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Fill and Sign the Justia Complaint for Divorce with Minor Children Form

Fill and Sign the Justia Complaint for Divorce with Minor Children Form

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COMPLAINT FOR DIVORCE PAGE 1CAO1-2 Revised 9/27/2006 Completing Form CAO 1-2: Complaint for Divorce [With Minor Child/ren] 9/27/2006 [REMOVE THESE INSTRUCTION PAGES BEFORE FILING] Talk to an attorney, if possible. WARNING: When you represent yourself in a court case you are held to the same standard as an attorney. This applies to your preparation of paperwork and your conduct at all hearings and/or trial. Your lack of legal knowledge may cause you to make serious errors in handling your case. These instructions are not a substitute for legal advice. The laws and court rules are complex and following these instructions will not guarantee that your rights are protected or that you will be satisfied with the result. You should always talk to a lawyer about your legal problems before filing any legal paperwork. Even if you do not hire a lawyer to appear in your case, you may be able to find a lawyer to review your paperwork or give you more information about your rights. Call the Idaho State Bar (208-334-4500) to provide you with the name of an attorney who handles this type of case. Contact the Court Assistance Office for information about resources for low-income people. Instructions Fill in the forms by typing or by printing neatly and legibly in black ink. If you are working on a computer, you may delete the optional sections you don’t need and renumber the remaining sections, or type in “none” if a section doesn’t apply. The documents have a boldface “or ” at the start of optional sections. If the section does not contain a boldface “or” it is necessary and you should type in the appropriate information (which might be the word “none”). Always keep a copy of the completed form for your records.YOU WILL BE SIGNING A SWORN STATEMENT THAT YOU HAVE READ THE COMPLAINT, KNOW WHAT IT SAYS, AND BELIEVE IT’S TRUE. TO GUARANTEE THE TRUTHFULNESS OF THAT STATEMENT, BE SURE TO READ THE ENTIRE COMPLETED FORM. At the top left-hand corner of page 1, fill in your full legal name, mailing address and telephone number.The Court Heading . Fill in the county and judicial district in capital letters (for example, “IN THE DISTRICT COURT OF THE SIXTH JUDICIAL DISTRICT, IN AND FOR THE COUNTY OF BANNOCK”). The Caption. Fill in Your Full Legal Name on the line above Plaintiff and Your Spouse’s Full Legal Name on the line above Defendant. The Case No. The case number will be assigned by court personnel when you file the Complaint. You should write in the case number on all other documents. The Court Heading, Caption and Case Number will be the same on all other documents you prepare for this case. COMPLAINT FOR DIVORCE PAGE 2CAO1-2 Revised 9/27/20061. Residence of the Parties. You must have lived in Idaho for at least six weeks. Fill in the state where your spouse lives. 2. Marriage of Parties. Fill in the city and state (or country if you were married outside the USA) and the month, day and year of your marriage. 3. Grounds for Divorce. This paragraph states the reason for the divorce is irreconcilable differences. If you want to state other grounds for the divorce, you should talk to an attorney. 4. Minor Child/ren of the Parties. Fill in the name and date of birth for each minor child and the city and state where each child has lived for the last five years. WARNING: If any of your children have not resided in Idaho for at least six uninterrupted months before the filing of the Complaint (or for their entire lives if they are less than six months of age), the Idaho court may lack authority (“jurisdiction”) to determine custody of that child. In that event you should talk to an attorney to determine if there may be other grounds for jurisdiction under Idaho’s laws. Check the first box if Wife is NOT now pregnant or Check the second box if Wife IS now pregnant with Husband’s child and oFill in the expected date of birth for the child. (A Modification will need to be filed after the birth of the child to establish custody and child support.)5. UCCJEA Jurisdiction. This is your statement that each child has resided in Idaho for at least the past 6 uninterrupted months. Additionally, you are required to inform the court if there have been any other cases involving your child/ren in any other court, or if there are any other people claiming custody or visitation rights with the child/ren. In paragraphs 5a, b, c and d, check the appropriate box and provide all requested information. 