Fill and Sign the Modifying Parenting Form

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 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF ____________ In the Matter of the Marriage of: ) ) , ) Case No. Petitioner, ) ) JUDGMENT MODIFYING JUDGMENT REGARDING: and ) CUSTODY; PARENTING TIME ) ORDER RE: JURISDICTION , ) Respondent. ) ) This matter came before the Court: _____ On the motion and affidavit of _______________________________, because the party moved against did not file a written response to the motion. ____ On the stipulations of the parties, as shown by the signatures below. ____ At a hearing held ___________________________________, ______, at which the following persons were present: ____ Petitioner ____ Petitioner’s attorney ___________________________________ ____ Respondent Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction1 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 ____ Respondent’s attorney _________________________________ The Court considered the: ____ Affidavit ____ Affidavit and stipulations ____ Evidence presented and found that: (check the applicable boxes in (a) or check (b)) a. ____ Oregon has jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act to hear the ___ custody ___ parenting time (visitation) claim because: ____ Oregon is the child/ren’s home state (lived here continuously for the last six months). ____ The child/ren had lived in Oregon continuously for six continuous months sometime during the twelve months prior to filing, and the child/ren are not now in Oregon but one parent lives in this state. ____ The child/ren lived in another state continuously for six months but a court in that state has declined to exercise jurisdiction on the ground that this state is the more appropriate forum, and ____ The child/ren and _______________________ have significant (name of parent or caretaker) connections to Oregon and substantial evidence about them is available here. ____ The child/ren were physically present in Oregon at the time of filing and: ____ The child/ren have been abandoned, or ____ An emergency exists because the child, or a sibling or parent of the child, is subject to or threatened with mistreatment or abuse. ____ The original judgment was granted in another state and: ____ The out of state court determined ____ it no longer has jurisdiction, or ____ Oregon would be a more convenient forum; Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction2 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 ____ The child and parents no longer live in the other state. b. ____ Oregon does not have jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act because: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____ 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. ____ PARENTING TIME. It would be in the child/ren’s best interests to change the parenting time terms. IT IS THEREFORE ORDERED that: ___ The Judgment is modified to award custody of the minor child/ren ______________________________________________________________________________ (Names and dates of birth) ______________________________________________________________________________ ________________________________________________________________________to ______________________________________________________________________________ ____ ____________________________________ shall have the right to parenting time with the child/ren, in accordance with the current version of Marion County SLR 8.075, a copy of which is attached, labeled “Exhibit A", and incorporated herein by reference. ____ Specific parenting time rights shall be as follows: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction3 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 ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________. ____ The terms on the attached additional sheet, labeled “Exhibit A”, shall also be incorporated herein by reference. ____ 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. ____ ___________________________ shall not have the right to parenting time with the child/ren because access would endanger the health or safety of the child/ren because: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________________________________________. ____ The Judgment is modified to terminate ________________________________’s child support obligation for ________________________________________________ (Names and dates of birth) ______________________________________________________________________________ ____ due to the custody change, effective _____________________________. (Insert date) ____ If emergency jurisdiction was exercised, the child custody and parenting time provisions Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction4 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 of this judgment shall expire on ______________________________. (Insert date) ____ Other provisions: _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____ Petitioner (and/or) ___ Respondent shall be liable for ___ all ___ one half of the costs that were deferred. ____ Petitioner (and/or) ___ Respondent shall be liable for ___ all ___ one half of the court costs and service fees that were paid. MONEY JUDGMENT SUMMARY A. COURT COSTS (i.e., filing fees, hearing fees, trial fees, evaluation fees, COPE fees) I. Judgment Creditor _______________________________________________ II. Judgment Debtor ________________________________________________ III. Amount of Judgment _____________________________________________ IV. Interest a. Interest accrues at 9% per annum, simple interest. b. Date from which interest runs: date judgment is entered. Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction5 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 B. OTHER FEES I. Judgment Creditor _______________________________________________ II. Judgment Debtor ________________________________________________ III. Amount of Judgment _____________________________________________ IV. Interest a. Interest accrues at 9% per annum, simple interest. b. Date from which interest runs: date judgment is entered. C. INFORMATION REQUIRED BY ORCP 70. I. For each judgment creditor: a. Name: ___________________________________________________ b. Name of attorney:__________________________________________ c. Attorney’s address and phone: ________________________________ d. Name of any person or public entity who might be entitled to any portion of payment made on the judgment (other than the judgment creditor’s attorney): ____________________________________________________________ II. For each judgment debtor: a. Name: ___________________________________________________ b. Address: _________________________________________________ c. Name of attorney: __________________________________________ d. Date of Birth: _____________________________________________ e. Social Security Number: _____________________________________ f. Driver license number and state of issuance: ______________________ Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction6 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 ____ Additional information: Exhibit ___” is attached and incorporated herein by reference. DATED this _____ day of ________________________, ______. ______________________________________ Circuit Court Judge IT IS SO AGREED (Both parties must sign. Sign only your name): ____________________________________ ___________________________________ Petitioner, Pro Se Respondent, Pro Se ____________________________________ ___________________________________ Date Date Submitted by: ______________________________________  Petitioner,  Respondent, Pro Se, Signature ______________________________________ Print name ______________________________________ Address ______________________________________ City, State, Zip Code Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction7 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 ______________________________________ Telephone Certificate of Document Preparation You are required to truthfully complete this certificate regarding the document(s) you are filing with the court. Check or complete all blanks that apply. I certify that: (check all that apply) ____ I selected the document(s) for myself. ____ I was provided the document(s) by an attorney. ____ I completed the documents without paid assistance. ____ I paid or will pay money to ____________________________ for assistance in preparing the document(s)/form(s). DATED: _________________________________________, ______. __________________________________________ Signature __________________________________________ Print Name Judgment Modifying Judgment Regarding Custody; Parenting Time Order Re: Jurisdiction8