District Court Denver Juvenile Court ________________________________ County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: ▲ COURT USE ONLY and ▲ Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: FAX Number: Division VERIFIED E-mail: Atty. Reg. #: 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 15 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 & Zip: _______________________________________________________________________________ Home Phone #: ____________________ Work Phone #: __________________ Cell #: __________________ 3. Information about Co-Petitioner/Respondent: Date of Birth: __________________________ Current mailing address: ___________________________________________________________________ City & Zip: ______________________________________________________________________________ Home Phone #: ___________________ Work Phone #: ___________________ Cell #: _________________ 4. The parties have ______ minor child(ren): Full Name of Child JDF 1407 R7/07 Present Address VERIFIED MOTION/STIPULATION TO RELOCATE MINOR CHILDREN Sex Date of Birth Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com 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? please identify the outcome of that motion: Ordered by Court Yes No If Yes, 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 R7/07 VERIFIED MOTION/STIPULATION TO RELOCATE MINOR CHILDREN Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com 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. VERIFICATION AND ACKNOWLEDGMENT I swear/affirm under oath that I have read the foregoing Motion and that the statements set forth therein are true and correct to the best of my knowledge. _______________________________________ ______________________________________ Petitioner Signature Co-Petitioner/Respondent Signature Date Date ______________________________________ ______________________________________ Petitioner’s Attorney Signature, if any Co-Petitioner’s/Respondent’s Attorney Signature, if any Subscribed and affirmed, or sworn to before me Subscribed and affirmed, or sworn to before me in the County of ________________________, in the County of _________________________, State of ____________________, this _______ State of ___________________, this ________ day of ________________, 20 ____. day of ________________, 20 ____. My Commission Expires: __________________ My Commission Expires: __________________ _______________________________________ Notary Public/Clerk ______________________________________ Notary Public/Clerk CERTIFICATE OF SERVICE (Required if only one of the parties is filing the Motion.) I certify that on _________________________ (date) the original was filed with the Court and a true and accurate copy of the Verified 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: ______________________________________ ______________________________________ ______________________________________ JDF 1407 R7/07 ______________________________________ (Your Signature) VERIFIED MOTION/STIPULATION TO RELOCATE MINOR CHILDREN Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com