6. Legal Custody. “Joint legal custody” means the parents are required to share the decision- making rights, responsibilities and authority relating to the health, education and general welfare of the child/ren. The court will award joint legal custody unless you can prove it would not be in the best interest of the minor child/ren for the other parent to share the decision- making rights. Check the first box if both parents are fit persons to share the decision-making rights, responsibilities and authority relating to the health, education and general welfare of the child/ren, orCheck the second box if you are declaring that one parent should have sole legal custody of the child/ren, and oWrite in the name of the parent who should be awarded sole legal custody and oState why the other parent should NOT be allowed to share legal custody. 7. Physical Custody. "Joint physical custody" means each parent has frequent and continuing contact with the child/ren. With joint physical custody each parent has significant periods of time in which a child resides with or is under his/her care and supervision. The parenting time is not necessarily 50/50, and the child/ren does not necessarily alternate back and forth between the parents. The court will award joint physical custody unless you can prove it would not be in COMPLAINT FOR DIVORCE PAGE 3CAO1-2 Revised 9/27/2006the best interest of the minor child/ren to spend time with each parent on a regular basis. Check the first box if both parents should be given physical custody of the child/ren and oComplete the Parenting Plan. (Both parents may sign the Parenting Plan, but it is not required.) Write Exhibit A on the bottom of the first page of the Parenting Plan and attach it to the Complaint. IMPORTANT: The Parenting Plan must be attached to make it a part of the Complaint. Make an extra copy of the Parenting Plan to attach to the Decree of Divorce.orCheck the second box if you are asking the court to award sole physical custody of the child/ren to only one parent and Write in the name of the parent who should be awarded sole physical custody andState why the other parent should NOT be given periods of time when the child/ren resides with or is under his/her care and supervision. oIf you want the court’s order to give the other parent restricted or conditional time with the child/ren, write in the parent’s name and write in the terms and conditions of the other parent’s time with the child/ren.8. Child Support. If there is already an order signed by a judge , for example in a case filed by the Department of Health & Welfare, that sets the correct amount of child support, check the first box. Make a copy of that Order, mark it as Exhibit B and attach (staple) it to this Complaint. WARNING: You should be aware that jurisdiction as to child support is a complicated issue and you should seek the advice of an attorney with respect to continuing jurisdiction and venue if the child support order was issued in a different county than the one where you will be filing the Divorce. or If there is NOT a child support order, check the second box. You will first need to complete an Affidavit Verifying Income and a Child Support Worksheet. A Court Assistance Officer will be able to help you generate these documents if you provide the required information. The Child Support Worksheet will be used to complete this section.Write in the name of the parent who will pay child support and the total monthly amount (the base amount of support plus or minus any adjustments). Adjustments may include a pro rata sharing of work-related childcare, medical, dental, and/or optical insurance premiums, and/or tax benefits. Note: Section 8 of the Idaho Child Support Guidelines addresses these adjustments.oFill in the Base Amount of child support.o Check the appropriate boxes and fill in the amount of any adjustments.If you have more than one minor child, check the box. You will need to have a separate calculation to reflect the changed amount of support as each child is no longer eligible for support under Idaho law. Fill in the total amount of child support, as calculated according to the Idaho Child Support Guidelines. Attach your Affidavit Verifying Income and Support Worksheet(s) to the Complaint, marking each as Exhibit B. COMPLAINT FOR DIVORCE PAGE 4CAO1-2 Revised 9/27/2006E xte n ded V is it s . If the child/ren lives in the home of one parent at least 75% of the time, you can adopt either or both of the next two paragraphs of the form. If the child/ren spends more than 25% of the overnights in a year with each parent (shared physical custody), put N/A in the boxes. Note: Section 10(e) of the Idaho Child Support Guidelines, Rule 6(c)(6) of the Idaho Rules of Civil Procedure, describe “Shared Physical Custody” and computation of child support with that parenting arrangement. You can get a copy of the Child Support Guidelines from a Court Assistance Office or the Internet at http://www2.state.id.us/judicial/rules/ircp6c6.rul. If you selected the first paragraph, indicate how much the support payment will be reduced by either checking the box for 50% or filling in your own percentage. If you have more than one child, check the box to select the next