Fill and Sign the Florida Circuit Court Form

IN THE CIRCUIT COURT OF THE___________________________JUDICIAL CIRCUIT, IN AND FOR _______________________COUNTY, FLORIDA Case No.: _______________________________ Division: ________________________________ ________________________________, Petitioner, and ________________________________, Respondent. SUPPLEMENTAL TEMPORARY JUDGMENT MODIFYING PARENTING ISSUES FOR CHILD(REN) OF A PARENT ACTIVATIED, DEPLOYED, OR TEMPORARILY ASSIGNED TO MILITARY SERVICE This cause came before this Court on a Supplemental Petition for Temporary Modification of Custody or Parentin PlanTTime-Sharin Schedule for Child(ren of a Parent Activated, Deployed, or Temporarily Assi ned to Military Service. The Court, havin reviewed the file, heard the testimony, and bein otherwise fully advised, makes these findin s of fact and reaches these conclusions of law: SECTION I. FINDINGS 1. The Court has jurisdiction over the subject matter and the parties. 2. The last order establishin or modifyin parental responsibility, visitation, or time-sharin was entered on {date} _______________________. 3. There is clear and convincin evidence that it is in the best interests of the minor child(ren that the current order establishin parental responsibility, visitation, and time-sharin be temporarily modified as the _____ Mother _____ Father is activated, deployed, or temporarily assi ned to military service. Specifically: _________________________________________________________________________________ _ _________________________________________________________________________________ _ Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 _________________________________________________________________________________. SECTION II. TEMPORARY PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING WITH DEPENDENT OR MINOR CHILD(REN) 1. Jurisdiction. The Court has jurisdiction to determine parental responsibility, to establish or approve a Parentin Plan, and time-sharin with re ards to the parties’ minor child(ren listed in para raph 2 below. 2. The parties’ dependent or minor child(ren) is (are): Name Birth date _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ 3. Parenting Plan. The parties shall comply with the temporary Parentin Plan which is attached and incorporated herein as Exhibit _____. SECTION III. CHILD SUPPORT 1. Temporary Modifcation of Child Support. {Choose one only} a. _____The _____ Mother’s _____ Father’s current obli ation to pay child support is: _____ Abated _____ Suspended _____ Modified to $______________ per ________________. b. _____The Court finds that there is a need for temporary modification of child support and that the service member _____ Mother _____ Father (hereinafter Obli or has the present ability to pay child support. The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 12.902(e , filed by the _____ Mother _____ Father are correct OR the Court makes the followin findin s: The Mother’s net monthly income is $____________, (Child Support Guidelines ____ % . The Father’s net monthly income is $_____________, (Child Support Guidelines____% . Monthly child care costs are $________________. Monthly healthTdental insurance costs are $__________________. 2. Amount. Child support established at the rate of $____________per month for the _______ children {total number of parties’ minor or dependent children} shall be paid commencin ___________________ {month, day, year} and terminatin _______________________ {month, day, year}. Child support shall be paid in the amount of $_____________ per ____________ {week, month, other} which is consistent with the Obli or’s current payroll cycle. Upon the termination of the obli ation of child support for one of the parties’ children, child support in the amount of $___________for the remainin _______children {total number of remaining children} shall be paid commencin _______________________________ {month, day, year} and terminatin ___________________________ {month, day, year}. This child support shall be paid in the amount of $_________ per ______________ {week, month, other} consistent with the Obli or’s current payroll cycle. {Insert schedule for the child support obligation, including the amount, and commencement and termination dates, for the remaining minor or dependent children, which shall be payable as the obligation for each child ceases. Please indicate whether the schedule _____ appears below or _____ is attached as part of this form.} ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ . The Obli or shall pay child support until all of the minor or dependent children: reach the a e of 18; become emancipated, marry, join the armed services, die, or become self-supportin ; or until further order of the court or a reement of the parties. The child support obli ation shall continue beyond the a e of 18 and until hi h school raduation for any child who is dependent Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 in fact, between the a es of 18 and 19, and is still in hi h school, performin in ood faith with a reasonable expectation of raduation before the a e of 19. If the child support ordered deviates from the uidelines by more than 5%, the factual findin s which support that deviation are: _________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________. 3. Arrearage/Retroactive Child Support. {Choose one only} a. _____There is no child support arreara e at the time of this Supplemental Temporary Jud ment. OR b. _____The _____ Mother _____ Father shall pay to the other party the child support arreara e of: $___________ for retroactive child support, as of {date} __________________. $___________ for previously ordered unpaid child support, as of {date} _________________. The total of $___________ in child support arreara e shall be repaid in the amount of $ ___________, per month payable_____ in accordance with Obli or’s employer’s payroll cycle, and in any event at least once a month _____ other {explain} _________________________ ______________________________________________________________________________ be innin {date} ___________________________, until paid in full includin statutory interest. 