Fill and Sign the Indiana Temporary Order Form

Form Number 6 STATE OF INDIANA ) IN THE       SUPERIOR/CIRCUIT COURT ) SS: COUNTY OF       ) CASE NO.       IN RE THE MARRIAGE OF:       Petitioner, and       Respondent. TEMPORARY ORDER Petitioner appears/does not appear, and Respondent appears/does not appear for provisional hearing on       , 20       . The court having been duly advised in this matter, now finds the following: Petitioner/Respondent is awarded temporary custody of the minor child(ren); Petitioner/Respondent shall pay temporary child support for the minor child(ren) in the amount of $       per week, payable through the       County Clerk, or by income withholding order if available from the employer, beginning on       , 20       . Petitioner/Respondent shall be responsible for the first $       of uninsured medical expenses for the minor child(ren). Thereafter, Petitioner shall be responsible for       % and Respondent for       % of uninsured medical expenses for the minor child(ren). Petitioner/Respondent shall have temporary parenting time (visitation) with the minor child(ren) as the parties agree or according to the Indiana Parenting Time (Visitation) guidelines; Petitioner/respondent shall have temporary possession of the marital residence; Petitioner/Respondent shall temporarily maintain medical, dental, and optical insurance as available through employment for the following persons:                   There shall be a temporary division of debts, as follows: 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 2 Form Number 6 a. Petitioner shall be solely responsible for the following debts:                   b. Respondent shall be solely responsible for the following debts:                   There shall be a temporary division of property, as follows: a. Petitioner shall have sole possession of the following items of property:                   b. Respondent shall have sole possession of the following items of property:       _             There shall be a temporary division of motor vehicles, as follows: a. Petitioner shall have temporary possession of the following vehicles:       (Vehicle #1, Make, Model, and Year)       (Vehicle #2, Make, Model and Year) b. Respondent shall have temporary possession of the following vehicles:       (Vehicle #1, Make, Model, and Year)       (Vehicle #2, Make, Model and Year) There shall be a temporary restraining order in effect during these proceedings: Restraining the parties from removing the child(ren) from the state without the permission of the court or all parties; Restraining the parties from transferring, encumbering, or concealing, or in any way disposing of any of the property of the STAD 3/11/203 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 4 Form Number 6 parties; Other:                         ALL OF WHICH IS SO ORDERED THIS       DAY OF       , 20       .       _____________________________ Date Judge ___________________ Court Distribution:       (print your name)       (your street address)       (your city, state, zip code)       (print your spouse’s name)       (spouse’s street address)       (spouse’s city, state, zip, code)5 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 6