paragraph. WARNING: If you are the parent paying child support (the “obligor”) you should be aware the Order will provide for collection of child support from your wages and from your real estate or personal property. The Order will also provide that if you move to another state, the child support can be enforced directly by courts in other states. Additionally, you should be aware that, according to Idaho law, if unpaid child support equals or exceeds the total support owing for ninety (90) days or the sum of $2,000, whichever is less, you are subject to suspension of any license to practice or engage in any business, occupation or profession, operate a motor vehicle, carry a concealed weapon, or engage in any recreational activity, including hunting or fishing. Further, the State Tax Commission will withhold and set-off any state tax refund to collect any unpaid child support, or unpaid spousal support, and the Idaho State Lottery will likewise withhold and set-off a prize of a lottery prize-winner. 9. Medical Insurance. Check the first, second or third box to indicate how health insurance coverage for the child/ren is now being provided. If you selected the first paragraph, write in the name of the parent(s) currently providing health insurance. In the fourth paragraph write in the percentage to be paid by each parent, based on each of your Guidelines income percentage. (These percentages are determined when calculating the child support. Refer to the Child Support Worksheet). WARNING: The Order will provide: Failure to provide medical insurance coverage may result in the direct enforcement of a medical support order by either the obligee (party or parent other than the parent ordered to carry or provide a health benefit plan for the parties' minor child/ren) or the Department of Health and Welfare. A national medical support notice will be sent to your employer, requiring your employer to enroll the child in a health benefit plan as provided by Sections 32-1214A through 32-1214J, Idaho Code, and applicable rules of the department.10. Health Care Costs Not Paid by Insurance. Write in the percentage to be paid by each parent, based on their Guidelines income. 11. Work-Related Child Care Costs. Check the box. If you did not figure these expenses in your child support calculation: Fill in the percentages each parent will pay.Check the box if both parents will pay the care provider directly. COMPLAINT FOR DIVORCE PAGE 5CAO1-2 Revised 9/27/200612. Income Tax Exemption. Write in the blank the parent who will claim each child as a dependent on their income tax return(s). Note: The child support calculation must reflect the same designation. 13. Wife’s Child/ren of Another Relationship. Complete this paragraph if any child/ren born or conceived during the marriage was not fathered by the Husband. Paragraphs 14, 15, and 16WARNING: The rules of separate property (owned by only one of you) and community property (owned by both of you) can be extremely complex and technical. The following general principles may not apply to your situation. For example, some separate property may have been improved with community funds (or vice versa). Also, interest or other income from separate property is considered to be community property. If you have a lot of property or have any questions about whether it is separate or community property, please talk to an attorney. Separate property is property either of you owned before the marriage or received during the marriage by gift or inheritance or in exchange for other separate property. Community property is property acquired by one or both of you during the marriage unless the property was given to either of you separately as a gift, inheritance or in exchange for other separate property. Real property or real estate is land with or without buildings. If the property you list is real estate, include legal descriptions from the deeds to the property. It is important that your description be exactly the same as that in the deed. If the legal description is lengthy, you may want to photocopy the deed, cut out the legal description and paste it on a separate sheet of paper to use as an exhibit. Attach the exhibit to the Complaint and refer to the exhibit in the Complaint. Personal property is all property that is not real estate. Personal property includes furniture, clothing, vehicles, cash, bank accounts, securities and debts owed to you. It also includes retirement accounts; but, if either of you have retirement accounts you definitely should talk to an attorney before proceeding. 14. Separate Property. If you do not want any order about ownership of separate property, check the first box. If you want the court to order that specific separate property belongs to the Husband and/or an order that Husband’s separate property, now in the possession of the Wife, be returned to the Husband, check the second box and describe the property in the first section of Exhibit C. If you want the court to order that specific separate property belongs to the Wife and/or an order that Wife’s separate property, now in the possession of Husband, be returned to the Wife, check the third box and describe the property in the first section of Exhibit D . 