IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN In the Matter of the Marriage of: ) ) ) Petitioner, ) ) and ) ) ) Respondent, ) and ) ) ) Child who is at least 18 and under 21 years ) of age, unmarried and unemancipated. ) (ORS 107.108) ) Case No. PETITIONER'S RESPONDENT'S EX PARTE MOTION FOR ORDER TO SHOW CAUSE REGARDING MODIFICATION OF JUDGMENT RE: CUSTODY PARENTING TIME CHILD SUPPORT Motion I, Petitioner Respondent, request that the court issue an Order to Show Cause requiring Petitioner Respondent to appear in Circuit Court in the County Courthouse in , Oregon, to show cause why this court should not grant the following relief concerning the parties' child/ren: Do Not List Date of Birth- Please provide this information on the Confidential Information Form (Name/s and date/s of birth) 1. Change custody of the minor child/ren as follows: a. Petitioner Respondent to be awarded sole custody of the child/ren (list names): b. The parties have agreed to joint custody of the following child/ren (list names): Change the current court-ordered parenting time as follows: a. Petitioner Respondent should have parenting time with the child/ren as set forth in the attached Parenting Plan, labeled Exhibit ____, or Other: 2. /// /// PETITIONER'S RESPONDENT'S EX PARTE MOTION FOR ORDER TO SHOW CAUSE REGARDING American LegalNet, Inc. MODIFICATION OF JUDGMENT - Page 1 of 5 Modification-4A: Form 1 Motion to Modify 2010.doc (9/10) www.FormsWorkFlow.com b. Petitioner Respondent should not be granted parenting time because this would endanger the health and safety of the child/ren. Supporting facts are as follows: c. Parenting time shall be supervised by: Any cost of the supervision shall be paid by Petitioner Respondent Other: d. Petitioner and Respondent should each provide contact addresses and contact telephone numbers to the other and notify each other of any emergency circumstances or substantial changes in the child/ren's health. e. Petitioner Respondent should be allowed to move more than 60 miles further distant from the other parent without advance notice because good cause exists. 3. Terminate Petitioner's Respondent's child support obligation due to the requested change in custody. Child Support, including Health Care Coverage and Cash Medical Support. A. Other Pending Child Support Cases. (Check one.) No other agency or court child support proceeding is currently pending (include any child support matter being heard as part of a dissolution, separation, annulment, paternity, support or modification case). There is/are other child support proceeding(s) currently pending in either an agency or court case as set forth in the CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDING and/or EXISTING CHILD SUPPORT ORDER attached to this petition. B. Other Child Support Orders. (Check one.) No other child support orders, from an agency or court, are currently in effect in the State of Oregon or any other state. There is/are other child support orders from an agency or court as set forth in the CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDING and/or EXISTING CHILD SUPPORT ORDERS/JUDGMENTS attached to this petition. C. Currently Effective Child Support Order. (Check any that apply.) The following child support order/s is/are currently in effect: (List state, court/agency, case number, date of order) This order should remain in place and includes provisions for medical support for the child/ren, or This order is from an Oregon court or agency, one of the parents or the child/ren receiving support still resides in Oregon and the order should be changed because circumstances have changed since the last order was entered. State facts showing how circumstances have changed: 4. /// /// PETITIONER'S RESPONDENT'S EX PARTE MOTION FOR ORDER TO SHOW CAUSE REGARDING MODIFICATION OF JUDGMENT - Page 2 of 5 American LegalNet, Inc. Modification-4A: Form 1 Motion to Modify 2010.doc (9/10) www.FormsWorkFlow.com D. Cash Child Support. Complete either (1) or (2) below: (1) Cash child support should be paid by Petitioner to Respondent (or) Respondent to Petitioner beginning on the first or day of the month following the date of the judgment and continuing on the same day of each month thereafter. The total payment per month should be $ , which is the presumed correct amount as reflected on the child support guideline worksheets attached to this petition. Determined under the Oregon child support guidelines prior to judgment. The amount of support presumed correct under the guidelines would be unjust or inappropriate because . (2) No cash child support is ordered in this judgment because: An order, including medical support, for child support in the monthly amount of $ has already been ordered in Circuit Court case number in County, Oregon. Other reason: E. Medical Support. Complete section (1) or (2) below. Also complete section (3) or (4) below. Complete (1) or (2): (1) Private Health Care Coverage is Appropriate and Available. Petitioner Respondent Both Petitioner and Respondent has/have appropriate private health care coverage available for the parties' child/ren through an employer, spouse, domestic partner or other source. Petitioner Respondent Both Petitioner and Respondent should be required to obtain and maintain this coverage throughout the period of the support obligation for the benefit of the parties' child/ren. Health care coverage has already been ordered in another case as described in paragraph D(2) above. (2) No Private Health Care Coverage is Appropriate or Available. Neither Petitioner nor Respondent has appropriate private health care coverage available for the parties' child/ren. Petitioner Respondent Both Petitioner and Respondent should be ordered to provide appropriate private health care coverage for the child/ren when such coverage becomes available to them at a reasonable cost through any source. The custodial parent should enroll the child/ren in public health care coverage. The child/ren are currently enrolled in public health care coverage. Complete (3) or (4): (3) Cash Medical Support Should Be Ordered. Because the parent receiving cash child support is ordered to maintain private health care coverage and the parent paying cash child support is not, in addition to cash child PETITIONER'S RESPONDENT'S EX PARTE MOTION FOR ORDER TO SHOW CAUSE REGARDING MODIFICATION OF JUDGMENT - Page 3 of 5 American LegalNet, Inc. Modification-4A: Form 1 Motion to Modify 2010.doc (9/10) www.Fo