4. Insurance. a. _____ Health/Dental Insurance. {Choose one only} _____ The service member _____ Mother _____ Father shall enroll the child(ren as a military dependent(s with DEERs, TriCare, or other similar benefits available to military dependents as provided by the service member’s branch or service and federal re ulations; OR ______The _____ Mother _____ Father shall maintain _____ health andTor _____ dental insurance for the parties’ minor child(ren , so lon as it is reasonable in cost and accessible to the child(ren . The party providin insurance shall be required to convey insurance cards demonstratin said insurance to the other party; Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 OR ______ Health _____Dental insurance is not reasonable in cost or accessible to the child(ren at this time. b. _____Reasonable and necessary uninsured medical/dental/prescription drug costs for the minor child(ren shall be assessed as follows: _____ Shared equally by both parents. _____ Prorated accordin to the child support uideline percenta es. _____ Other {explain} : ____________________________________________________________ ______________________________________________________________________________ As to these uninsured medicalTdentalTprescription dru expenses, the party who incurs the expense shall submit a request for reimbursement to the other party within 30 days, and the other party, within 30 days of receipt, shall submit the applicable reimbursement for that expense, accordin to the schedule of reimbursement set out in this para raph. 5. ____ Life Insurance (to secure payment of support). To secure the child support obli ations in this jud ment, _____ Mother _____ Father _____Each party shall maintain life insurance, in an amount of at least $____________, on _____ his life _____ her life _____ hisTher life namin the _____ minor child(ren as the beneficiary(ies OR namin the _____ Mother _____ Father _____ other {name} _______ _____________________________________ as Trustee for the minor child(ren , so lon as reasonably available. The obli ation to maintain the life insurance covera e shall continue until the youn est child turns 18, becomes emancipated, marries, joins the armed services, dies, or otherwise becomes self-supportin . 6. _____ IRS Income Tax Exemption(s). The assi nment of any tax exemption(s for the child(ren shall be as follows: ____________________________________________________________________ ________________________________________________________________________________. Further, each party shall execute any and all IRS forms necessary to efectuate the provisions of this para raph. 7. Other provisions relating to child support: _____________________________________________ _________________________________________________________________________________ ________________________________________________________________________________. SECTION IV. METHOD OF PAYMENT Obli or shall pay court-ordered child support and arrears, if any, as follows: 1. Place of Payment. Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 a. _____Obli or shall pay court-ordered support directly to either the State Disbursement Unit or the central depository, as required by statute, alon with any fee required by statute. b. _____Both parties have requested and the court finds that it is in the best interests of the child(ren that support payments need not be directed throu h either the State Disbursement Unit or the central depository at this time; however, either party may subsequently apply, pursuant to section 61.13(1 (d 3, Florida Statutes, to require payments throu h the State Disbursement Unit or the central depository. 2. Income Deduction. a. _____ Immediate. Obli or shall pay throu h income deduction, pursuant to a separate Income Deduction Order which shall be efective immediately. Obli or is individually responsible for payin this support obli ation until all of said support is deducted from Obli or ’ s income. Until support payments are deducted from Obli or ’ s paycheck, Obli or is responsible for makin timely payments directly to the State Disbursement Unit or the Obli ee, as previously set forth in this order. b. _____ Deferred. Income deduction is ordered this day, but it shall not be efective until a delinquency of $______________, or, if not specified, an amount equal to one month ’ s obli ation occurs. Income deduction is not bein implemented immediately based on the followin findin s: Income deduction is not in the best interests of the child(ren because: {explain} _____________________________________________________________________________ ______________________________________________________________________________ AND _____ There is proof of timely payment of a previously ordered obli ation without an Income Deduction Order, AND _____ There is an a reement by the Obli or to advise the Title IV-D a ency, clerk of court and Obli ee of any chan e in Payor andTor health insurance OR _____there is a si ned written a reement providin an alternative arran ement between the Obli or and the Obli ee and, at the option of the IV-D a ency, by the IV-D a ency in IV-D cases in which there is an assi nment of support ri hts to the state, reviewed and entered in the record by the court. 3. Bonus/one-time payments. _____ All ______% _____ No income paid in the form of a bonus or other similar one-time payment, up to the amount of any arreara e or the remainin balance thereof owed pursuant to this order, shall be Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 forwarded to the Obli ee pursuant to the payment method prescribed above. 4. Other provisions relating to method of payment. _________________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________. SECTION V. ATTORNEY’S FEES, COSTS, AND SUIT MONEY 1. _____ Petitioner’s _____ Respondent’s request(s for attorney’s fees, costs, and suit money is (are denied because ____________________________________________ - ________________________ _________________________________________________________________________________ _ . OR 2. ______ The Court finds there is a need for and an ability to pay attorney’s fees, costs, and suit money. _____Petitioner _____ Respondent is hereby ordered to pay to the other party $ ____________ in attorney’s fees, and $ ____ in costs. The Court further finds that the attorney’s fees awarded are based on the reasonable rate of $ ____ per hour and reasonable hours. Other provisions relatin to attorney’s fees, costs, and suit money are as follows: ________________________________________________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________. SECTION VI. OTHER 1. Other Provisions. ___________________________________________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________. Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15 2. The Court reserves jurisdiction to modify and enforce this Supplemental Temporary Jud ment. 3. Unless specifically modified by this supplemental temporary jud ment, the provisions of all final jud ments or orders in efect remain the same. DONE AND ORDERED at _________________________, Florida, on ___________________. _____________________________________________ CIRCUIT JUDGE I certify that a copy of the { name of document(s)} ___________________________________________ was ( mailed ( faxed and mailed ( e-mailed ( hand-delivered to the parties and any entities listed below on { date }____________________. ______________________________________ by {clerk of court or designee} _____Petitioner (or his or her attorney _____Respondent (or his or her attorney _____Central Depository _____State Disbursement Unit _____Other: _______________________ Florida Supreme Court Approved Family Law Form 12.993(d , Supplemental Temporary Jud ment Modifyin Parentin Issues for Child(ren of a Parent Activated, Deployed, or Temporary Assi ned to Military Service. (03T15