15. Community Real Property. If you have not acquired community real property during the marriage, check the first box.If you have acquired community real property during the marriage, check the second box andoFill in the residential address of the property (house number and street name), oThe name of the city and county, and COMPLAINT FOR DIVORCE PAGE 6CAO1-2 Revised 9/27/2006o The legal description for the property (use the legal description in the deed). Disposition of Real Property. A “lien” is a legal right or interest that a creditor has in another’s property (for example the mortgage loan). The mortgage loan and any other lien against the property should be listed in the Debt Section of the Complaint. We recommend you discuss your mortgage loan or any other lien on your property with your lending institution or lien holder and talk to an attorney before proceeding. As long as both of your names are on the loan, you will both continue to be responsible for payment until the loan is paid in full. If the payment isn’t paid by the one assigned to make it, the creditor may collect from either of you. Also, if the property is foreclosed, both of you could be held responsible for any deficiency in paying off the loan after foreclosure sale. “Equity” is the difference between the value of the property and all encumbrances (liens) upon the property.  Check one of the first three boxes to indicate what will be done with the community real property and any equity, and fill in the blanks or Check the fourth box and write in your own words what will be done with the property and any equity in the property.Note: If the amount of the equity payment is large and will be spread out into periodic payments, you should talk to an attorney about the right way to insure the payments are made.16. Community Personal Property.  If you have not acquired any community personal property, check the first box orIf you have already divided your community personal property and each of you has the property in your possession, check the second box and/or If you want the court to order that specific property be given to the Husband and the property is already in Husband’s possession, check the third box and list the property in the second section on Exhibit C (Husband’s Property) and/or If you want the court to order that specific property be given to the Wife and the property is already in Wife’s possession, check the fourth box and list the property in the second section on Exhibit D (Wife’s Property). If there is property that the Husband should have given to him which is still in the possession of the Wife, check the third box and list the property in the third section on Exhibit C (Husband’s Property). If there is property that the Wife should have given to her which is still in the possession of the Husband, check the fourth box and list the property in the third section on Exhibit D (Wife’s Property).Note: The Decree of Divorce can be used to transfer titles or deeds; but only if the description of the property is first listed in the Complaint and is complete and accurate (example: for vehicles, include all identifying information on the title; for real property, include a legal description of the property from the deed and not just the residential address of the property). Paragraphs 14, 15, and 16 Reminder:If you have listed any property on Exhibit C or Exhibit D, the Exhibits must be attached (stapled) to every copy of the Complaint. Initial and date the Exhibits on the lines at the bottom. Make an extra copy of the Exhibits to attach to the Decree of Divorce. COMPLAINT FOR DIVORCE PAGE 7CAO1-2 Revised 9/27/200617. Debts. Generally, separate debts are debts incurred by either of you prior to marriage, or during marriage if incurred to improve or maintain separate property (see the description of community and separate property above). Community debts are all other debts incurred during marriage. If you do not know of any unpaid debts, check the first box or If there are debts the Husband should be ordered to pay, check the second box and list each creditor.If there are debts the Wife should be ordered to pay, check the third box and list each creditor. Note: If both of you are going to pay a part of the same debt, also put in the amount each of you should be ordered to pay. Note: A divorce is between you and your spouse. Your debts are between you and your creditors and, if a bill doesn’t get paid, the creditor may be able to collect from either of you, especially if both of your names are on a loan contract. However, if the debt is listed in the divorce papers and either of you is assigned and ordered to pay a debt and does not make payment, the other party may have some remedy before the court; however, if the bill doesn’t get paid, the creditor may be able to collect from either of you.18. Debts Incurred Since Separation. If you want the judge to order that each party will pay any debt incurred by them after the separation date, check the box and fill in the date you stopped living together. 