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 District Court  Denver Juvenile Court ___________________ County, Colorado Court Address: In re:  The Marriage of:  The Civil Union of:  Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: ▲ COURT USE ONLY ▲ Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom  MOTION  STIPULATION TO RELOCATE MINOR CHILD(REN) PURSUANT TO §14-10-129(1)( a)(II), C. R.S. Note to Responding Party: If you disagree with this Motion, the Colorado Civil Rules of Procedure allow you to file a written response with the Court which must be filed within 21 days of the date this Motion was served on you or mailed to you. The  Petitioner  Co-Petitioner/Respondent  Both requests that the Court enter an Order to allow the permanent residence of the minor child(ren) to be changed to a residence that substantially changes the geographical ties between the child(ren) and the other party and to modify the Parenting Plan. 1. The  Petitioner  Co-Petitioner/Respondent requests to relocate the child(ren) to __________________ (city) ______________________ (state), on _______________________(date). 2. Information about Petitioner: Date of Birth: Current Mailing Address: City, State & Zip: Home Phone #: Work Phone #: Cell #: 3. Information about Co-Petitioner/Respondent: Date of Birth: Current Mailing Address: City, State & Zip: Home Phone #: Work Phone #: Cell #: 4. The parties have ______ minor child(ren): Full Name of Child Present Address Sex Date of Birth JDF 1407 R8-17 MOTION/STIPULATION TO RELOCATE MINOR CHILDREN © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 3 5. The last Parenting Plan/Order regarding the residence of the minor child(ren) was entered on _________________________________ (date) and is attached. 6. Under the terms of the last Parenting Plan/Order, the Petitioner has _______ overnights per year with the child(ren) and the Co-Petitioner/Respondent has _______ overnights per year with the child(ren). 7. I/We have filed a motion to modify the Parenting Plan/Order within the last two years?  Yes  No If Yes , p lease identify the outcome of that motion:  Ordered by Court  Denied by the Court. 8. I  have  have not notified the other party in writing of my request to relocate the child(ren).  9. I  have  have not provided a revised Parenting Plan to address the issues presented with the relocation. 10. Restrictions currently exist in the current Parenting Plan/Order regarding relocation of the child(ren)’s residence?  Yes  No If Yes , please identify: 11. The relocation or change of residence is in the best interests of the child(ren) because: 12. Required Notice of Prior Protection/Restraining Orders. Have any Temporary or Permanent Protection/Restraining Orders to prevent domestic abuse or any Criminal Protection/Restraining Orders or Emergency Protection Orders been issued against either party within two years prior to the filing of this petition?  No  Yes If your answer was Yes , complete the following: The Protection/Restraining Order was  Temporary  Permanent and issued against , in the County of , State of , in case number . What was the subject matter of the Civil Protection/Restraining Order or Emergency Protection Order? JDF 1407 R8-17 MOTION/STIPULATION TO RELOCATE MINOR CHILDREN © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 3 13.  Check only if applicable. Due to this request to relocate the minor child(ren) and to modify the Parenting Plan, I/we request that child support also be modified.  Under the current child support order, the  Petitioner’s  Co-Petitioner’s/Respondent’s child support obligation is $ and is paid:  weekly  bi-weekly  twice a month  monthly  Other: .  The new child support obligation requested  is  is not more than a 10% change from the current child support order.  I/We have completed a child support worksheet that shows what the new child support obligation should be. The child support worksheet is attached to this Motion.  I/We have attached current Sworn Financial Statements. I/We respectfully request that this Court enter an Order to relocate the minor child(ren) and to modify the Parenting Plan/Order, and if applicable modify child support.  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) VERIFICATION AND ACKNOWLEDGMENT I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of ____________, _______, ___________________________________________ (date) (month) (year) (city or other location, and state OR country _______________________________________ ______________________________________ (printed signature of Petitioner) (printed signature of Co-Petitioner/Respondent) _______________________________________ ______________________________________ Petitioner signature Co-Petitioner/Respondent signature ______________________________________ ______________________________________ Petitioner’s attorney signature, if any Co-Petitioner’s/Respondent’s attorney, if any CERTIFICATE OF SERVICE (Required if only one of the parties is filing the Motion.) I certify that on _________________________ (date) a true and accurate copy of the Motion/Stipulation to Relocate Minor Children served on the other party by:  Hand Delivery  E-filed  Faxed to this number ___________________ or  by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ______________________________________ ______________________________________ ______________________________________ ______________________________________ (Your Signature) JDF 1407 R8-17 MOTION/STIPULATION TO RELOCATE MINOR CHILDREN © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 3 of 3

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