Fill and Sign the Florida Supreme Court Approved Family Law Form 12993a Supplemental Final Judgment Modifying Parental Responsibility Visitation 481374883

Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) IN THE CIRCUIT COURT OF THE ________________________JUDICIAL CIRCUIT, IN AND FOR COUNTY, _______________________FLORIDA Case No.: Division: _________________________________, Petitioner, and _________________________________, Respondent. SUPPLEMENTAL FINAL JUDGMENT MODIFYING PARENTAL RESPONSIBILITY, VISITATION, OR PARENTING PLAN/TIME-SHARING SCHEDULE AND OTHER RELIEF This cause came before this Court on a Supplemental Petition to Modify Parental Responsib ility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief. The Court, having reviewed the file, having heard the testimony, and being otherwise fully advised, makes these fin dings 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 establishing or modifying parental responsibility, visitation, a Paren ting Plan, or time- sharing was entered on {date} ________________________. 3. There has been a substantial change in circumstances of the parties since the entry of the last ord er, specifically: ____________________________________________ ____________________________ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ . 4. It is in the best interests of the minor child(ren) that the current parental responsibility, visitation , ti me -sharing schedule or Parenting Plan be changed because:________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ . Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) SECTION II . PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING WIT H DEP ENDENT OR MINOR CHILD(REN) 1. Jurisdiction. The Court has jurisdiction to determine parental responsibility, to establish or approve a Parenting Plan, and time-sharing with regard to the parties ’ minor child(ren) listed in paragraph 2 below. 2. The parties ’ de pendent or minor child(ren) is (are): Name Birth date _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ _ 3. Parenting Plan. The parties shall comply with the Parenting Plan which is attached and incorporated herein as Exhibit ______. SECTION III. CHILD SUPPORT 1. Modification of Child Support. {Choose one only} a. ___ ___The modification of parental responsibility or time-sharing entered above does no t necessitate a modification of child support. The previous order or final judgment establishi ng or modifying child support shall remain in effect. b. ___ ___The Court finds that there is a need for modification of child support and that the ______ Mother ______ Father (hereinafter Obligor) has the present ability to pay child supp ort. The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), filed by the ______ Mother ______ Father are correct OR the Court makes the following findings: 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 health/dental 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 commencing __________________ __ {month, day, year} and terminating _________________________________ {month, day, year}. Child support shall be paid in the amount of $_________ __per ____________ {week, month, other} which is consistent with the Obligor’s current payroll cycle. Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) Upon the termination of the obligation of child support for one of the parties’ children, child support in the amount of $_____________for the remaining _______ children {total number of remaining children} shall be paid commencing___________________________________ {month, day, year} and terminating_________________________________ {month, day, year}. This child support shall be paid in the amount of $____________ per _______ _____ {week, month, other} consistent with the Obligor’s current payroll cycle. {Insert schedule for the child support obligation, including the amo unt, 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 Obligor shall pay child support until all of the minor or dependent child(ren): reach the ag e of 18; become emancipated, marry, join the armed services, die, or become self-supporting; or until further order of the court or agreement of the parties. The child support obligation shall continu e beyond the age of 18 and until high school graduation for any child who is dependent in fact, between the ages of 18 and 19, and is still in high school, performing in good faith with a reaso nable expectation of graduation before the age of 19. If the child support ordered deviates from the guidelines by more than 5%, the factual findings which support that deviation are: __________________________________________________ ____ _________________________________________________________________________________ _ _________________________________________________________________________________ _ 3. Arrearage/Retroactive Child Support. {Choose one only} a. _____There is no child support arrearage at the time of this Supplemental Final Judgment. OR b. ___ __The _____ Mother _____ Father shall pay to the other party the child support arrearage of: $_____________ for retroactive child support, as of {date}_________________________________ . $_____________ for previously ordered unpaid child support, as of {date}_____________________ . The total of $________________ in child support arrearage shall be repaid in the amount of $________________, per month payable ______ in accordance with Obligor ’s employer ’s payroll cycle, and in any event at least once a month _____ other {explain} ___________________beginning {date} _________________ ____________ until paid in full including statutory interest. Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) 4. Insurance. [Indicate all that apply] a. ___ ___ Health/Dental Insurance. _____ Mother _____ Father shall be required to maintain _____health and/or _____ dental insurance for the parties ’ minor child(ren), so long as reasonable in cost and accessible to the child(ren) . The party providing insurance shall be required to convey insurance cards demonstrating said coverage to the other party; OR ______ health and/or ______ 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 according to the child support guideline percentages. _____ Other {explain}: ___________________________________________________________ ___________________________________________________________________________ As to these uninsured medical/dental/prescription drug 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, according to the schedule of reimbursement set out in this paragraph. 5. ______ Life Insurance (to secure payment of support). To secure the child support obligations in this judgment, ______ Mother ______ Father ______Each parent shall maintain life insurance, in an amount of at least $ ________, on ______ his life ______ her life ______ his/her life naming the _____ minor child(ren) as the beneficiary(ies) OR naming the _____ Mother _____ Father _____ other {name}_____________________________________as Trustee for the minor child(ren), so long as reasonably available. The obligation to maintain the life insurance shall co ntinue until the youngest child turns 18, becomes emancipated, marries, joins the armed services, dies, or becomes self-supporting. 6. ______ IRS Income Tax Exemption(s). The assignment 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 effectuate the provisions of this paragraph. 7. Other provisions relating to child support : ______________________________________________ _______________________________________________________________________________ ___ _________________________________________________________________________________ . SECTION IV. METHOD OF PAYMENT Obligor shall pay court-ordered child support and arrears, if any, as follows: Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) 1. Place of Payment. a. ___ __Obligor shall pay court-ordered support directly to either the State Disbursement Unit or the central depository, as required by statute, along 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 through 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 through either the State Disbursement Unit or the central depository. 2. Income Deduction. a. ___ ___Immediate. Obligor shall pay through income deduction, pursuant to a separate Income Deduction Order which shall be effective immediately. Obligor is individually respon sible for paying this support obligation until all of said support is deducted from Obligor ’s income. Until support payments are deducted from Obligor ’s paycheck, Obligor is responsible for making timely payments directly to the State Disbursement Unit or the Obligee, as previousl y set forth in this order. b. ___ ___Deferred. Income deduction is ordered this day, but it shall not be effective until a delinquency of $____________, or, if not specified, an amount equal to one month ’s obligation occurs. Income deduction is not being implemented immediately based on the following findings: 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 obligation without an income deduction order, AND _____ There is an agreement by the Obligor to advise the Title IV- D agency, the clerk of court, and the Obligee of any change in Payor and/or health insurance OR _____ there is a signed written agreement providing an alternative arrangement between the Obligor and the Obligee and, at the option of the IV-D agency, by the IV-D agency in IV- D cases in which there is an assignment of support rights 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 arrearage or the remaining balance thereof owed pursuant to this order, shall be forwarded to the Obligee pursuant to the payment method prescribed above. 4. Other provisions relating to method of payment. ________________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________ . Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) SECTION V. ATTORNEY ’S FEES, COSTS, AND SUIT MONEY 1. ___ __ Mother’s _____ Father’s request(s) for attorney ’s fees, costs, and suit money is (are) denied because __________________________________________________________________________ _________________________________________________________________________________ . 2. ___ __The Court finds there is a need for and an ability to pay attorney ’s fees, costs, and suit money. _____ Mother _____ Father 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 relating to attorney ’s fees, costs, and suit money are as follows: _______________________________________________________________________________ __ _________________________________________________________________________________ _ _________________________________________________________________________________ . SECTION VI. OTHER 1. Other Provision s. ___________________________________________________________________ _________________________________________________________________________________ _ _________________________________________________________________________________ _ _________________________________________________________________________________ . 2. The Court reserves jurisdiction to modify and enforce this Supplemental Final Judgment. 3. Unless specifically modified by this Supplemental Final Judgment, the provisions of all fi nal judgments or orders in effect remain the same. DONE AND ORDERED at __________________________, Florida, on _____________________. _____________________________________________ CIRCUIT JUDGE Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (03/15) 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: ________________________