19. Name Change. Check the box if either party wants to stop using the last name of the spouse and go back to using their former last name (any name legally used). Fill in the current name of the person wanting the name change and fill in the former last name. (Accurate spelling is very important.) Signature: Leave the spaces for the State and County blank. Go to an office where there’s a Notary. Have the notary fill in the spaces. Sign the Complaint in front of the Notary and have your signature notarized. Make two more copies of the Complaint with Exhibits attached. (Continue referring to CAO Instruction 3, “Filing for Divorce,” for complete instructions to file your Complaint.) COMPLAINT FOR DIVORCE PAGE 1CAO1-2 9/27/2006Full Name of Party Filling This DocumentMailing Address (Street or Post Office Box)City, State and Zip Code Telephone Number IN THE DISTRICT COURT OF THE ______________ JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _____________________ _____________________________________, Plaintiff, vs. _____________________________________, Defendant. Case No. ___________________________ COMPLAINT FOR DIVORCEFee Category: F.1.Filing Fee: $______________ The Plaintiff says: 1. Residence of the Parties . I am now and have been a resident of the state of Idaho for at least six (6) full weeks prior to the filing of this action. Defendant is currently a resident of the State of ______________________________________. 2. Marriage of the Parties. The parties were married at (city)_____________________, (state )___________________________ on (month, day, year) ____________________________, and are still Husband and Wife. 3. Grounds for Divorce. Irreconcilable differences exist between the parties.4. Minor Child/ren of the Parties. The following child/ren under the age of 18 years, or 19 years and still pursuing a high school education, was/were born to or adopted by the parties: COMPLAINT FOR DIVORCE PAGE 2CAO1-2 9/27/2006Name Date of Birth Addresses for last 5 years (City, State, beginning with most recent) [ ] Wife is not now pregnant. [ ] Wife is now pregnant with a child expected to be born _____________________. 5. UCCJEA Jurisdiction. This court has jurisdiction to determine custody of our child/ren pursuant to the Uniform Child Custody Jurisdiction and Enforcement Act, Idaho Code § 32-11-101, et seq., because each child has resided in Idaho for at least six consecutive months before the filing of this Complaint or for their entire life if they are less than six months of age. a. [ ] I have not participated as a party or witness, in any other case involving our child/ren. or [ ] I have participated as a party or witness in the following case involving our children (provide all specifics including the parent’s name, the state, the court, the case number and the date of the child custody order, if any): . b. [ ] I do not know of any other case that could affect our child/ren. or [ ] I know of the following court case that could affect our child/ren (provide all specifics including the parent’s name, the state, the court, the case number and the nature of the proceeding): . c. [ ] Other than the parents, no one claims custody or visitation rights with our child/ren. or [ ] In addition to the parents, the following person/s claim custody or visitation for our child/ren (list names and addresses): . COMPLAINT FOR DIVORCE PAGE 3CAO1-2 9/27/2006 d. [ ] Our child/ren live(s) only with both parents. or [ ] If our child/ren lives(s) with someone other than a parent, the name(s) and present address(es) of the person(s) with whom our child/ren live(s) is/are: . 6. Legal Custody.[ ] Both parties are fit persons to act as parents. It is in the best interest of our child/ren that we be awarded joint legal custody. or [ ] It is in the best interest of our child/ren that ________________________ be awarded sole legal custody of the child/ren because ___ ___ _____________________________ ____________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________.7. Physical Custody. [ ] It is in the best interest of our child/ren that we be awarded joint physical custody of our child/ren on the terms and according to the Parenting Plan, which is attached as Exhibit A. or [ ] _________________________ should be awarded sole physical custody of our child/ren because _ _____________________________________________________________ ____________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________. [ ] ____________________________ should spend time with our child/ren as follows: _____________________________________________________________________ _______________________________________________________________________________________________________________________________________________________. 