found, and Petitioner Respondent being represented by a guardian ad litem or another person described in Rule 27. On the motion and affidavit of Petitioner Respondent, Petitioner Respondent having filed a Waiver of Further Appearance. On the stipulations of the parties, as shown by the signatures below. At a hearing held , at which the following persons were present: (Date) Petitioner Petitioner's attorney Respondent Respondent's attorney 2. Findings. The Court considered the: Affidavit Stipulations Evidence presented and found that: (a) Child Custody Jurisdiction I. Oregon has jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act to hear the custody parenting time issue because: Oregon is the child/ren's home state (i.e., the child/ren have lived here continuously for the six month period immediately before this case was filed). Other reason: II. Oregon does not have jurisdiction under the Uniform Child Custody Jurisdiction Act because: Case No. SUPPLEMENTAL JUDGMENT MODIFYING JUDGMENT RE: CUSTODY PARENTING TIME CHILD SUPPORT, and ORDER RE: JURISDICTION SUPPLEMENTAL JUDGMENT MODIFYING JUDGMENT - PAGE 1 OF 11 Modification-4A: Judgment4AVer12.doc (8/12) American LegalNet, Inc. www.FormsWorkFlow.com 3. Custody. A substantial change in circumstance has occurred since the last custody order and it would be in the child/ren's best interests to change the custody terms. 4. Parenting Time. It would be in the child/ren's best interests to change the parenting time terms. 5. Child Support. A change in custody, parenting time, or other circumstance, has occurred requiring a change in the current support obligation. 6. Child/ren Who Are At Least 18 and Under 21 Years of Age. (child/ren's name) is at least 18, 19 or 20 years of age and unmarried and has: Waived further appearance in these proceedings. Signed and stipulated to the terms of judgment evidenced by the signature below. Fully participated in the proceedings and the judgment effectively binds him/her to the terms. IT IS THEREFORE ORDERED that: The Judgment is modified as follows: 1. Custody: (a) Petitioner Respondent is awarded sole custody of the child/ren (list names): (Name/s and year/s of birth) (b) The parties have agreed to joint custody of the following child/ren (list names): (Name/s and year/s of birth) 2. Parenting Time: (a) Petitioner Respondent should have parenting time with the child/ren as set forth in the attached Parenting Plan, labeled Exhibit ____, or Other: (b) Petitioner Respondent should not be granted parenting time because this would endanger the health and safety of the child/ren. Supporting facts are as follows: (c) Parenting time shall be supervised by: Any cost of the supervision shall be paid by Petitioner Respondent Other: (d) Petitioner and Respondent should each provide contact addresses and contact telephone numbers to the other and notify each other of any emergency circumstances or substantial changes in the child/ren's health. SUPPLEMENTAL JUDGMENT MODIFYING JUDGMENT - PAGE 2 OF 11 Modification-4A: Judgment4AVer12.doc (8/12) American LegalNet, Inc. www.FormsWorkFlow.com (e) 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. 3. Child Support, including Cash Medical Support: (a) The Judgment is modified to terminate Petitioner's Respondent's support obligation effective for the child/ren: (name/s and year/s of birth) due to the change in custody. 4. Cash Child Support. Complete either (a) or (b) below: (a) Cash child support shall be paid by Petitioner to Respondent (or) Respondent to Petitioner: In the amount of $ for _____ children. This is the amount presumed correct as determined under the Oregon child support guidelines, or In the amount of $ for _____ children. The amount presumed correct as determined under the Oregon child support guidelines, $ , would be unjust or inappropriate for the following reasons: ____________________________________________________________________________. (The reasons must also be shown on the support worksheets you attach to this judgment.) Petitioner Respondent shall pay cash child support 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. or _________, the date Petitioner Respondent was served with the motion or other date thereafter, and continuing on the same day of each month thereafter (check this option only if requested in the motion or agreed to by the parties). (b) No cash child support is ordered in this judgment because: An order, including medical support, for child support in the monthly amount of $ has already been ordered in Circuit Court case number in County, Oregon. Other reason: 5. Medical Support. Complete section (a) or (b) below. Also complete section (c) or (d) below. Complete (a) or (b): (a) Private Health Care Coverage is Appropriate and Available. Petitioner Respondent Both Petitioner and Respondent has/have appropriate private health care coverage available for the parties' child/ren through an employer, spouse, domestic partner or other source. Petitioner Respondent Both Petitioner and Respondent is/are SUPPLEMENTAL JUDGMENT MODIFYING JUDGMENT - PAGE 3 OF 11 Modification-4A: Judgment4AVer12.doc (8/12) American LegalNet, Inc. www.FormsWorkFlow.com ordered to obtain and/or maintain this coverage throughout the period of the support obligation for the benefit of the parties' child/ren. Health care coverage is not ordered in this judgment because it has already been ordered in another case as described in section 4(b) above. (b) No Private Health Care Coverage is Appropriate or Available. Neither Petitioner nor Respondent has appropriate private health care coverage available for the
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