COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. : IN THE DISTRICT COURT OF ^ COUNTY, NEBRASKA JUDICIAL SUBPOENA Plaintiff(s) -against- : Petitioner, : ^, Case No. ^ : vs. ORDER MODIFYING DECREE Defendant(s) : ...................................................... ^, Respondent. THE PEOPLEHEARING: YORK DATE OF OF THE STATE OF NEW^. TO DATE OF RENDITION: DATE OF ENTRY: ^. See court clerk’s file stamp date (§ 25-1301). APPEARANCES: GREETINGS: For the petitioner: ^. Date of original decree: ^. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorablerespondent: at the Court For the ^. located at County of inSUBJECT OF, HEARING: day of ^. room on the , 20 , at o'clock in the noon, and at any recessed orDECREE date, to testify and give evidence as a witness in this action on the part of the adjourned INVOLVED: Your failure to subpoena is punishable as a contempt of court and will make you liable to Date last modified: comply with this ^. the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a FINDINGS: The court finds: result of your failure to comply. 1. The stipulation of the parties is fair and reasonable, and is not unconscionable, Witness, Honorable , one of the Justices of the and is compliance therewith ordered. The following findings and Court in hereby approved, and day of County, , 20 orders are pursuant to the stipulation. 2. The joint application of the parties, construed musta stipulation ofname below) (Attorney as sign above and type the parties, is fair and reasonable, and is not unconscionable, and is hereby approved, and compliance therewith ordered. The following findings and ordersAttorney(s) for to the stipulation. are pursuant 3. The stipulation of the parties is fair and reasonable, and is not unconscionable, and is hereby approved, and compliance therewith ordered, except that ^. To such extent, Office and P.O. findings the stipulation is disapproved. Except as disapproved, the following Address and orders are pursuant to the stipulation. 1 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 4. Index No. Calendar No. : The joint application of Plaintiff(s) construed as a stipulation of the parties, the parties, JUDICIAL SUBPOENA is fair and reasonable,-against-not unconscionable, and is hereby approved, and compliance and is : therewith ordered, except that ^. To such extent, the stipulation is disapproved. Except as : disapproved, the following findings and orders are pursuant to the stipulation. : 5. There has been a material change of circumstances since the decree was 6. The custody of the minor child(ren), ^, born ^, should be changed from the Defendant(s) : . .entered .or. last. modified. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... . ... ......... ^petitioner OF THE STATE OF effective ^, THE PEOPLE to the ^respondentNEW YORK subject to reasonable rights of visitation and correspondence in the ^petitioner. The custody of the minor child(ren), ^, born ^, should TO remain with the ^petitioner, subject to reasonable rights of visitation and correspondence in the ^respondent. GREETINGS: 7. The custody of the minor child(ren), ^, born ^, should be changed from the WE to the ^respondent effective ^, excuses to specific rights of visitation and ^petitioner COMMAND YOU, that all business andsubject being laid aside, you and each of you attend before , the Honorable at the Court correspondence in the ^petitioner.at The custody of the minor child(ren), ^, born ^, should located County of in room , , 20 , at o'clock in noon, and remain with the on the ^petitioner,day of to specific rights of visitation and the subject correspondenceat any recessed in the or adjourned date, to testify and give evidence as a witness in this action on the part of the ^respondent. 8. The child support should be modified. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 9. The child support should be modified retroactively of $50 and all application. the party on whose behalf this subpoena was issued for a maximum penaltyto ^the date ofdamages sustained as a result of your failure to comply. 10. The monthly net incomes of the parties are set forth on Appendix “B” attached hereto Witness, Honorable by reference. The child support amounts determined pursuant to and incorporated , one of the Justices of the Court Nebraska Child Support Guidelines are computed on Appendix “B.” County, day of , 20 the in 11. Sufficient evidence has been produced to rebut the presumption that the (Attorney must Nebraska Child Support Guidelines should be applied because ^. sign above and typeof the parties’ The findings name below) incomes and calculations under the guidelines, and the deviation therefrom, used in Attorney(s) for determining the amount of support are set forth on Appendix “B” attached hereto, including Worksheets 1 and 5. ORDER: IT IS THEREFORE ORDERED, ADJUDGED, AND Office and P.O. Address DECREED that: 1. RELIEF GRANTED/DENIED: The application is granted to the extent of the relief set forth below and is otherwise denied. 