8. Child Support. [ ] Child support has already been ordered in a case filed by the State of Idaho, Department of Health and Welfare, as shown by the attached Order, Exhibit B. or[ ] Child support should be paid by __________________________ in the total amount of $_____________ per month based on the Idaho Child Support Guidelines, according to the Affidavit Verifying Income and child support worksheet(s) attached as Exhibit B. The total amount includes: Base child support in the amount of $__________ COMPLAINT FOR DIVORCE PAGE 4CAO1-2 9/27/2006[ ] Work-related childcare expenses in the amount of $__________[ ] Medical, dental, and/or optical insurance premiums allocated in the amount of $__________[ ] Tax benefits allocated in the amount of $__________Child support payments should begin on the twentieth (20th) day of the month after the Decree of Divorce is signed and continue to be paid on the 20th day of each following month until the child/ren for whom support is being paid reach/es the age of eighteen. If a child for whom support is being paid continues his/her high school education after reaching the age of eighteen (18) years, child support payments should continue until the child discontinues his/her high school education or reaches the age of nineteen (19) years, whichever is sooner. Payment should be made payable to the Department of Health and Welfare and sent to Idaho Child Support Receipting, P.O. Box 70008, Boise, ID 83707-0108. [ ] W e h ave m ore t h an o ne m in or c h ild . If this child support order has not been modified, when one child is no longer entitled to support, child support for the remaining child/ren should continue in the total amount of $___________ per month; when two children are no longer entitled to support, child support for the remaining child/ren should continue in the total amount of $____________ per month; when three children are no longer entitled to support, child support for the remaining child should continue in the total amount of $____________ per month. [ ] E xte n ded V is it s : O ur c h ild /r e n liv e /s in t h e h om e o f o ne p are nt a t le ast 7 5% o f t h e tim e. [ ] W hen t h e p are nt p ayin g c h ild s u pport h as p hysic a l c u sto dy o f t h e c h ild /r e n for 1 4 o r m ore o ve rn ig hts in a r o w , t h e a m ount o f b ase c h ild s u pport s h ould b e re d uce d f o r t h at p erio d o f t im e; h ow eve r, v is it a tio n o f t w o o ve rn ig hts o r le ss w it h the o th er p are nt s h ould n ot e lim in ate t h e r e ductio n o f b a se c h ild s u pport d urin g exte nd ed v is it s . T he c h ild s u pport r e ductio n f o r t h e p erio d o f t h e a ctu al p hysic a l cu sto dy s h ould b e [ ] 5 0% o r [ ] _ ______% o f t h e b ase c h ild s u pport o blig atio n. Th e r e d uctio n s h ould b e s u btr a cte d f r o m t h e c h ild s u p port p aym ent d ue t h e n ext mo nth .[ ] I f t h e p are nt p ayin g c h ild s u pport h as p hysic a l c u sto dy o f s o m e b ut n ot a ll o f th e c h il d re n f o r a p erio d o f 1 4 o ve rn ig hts in a r o w , b efo re a r e ductio n is m ade, t h e ba se c h ild s u pport o blig atio n s h ould f ir s t b e d iv id ed b y t h e n um ber o f c h ild re n un d er 1 8 y e ars o f a ge. T he r e ductio n f o r t h e p ayin g p are nt s h ould o nly a pply t o t h e base c h ild s u pport t h us a llo ca te d t o t h e c h ild re n in t h at p are nt's c u sto dy. COMPLAINT FOR DIVORCE PAGE 5CAO1-2 9/27/2006( E xa m ple : P are nt h as 3 o f 4 c h ild re n f o r 1 4 o ve rn ig hts . $ 300/m o. b ase s u pport p aym ent d iv id ed by 4 c h ild re n = $ 75 p er c h ild p er m onth d iv id ed b y 3 0 = $ 2.5 0 p er d ay p er c h ild x 1 4 = $ 35.0 0 x 3 for 3 c h ild re n = $ 105.0 0. R eductio n = 5 0% o f $ 105 o r $ 52.5 0.) NOTICES The court shall order income withholding in all child support orders. Income with- holding shall be enforced by a withholding order issued to the paying parent’s employer without additional notice to the paying parent, according to Idaho Code Section 32-1204. The support order can also be enforced by license suspension or the filing of a lien upon all real and personal property of the paying parent. 9. Medical Insurance.