COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION CLERMONT COUNTY, OHIO Case Number: Plaintiff/Petitioner Sets Number: Address City ST ZIP Vs Defendant/Petitioner Address City ST ZIP This cause came before the Court on this day of , 20, upon the joint application of the parties for an order granting them shared parental rights and responsibilities for the care of the minor child(ren), namely: DOB DOB DOB DOB and the Shared Parenting Plan submitted by the parties. Wherefore, upon review of the plan, the Court approves the attached Shared Parenting Plan and grants a Final Decree of Shared Parenting to the parties. The Court further finds that the facts and conclusions of law are not required, are waived by the parties, or have been addressed elsewhere by the Court. The Plan is submitted in accordance with R.C. 3109.04(D)(1)(a) and is not modifiable absent the express agreement of the parties or by court order. Magistrate Judge Kathleen M. Rodenberg Signature of Plaintiff/Petitioner 1 S ignature of Defendant/Petitioner 2 Typed Name of Plaintiff/Petitioner Typed Name of Defendant/Petitioner 2 Street Address Street Address City, State and Zip Code City, State and Zip Code Telephone Number with Area Code Telephone Number with Area Code Email Address Email Address American LegalNet, Inc. www.FormsWorkFlow.com Signature of Attorney for Plaintiff/Petitioner 1 S ignature of Attorney for Defendant/Petitioner 2 Typed Name of Attorney for Plaintiff/Petitioner 1 Typed Name of Attorney For Defendant/Petitioner 2 Street Address Street Address City, State and Zip Code City, State and Zip Code Telephone Number with Area Code Telephone Number with Area Code Email Address Email Address American LegalNet, Inc. www.FormsWorkFlow.com