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 2. Calendar No. : RELIEF GRANTED/DENIED: The joint application is granted to the extent of JUDICIAL SUBPOENA Plaintiff(s) the relief set forth below and is otherwise denied. -against3. Index No. : PRIOR DECREE OTHERWISE EFFECTIVE: The decree previously entered : in this case (and as previously modified, if applicable) shall remain in full force and effect : except as expressly modified by this order. Defendant(s) : . . . . . . . . 4. . . . . .CHILD .CUSTODY: .The.custody .of. the .minor child(ren), ^, born ^, is changed .. ...... ........... ... ....... . ... .. from the ^petitioner to the ^respondent effective ^, subject to reasonable rights of visitation and correspondence in the ^petitioner. The THE PEOPLE OF THE STATE OF NEW YORK custody of the minor child(ren), ^, born ^, shall remain with the ^petitioner, subject to reasonable rights of visitation and correspondence in TO the ^respondent. The provisions of Appendix “A” attached ^hereto ^to the original decree are incorporated herein and the parties ordered to comply therewith. GREETINGS: 5. CHILD CUSTODY: The custody of the minor child(ren), ^, born ^, is changed WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend from the ^petitioner to the ^respondent effective ^, subject to specific rights of visitation and before , the Honorable at the Court located at set forth on Appendix “C” attached ^hereto ^to the County of correspondence in the ^petitioner as in room , on the day of , 20 , at o'clock in the noon, and at any recessed ororiginal decree. testify and give evidence as a witness in this action on the part of the adjourned date, to The custody of the minor child(ren), ^, born ^, shall remain with the ^petitioner, subject to specific rights of visitation and correspondence in the ^respondent as set forth on Appendix “C” attached ^hereto ^to the original decree. The provisions of Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a decree are incorporated herein andsustained as a Appendix “A” attached ^hereto ^to the original maximum penalty of $50 and all damages the result of your failure to comply. parties ordered to comply therewith. Witness, Honorable REDUCED: The child support obligation of the Justices of the is , one of the ^respondent 6. SUPPORT Court in County, day of , 20 reduced to zero dollars ($0.00) per month until further order. 7. SUPPORT MODIFIED: The ^respondent shall be required to pay child support, effective as of the payment due on ^, of: (Attorney must sign above and type name below) a. b. $^ per month when there are three children to be supported; c. $^ per month when there are two children to be supported; d. 8. $^ per month when there are four children to be supported; $^ per month when there is onlyOfficechildP.O.be supported. one and to Address Attorney(s) for SUPPORT REQUIRED: The ^petitioner shall be required to pay child support, commencing on ^, and a like payment on the first day of each month thereafter until the Telephone No.: Facsimile No.: obligation of support as to particular child terminates, at the rate of: 3 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. a. b. $^ per month when there are three children to be supported; -against: c. $^ per month when there are two children to be supported; : d. 9. $^ per month when there are four :children to be supported; JUDICIAL SUBPOENA Plaintiff(s) $^ per month when there is only one child to be supported. : TERMINATION OF SUPPORT: The support obligation for each child Defendant(s) : . .continues. until such. child .reaches .majority .under Nebraska law (presently age 19), becomes ........ ........ .... ....... ....... ............. emancipated, becomes self-supporting, marries, or dies, or until the further order of the court. THE PEOPLE OF THE STATE OF NEW YORK TO 10. PAYMENTS: All payments shall be paid, for disbursement to the person entitled thereto, to: a. The State Disbursement Unit for child support, medical support, GREETINGS: or spousal support; and, WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before b. The Clerk of the District Court for this county for alimony (non, the Honorable at the Court located attorneys’ fees. County of support), court costs, or at spousal in room , on the day of , 20 , at o'clock in the noon, and at any recessed 11. or adjourned date,INTEREST: give evidence as a witness in this action on the part the rate of ^% per to testify and Delinquent support shall bear interest at of the annum from the time and in the manner provided by law. 12. RETROACTIVE EFFECT: The State Disbursement Unit shall adjust the child 13. INFORMATION REPORTING: BOTH PARTIES shall be required to furnish Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a support records accordingly to reflect the retroactive application of this order. result of your failure to comply. Witness, Honorable , one of the Justices of the the clerk of this court, in writing, with such party’s address (including specific street address Court in County, day of , 20 or other physical location, in addition to mailing address), telephone number, and social security number, the name and address of such party’s employer, whether or not such (Attorney must sign above and type name below) person has access to employer-related health insurance coverage and, if so, the health insurance policy information, and any other information that the Court shall deem relevant Attorney(s) for until the judgment is paid in full. BOTH PARTIES shall also be required to advise the Clerk of any changes in such information between the time of entry of this order and payment of the judgment in full. Failure to comply with the provisions of and P.O. Address be punishable Office this section shall by contempt. 14. SSN: The social security numbers of the parties and all minor children are set Telephone No.: forth on Appendix “B” attached. 4 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 15. Index No. Calendar No. INCOME WITHHOLDING: The income : of the any party obligated to pay JUDICIAL SUBPOENA Plaintiff(s) support hereunder shall be subject to income withholding, which shall be implemented -against: pursuant to the Income Withholding for Child Support Act. : 16. SUPPORT ENFORCEMENT: In the event that any such party obligated to : pay support fails to pay any child, medical, or spousal support payments, as such failure is Defendant(s) : . .certified.each. month by. the .State. Disbursement .Unit .in.cases where court-ordered support ....... .... ........ ... .... ............. ... . . is delinquent in an amount equal to the support due and payable for a one-month period of time, such OF THE STATE OF NEW YORK THE PEOPLEparty may be required to appear before this Court on a date to be determined by the Court and show cause why such payment was not made. In the event such party TO fails to pay and appear as so ordered, a warrant shall be issued for such party's arrest. 17. JUDGMENT: Judgment is hereby rendered accordingly. ^No costs were GREETINGS: incurred. ^Each party shall be required to pay their own respective costs and attorney fees. ^CostsWE$ are taxed to ^. that all business and excuses being laid aside, you and each of you attend before of COMMAND YOU, , the Honorable at the Court Signed in located on County of chambers at Ainsworth, Nebraska, at ^; BY THE COURT: DEEMED ENTERED upon file stamp date by court clerk. inIfroom , on the day of , 20 , at o'clock in the noon, and at any recessed checked, the court clerk shall: or adjourned date, to testify and give evidence as a witness in this action on the part of the [ ] Mail a copy of this order to all counsel of record and any pro se parties. Done on _____________, 20_______ by _________. [ ] If not already done, immediately transcribe trial docket entry dictated in open court. Done on failure to comply withby _________. Your _____________, 20_______ this subpoena is punishable as a contempt of court and will make you liable to [ party the decision behalf docket as: [date of filing] issued for Modifythe ] Noteon whose on the trialthis subpoena was Signed “Ordera maximum penalty of $50 and all damages sustained as a ing Decree” entered. result of Done on _____________, 20_______ by _________. your failure to comply. [ ] Mail postcard/notice required by § 25-1301.01 within 3 days. Done on _____________, 20_______ by _________. Witness, Honorable , one of the Justices of the [ ] Enter judgment on the judgment record. Court in Done on _____________, 20_______day of County, by _________. , 20 William B. Cassel District Judge Mailed to: (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address 5 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com