[ ] is/are currently providing health insurance for the minor child/ren and should continue to do so, so long as it is reasonably available through that parent’s employment. If such insurance becomes unavailable to the parent currently providing insurance, the parent first reasonably able to obtain group health insurance through employment should do so. or [ ] Neither parent is currently providing health insurance for the child/ren. The parent first reasonably able to obtain group health insurance through employment should do so. or[ ] The child/ren participate in the Children’s Health Insurance Program. The parent first reasonably able to obtain group health insurance through employment should do so. [ ] The total child support amount does not include any actual cost paid by either parent for health insurance premiums for the child/ren. That cost, whether being paid now or incurred in the future, should be prorated between the parents in proportion to their Guidelines income. Father should pay ______ % and Mother should pay _______ %. The payment should be in addition to the base child support award and promptly paid directly between the parents.Where medical insurance is provided, each parent should be ordered to provide the other with all medical insurance information necessary to obtain health care and process insurance claims for the child/ren. Insurance proceeds should be applied first to unpaid medical bills and then to reimburse the paying parent for any prepaid medical costs. Both parents should be ordered to sign any needed document that provides continuing health care for the child/ren. Notice Failure to provide medical insurance coverage may result in the direct enforcement of a COMPLAINT FOR DIVORCE PAGE 6CAO1-2 9/27/2006medical support order by either the obligee (party or parent other than the parent ordered to carry or provide a health benefit plan for the parties' minor child/ren) or the Department of Health and Welfare. A national medical support notice will be sent to your employer, requiring your employer to enroll the child in a health benefit plan as provided by Sections 32-1214A through 32-1214J, Idaho Code, and applicable rules of the department. 10. Health Care Costs. The actual cost paid by either parent for health care expenses for the child/ren not covered or paid in full by insurance, including, but not limited to, orthodontic, optical and dental, should be prorated between the parents. Father should pay ______ % and Mother should pay _______ %. These payments should be in addition to the base child support award and be promptly paid directly between the parents. Any health care for the child/ren (whether denominated as psychiatric, psychological, special education, addiction treatment, or counseling in any form, and including regular medical or dental care), whether or not covered by insurance, that would result in an actual out-of-pocket expense of over $500 to the parent who did not incur or consent to the expense, must be approved in advance, in writing, by both parents or by prior court order. (Note: The court may consider whether consent for out-of-pocket expenses in excess of $500 was unreasonably requested or withheld and order payment of the incurred expense in some percentage other than the Guidelines Income.) 11. [ ] Work-Related Child Care Costs. The total child support amount does not include work-related child care costs. The actual net out-of-pocket costs for work-related child care should be paid ______% by Father and _____% by Mother. [ ] Payment should be made directly to the child care provider by both parents according to arrangements made with the care provider. If one parent pays the child care provider any portion of the other parent’s share of costs, the non-paying parent should reimburse the paying parent within 10 days after the paying parent provides a copy of the invoice and receipt for the payment. 12. Income Tax Exemption. T he s ta te a nd f e dera l d ependency t a x e xe m ptio n(s ) f o r t h e partie s’ m in or c h ild /r e n s h ould b e a ssig ned a s f o llo w s: _ _________________________________ _____________________________________________________________________________ __ ___ _______________________________________________________________________.T he p a re nt n o t r e ce iv in g t h e e xe m ptio n(s ) s h ould s ig n t h e r e quir e d I n te rn al R eve nue S erv ic e fo rm (s ) t o r e le ase t h e c la im t o t h e e xe m ptio n(s ).13. Wife’s Child/ren, Born or Conceived During this Marriage. [ ] None. COMPLAINT FOR DIVORCE PAGE 7CAO1-2 9/27/2006 [ ] Wife is now pregnant with a child expected to be born _____________________; however, Husband is not the father of the Wife’s child. [ ] The following child/ren was/were born to Wife during the marriage; however, Husband is not the father of the children: (write full name(s) and date(s) of birth) 14. Separate Property. (Land and/or Personal Property) [ ] None.[ ] Prior to or during the marriage, the Husband acquired the separate property listed on the attached Exhibit C. That property should be confirmed as the Husband’s separate property. Wife should be ordered to return to Husband any such property in Wife’s possession. [ ] Prior to or during the marriage, the Wife acquired the separate property listed on the attached Exhibit D. That property should be confirmed as the Wife’s separate property. Husband should be ordered to return to Wife any such property in Husband’s possession. 