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Fill and Sign the Order for Modification Form

Fill and Sign the Order for Modification Form

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Nebraska State Court Form ORDER FOR MODIFICATION (PARENTING PLAN) DC 6:15.8 Rev. 06/19 Neb. Rev. Stat. §§ 43-2920 – 43-2943. IN THE DISTRICT COURT OF _________________________COUNTY, NEBRASKA (county where the original action was filed) ___________________________________, (name of plaintiff in the original action) vs. Case No. CI____________________ Plaintiff, (case number in original action) ___________________________________, ORDER FOR MODIFICATION (PARENTING PLAN) (name of defendant in the original action) Defendant. This matter came before the_________________________________ County District Court (county where the original action was filed) on _____________________________, for a hearing on the (date of the hearing) plaintiff’s, defendant’s Complaint for Modification of Custody or Parenting Plan. The plaintiff, defendant in the original case is the complainant in this action and appeared in court without an attorney. ________________________________ (name of other party) was, was not present and was, was not represented by counsel ______________________________. (name of the other party’s attorney) The court heard testimony and received exhibits into evidence. Based on all of the evidence before the court, the court finds as follows: Findings of Fact: 1. On ________________________________ this court entered a (date of the most recent decree or order that included a parenting plan) order of modification OR decree of dissolution, order establishing paternity, a parenting plan, and child support. As part of that decree or order, the court ordered a parenting plan. 2. The plaintiff, defendant filed the Complaint for Modification of Custody or Parenting Plan on ________________________________. (date that you filed the Complaint for Modification) 3. More than 30 days have passed since service was perfected or a Voluntary Appearance was filed. 4. ______________________________________ entered a voluntary appearance on (name of the other party) _______________________________. (the clerk of the district court will enter this date) Page 1 of 3 Order for Modification of Parenting Plan DC 6:15.8 Rev. 06/19 5. This Court has jurisdiction over the parties to this proceeding and over the issue pending before it as part of its ongoing jurisdiction in family law matters. 6. The parties have ____________ child(ren) whose welfare is affected by this modification (number of children) 7. There has been a material change in circumstances since the date the original decree or order was entered. The material change in circumstances affects the best interests of the child(ren). 8. It is in the best interests of the minor child(ren) that the parenting plan be modified. 9. A Parenting Plan developed by both parties the plaintiff the defendant is attached to this Order and incorporated herein by reference. The court finds the Parenting Plan complies with the Parenting Act and is in the best interests of the minor child(ren). The ________________________ (plaintiff or defendant) should contribute to the support of the minor children. IT IS THEREFORE ORDERED, ADJUDGED AND DECREED as follows: 10. Legal and physical custody: _________________________ is awarded sole legal and sole physical custody of the child(ren). The parents are awarded joint legal custody of the child(ren). Sole physical custody of the child(ren) is awarded to _________________________. The parents are awarded joint legal and joint physical custody of the child(ren). 11. A Parenting Plan developed in accordance with the Parenting act is attached to this Decree and is incorporated by reference. The parties are ordered to abide by its terms. 12. Child support: Beginning on ________________________, and on the first day of each subsequent month, the _____________________ (plaintiff or defendant) shall pay child support in the amounts listed: $ _______________ per month for _______________ children $ _______________ per month for _______________ children $ _______________ per month for _______________ children $ _______________ per month for one child. Upon the occurrence of any of the following events, child support shall terminate effective the first day of the month following the event: a child turns 19 years of age; a child marries; the Court finds a child is emancipated. Neither party shall pay the other child support. Page 2 of 3 Order for Modification of Parenting Plan DC 6:15.8 Rev. 06/19 13. Health insurance:_______________________ shall provide health insurance for the dependent minor children. (for sole physical custody) _____________________________ shall pay the first $480.00 of reasonable and necessary health care costs per child per year. __________________________ shall pay ______% of all nonreimbursed reasonable and necessary child(ren)’s health care costs in excess of $480.00 per year. (for joint physical custody) Plaintiff shall pay _______% and Defendant shall pay _______% of all nonreimbursed reasonable and necessary child(ren)’s health care costs. 14. Child care costs: (for sole physical custody) __________________________ shall pay _______% of any child care costs which are due to the employment of __________________________ or to allow __________________________ to obtain training or education necessary to obtain a job or enhance earning potential. (for joint physical custody) Plaintiff shall pay _____% and Defendant shall pay _____% of any child-care costs which are due to the employment of ____________________________ or to allow ________________________ to obtain training or education necessary to obtain a job or enhance earning potential. 15. The parties shall pay their own costs. 16. (If applicable) Delinquent child support shall accrue interest at _______% per annum. 17. All provisions of this Court’s Decree of Dissolution, Order of Modification OR Order Establishing Paternity, a Parenting Plan, and Child Support entered ___________________________ shall remain in full force and effect unless specifically modified herein. Dated : _____________________________________. BY THE COURT _______________________________ JUDGE Page 3 of 3 Order for Modification of Parenting Plan DC 6:15.8 Rev. 06/19

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