Court Form 3 - Huron County Common Pleas Court

Court Form 3
Eff. 7-1-97
IN THE COMMON PLEAS COURT OF HURON COUNTY, OHIO
DOMESTIC RELATIONS DIVISION
________________________________________
Plaintiff
Case No. _______________________
Judge James W. Conway
vs.
PROPOSAL FOR TEMPORARY ORDERS
________________________________________
Defendant
OF THE ______________________________
Marital Residence
1.
The marital residence is located at ____________________________________________________.
2.
The _______________________________________ (Plaintiff/Defendant/Plaintiff and Defendant)
is/are presently occupying the marital residence.
3.
The marital residence should temporarily be awarded to ___________________________________.
Plaintiff/Defendant/Plaintiff and Defendant
Custody
4.
The children have resided during their lifetimes with the following persons as indicated:
Child’s Name
Person with whom Residing
Dates of Residence
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
5.
The ________________________________ (Plaintiff/Defendant) should be designated the
residential parent for the following reasons:______________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
6.
The non-residential parent should have the following visitation with the child(ren) for the following
reasons: __________________________________________________________________________
_________________________________________________________________________________
7.
If the non-residential parent’s visitation should be supervised, state the reasons therefor and a
proposed plan for supervised visitation that identifies by name, relationship, address and telephone
number of the person who has agreed to supervise the visitation:
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8.
If the Court does not designate the parent proposed in Paragraph 5 above as the residential parent,
the non-residential parent should have the following visitation for the following reasons: __________
_________________________________________________________________________________
9.
If a temporary shared parenting plan is appropriate and both parents agree, state the terms of the plan
by identifying the residential parent [one parent must be designated the residential parent, even if both parents
continue to temporarily reside in the marital resident ], the visitation schedule of the non-residential parent
[where both parents continue to temporarily reside in the marital residence, the plan should state the respective
responsibilities for the children of both the residential and non-residential parent] and the percentage, if any, that
the non-residential parent’s child support obligation should be reduced:
_________________________________________________________________________________
_________________________________________________________________________________
Support
10.
__________________________ [Plaintiff/Defendant] should be ordered to pay child support in the
amount of $________________ per month with payments to be made in the amount of
$______________ per __________________[pay period, e.g., week] , which includes the administrative
fee, for the following reasons [e.g., statutory guideline or reasons for deviation therefrom] :________________
_________________________________________________________________________________
11.
_________________________ [Plaintiff/Defendant] is (is not) requesting spousal support in the amount
of $_________________ per month for the following reasons:_______________________________
_________________________________________________________________________________
12.
If the Court does not designate the parent proposed in Paragraph 5 above as the residential parent,
_______________________ [Plaintiff/Defendant] should be ordered to pay child support in the amount
of $___________________ per month with payments to be made in the amount of $_____________
per _______________________[pay period, e.g., week ], which includes the administrative fee, for the
following reasons [e.g., statutory guideline or reasons for deviation therefrom ]:_________________________
_________________________________________________________________________________
Motor Vehicles
13.
Exclusive use of motor vehicles should be as follows:
Vehicle
Titled
User
Exclusive use awarded to :
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
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Financial Obligations
14.
The following is a list of all periodic payments on debts and the proposed party who should
temporarily make the payment and the reason therefor:
Plaintiff
Creditor
Periodic Payment Amount
Reason
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Defendant
Creditor
Periodic Payment Amount
Reason
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Miscellaneous Factors or Issues
15.
________________________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Approved by:
___________________________________________
Plaintiff/Defendant
___________________________________________
Attorney for Plaintiff/Defendant
(forms/court form 3)
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