15. Community Real Property . (Land) During the marriage, the Wife and Husband acquired: [ ] no community real property.[ ] community real property located at (address) ____________________________, in the City of ____________________, County of ____________________, State of Idaho. This real property is described in the deed as follows: ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________. The real property described above should be: [ ] ordered sold and the net proceeds divided _____% to the Wife and _____% to the Husband. or[ ] awarded to the Wife, subject to any liens, and the Husband should be ordered to convey his interest in the property to the Wife when she pays him $______________ for his equity in the property. or[ ] awarded to the Husband, subject to any liens, and the Wife should be ordered to convey her interest in the property to the Husband when he pays her $______________ for her equity in the property. or[ ] _____________________________________________________________________________________________________________________________________________ COMPLAINT FOR DIVORCE PAGE 8CAO1-2 9/27/2006____________________________________________________________________________ _______________________________________________________________________________________________________________________________________________________. 16. Community Personal Property. During the marriage, the Wife and Husband acquired: [ ] no community personal property. or[ ] community personal property they have already divided. The property should be awarded to the party who presently has possession. [ ] community personal property listed on Exhibit C and/or D. It would be just and equitable for the court to award to the Husband, as his sole and separate property, the community property described in Exhibit C. [ ] community personal property listed on Exhibit C and/or D. It would be just and equitable for the court to award to the Wife, as her sole and separate property, the community property described in Exhibit D. The court should order each party to deliver to the other any of the community personal property currently in his/her possession that is awarded to the other party. The court should also order each party to execute and deliver any documents necessary to effectuate the property division.17. Debts.[ ] The Plaintiff has no knowledge of any unpaid debts. or [ ] It would be fair and equitable for the court to order the Husband to pay the following debts as or before they become due and to order the Husband to hold the Wife harmless for any further liability concerning these debts: (List each creditor)[ ] It would be fair and equitable for the court to order the Wife to pay the following debts as or before they become due and to order the Wife to hold the Husband harmless for any COMPLAINT FOR DIVORCE PAGE 9CAO1-2 9/27/2006further liability concerning these debts: (List each creditor)18. [ ] Debts Incurred Since Separation. The parties have been separated since (date) _________________________________. It would be fair and equitable for the court to order that each party will assume any debt incurred by that party since the date of separation. The court should order each party to pay those debts as or before they become due and to hold the other party harmless from any obligation concerning those debts. 19. [ ] Name Change . __________________________________ should be restored to the former last name of ________________________________________. VERIFICATION: I swear I have read this Complaint and state that all facts included are true. WHEREFORE, I ask the Court to enter the orders requested above. DATE , 20 . Signature of PlaintiffSUBSCRIBED AND SWORN to before me this day of , . ________________________________Notary Public for IdahoResiding at: ____________________My Commission expires: ___________ COMPLAINT FOR DIVORCE PAGE 10CAO1-2 9/27/2006 REMOVE THIS PAGE ANDAttach (staple) and Mark as “EXHIBIT A”: PARENTING PLAN Attach (staple) and Mark as “EXHIBIT B”: CHILD SUPPORT ORDER FROM OTHER CASE or AFFIDAVIT VERIFYING INCOME and CHILD SUPPORT WORKSHEET(s) If you have listed property, Attach (staple) EXHIBIT C, HUSBAND’S PROPERTY and/or Attach (staple) EXHIBIT D, WIFE’S PROPERTY HUSBAND’S SEPARATE PROPERTY (Describe each item, including a legal description for real property) PERSONAL COMMUNITY PROPERTY IN HUSBAND’S POSSESSION TO BE AWARDED TO HUSBAND (Describe each item) PERSONAL COMMUNITY PROPERTY IN WIFE’S POSSESSION TO BE AWARDED TO HUSBAND (Describe each item) ____ ____________Initials Date EXHIBIT C WIFE’S SEPARATE PROPERTY (Describe each item, including a legal description for real property) PERSONAL COMMUNITY PROPERTY IN WIFE’S POSSESSION TO BE AWARDED TO WIFE (Describe each item) PERSONAL COMMUNITY PROPERTY IN HUSBAND’S POSSESSION TO BE AWARDED TO WIFE (Describe each item) ______ ____________Initials Date EXHIBIT D

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