Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (02/18) IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT IN AND FOR COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. SUPPLEMENTAL FINAL JUDGMENT MODIFYING PARENTAL RESPONSIBILITY, VISITATION, OR PARENTING PLAN/TIME-SHARING SCHEDULE AND OTHER RELIEF This cause came before this Court on a Supplemental Petition to Modify Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief. The Court, having reviewed the file, having heard the testimony, and being otherwise fully advised, makes these findings of fact and reaches these conclusions of law: SECTION I. FINDINGS 1. The Court has jurisdiction over the subject matter and the parties. 2. The last order establishing or modifying parental responsibility, visitation, a Parenting Plan, or time-sharing was entered on {date} . 3. There has been a substantial change in circumstances of the parties since the entry of the last order, specifically: . 4. It is in the best interests of the minor child(ren) that the current parental responsibility, visitation, time-sharing schedule or Parenting Plan be changed because: . American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (02/18) SECTION II. PARENTING PLAN ESTABLISHING PARENTAL RESPONSIBILITY AND TIME-SHARING WITH DEPENDENT OR MINOR CHILD(REN) 1. Jurisdiction. The Court has jurisdiction to determine parental responsibility, to establish or approve a Parenting Plan, and time-sharing with regard to the parties minor child(ren) listed in paragraph 2 below. 2. The parties dependent or minor child(ren) is (are): Name Birth date 3. Parenting Plan. The parties shall comply with the Parenting Plan which is attached and incorporated herein as Exhibit . SECTION III. CHILD SUPPORT 1. Modification of Child Support. {Choose one only} a. The modification of parental responsibility or time-sharing entered above does not necessitate a modification of child support. The previous order or final judgment establishing or modifying child support shall remain in effect. OR b. The Court finds that there is a need for modification of child support and that the Petitioner Respondent, (hereinafter Obligor), has the present ability to pay child support. The amounts in the Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), filed by the Petitioner Respondent are correct OR the Court makes the following findings: net monthly income is $, (Child Support Guidelines %). net monthly income is $, (Child Support Guidelines %). Monthly child care costs are $. Monthly health/dental insurance costs are $. American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (02/18) 2. Amount. Child support established at the rate of $ per month for the children {total minor or dependent children} shall be paid commencing {month, day, year} and terminating {month, day, year}. Child support shall be paid in the amount of $per {week, month, other} which is consistent with the payroll cycle. Upon the termination of the obligation of child children, child support in the amount of $for the remaining children {total number of remaining children} shall be paid commencing {month, day, year} and terminating {month, day, year}. This child support shall be paid in the amount of $ per {week, month, other} consistent with the payroll cycle. {Insert schedule for the child support obligation, including the amount, and commencement and termination dates, for the remaining minor or dependent children, which shall be payable as the obligation for each child ceases. Please indicate whether the schedule appears below or is attached as part of this form.} . The Obligor shall pay child support until all of the minor or dependent child(ren): reach the age of 18; become emancipated, marry, join the armed services, die, or become self-supporting; or until further order of the court or agreement of the parties. The child support obligation shall continue beyond the age of 18 and until high school graduation for any child who is dependent in fact, between the ages of 18 and 19, and is still in high school, performing in good faith with a reasonable expectation of graduation before the age of 19. If the child support ordered deviates from the guidelines by more than 5%, the factual findings which support that deviation are: 3. Retroactive Child Support and/or Arrearages. {Choose one only} a. There is no child support arrearage at the time of this Supplemental Final Judgment. OR b. The Petitioner Respondent shall pay to the other party child support in the amount of: $ for retroactive child support, as of {date}. American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (02/18) $ for previously ordered unpaid child support, as of {date}. The total of $ in retroactive child support and arrearages shall be paid in the amount of $, per month payable in accordance with Obligors employers payroll cycle, and in any event at least once a month other {explain} beginning {date} until paid in full including statutory interest. 4. Insurance. [Indicate all that apply] a. Health/Dental Insurance. Petitioner Respondent shall be required to maintain health and/or dental insurance for the parties minor child(ren), so long as reasonable in cost and accessible to the child(ren) . The party providing insurance shall be required to convey insurance cards demonstrating said coverage to the other party; OR health and/or dental insurance is not reasonable in cost or accessible to the child(ren) at this time. b. Reasonable and necessary uninsured medical/dental/prescription drug costs for the minor child(ren) shall be assessed as follows: Shared equally by both parents. Prorated according to the child support guideline percentages. Other {explain}: As to these uninsured medical/dental/prescription drug expenses, the party who incurs the expense shall submit a request for reimbursement to the other party within 30 days, and the other party, within 30 days of receipt, shall submit the applicable reimbursement for that expense, according to the schedule of reimbursement set out in this paragraph. 5. Life Insurance (to secure payment of support). To secure the child support obligations in this judgment, Petitioner Respondent Each parent shall maintain life insurance, in an amount of at least $ , on his/her life naming the minor child(ren) as the beneficiary(ies) OR naming Petitioner Respondent or other {name} as Trustee for the minor child(ren), so long as reasonably available. The obligation to maintain the life insurance shall continue until the youngest child turns 18, becomes emancipated, marries, joins the armed services, dies, or becomes self-supporting. 6. IRS Income Tax Exemption(s). The assignment of any tax exemption(s) for the child(ren) shall be as follows: . Further, each party shall execute any and all IRS forms necessary to effectuate the provisions of this paragraph. 7. Other provisions relating to child support: . American LegalNet, Inc. www.FormsWorkFlow.com Florida Supreme Court Approved Family Law Form 12.993(a), Supplemental Final Judgment Modifying Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief (02/18) SECTION IV. METHOD OF PAYMENT Obligor shall pay court-ordered child support and arrears, if any, as follows: 1. Place of Payment. a. Obligor shall pay court-ordered support directly to either the State Disbursement Unit or the central depository, as required by statute, along with any fee req