IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _________________ In the Matter of ‘ the Marriage of: ) ) ) ) ) ) ) ) ________________________________, Petitioner, and ________________________________, Respondent. Case No. ______________________ SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN This matter came before the Court: ‘ At the request of for an order granting the relief requested in the . Order to Show Cause dated ‘ On the stipulations of the parties, as shown by the signatures below. ‘ At a hearing held , at which the following persons were present: (date) ‘ Petitioner ‘ Respondent ‘ Petitioner’s attorney_____________________________ ‘ Respondent’s attorney___________________________ The Court considered the: ‘ Affidavit ‘ Affidavit and stipulations ‘ Evidence presented and found that: ‘ Oregon has jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act over the parenting time issue because ‘ County Circuit Court made the initial child custody determination. ‘ Other: . ‘ Oregon does not have jurisdiction over the parenting time issue because: . NOW, THEREFORE, IT IS HEREBY ORDERED: ‘ The parenting plan currently in effect shall be modified in accordance with the following: Page 1 of 6, SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN PTEnforcement-5A: Judgment5AVer05.wpd (4/04) American LegalNet, Inc. www.USCourtForms.com ‘ shall be required to attend the following counseling or education sessions: ‘ Spousal support shall be __ terminated ___ suspended ___ modified as follows: ‘ Child support shall be ___ terminated ___ suspended ___modified as follows: ‘ ___________________________ shall be required to post bond or security as follows: ‘ The requested relief is denied. ‘ Other: ‘ Petitioner (or) ‘ Respondent shall be awarded ‘ reasonable attorney fees, ‘ filing fees, ‘ court costs, ‘ service fees, ‘ other: incurred in enforcing the parenting plan (see also provisions for court costs and fees below). If Court Costs and Fees were Deferred: (please check the boxes below that apply) ‘ Petitioner (or) ‘ Respondent shall be liable for all the filing fees, court costs, service fees ‘ other: that were deferred. ‘ Petitioner (or) ‘ Respondent shall each be liable for one half the filing fees, court costs, service fees ‘ other: that were deferred. ‘ The State of Oregon shall have judgment against ‘ Petitioner ‘ Respondent for ‘ one-half ‘ all the filing fees, court costs, service fees ‘ other: that were deferred. If Court Costs and Fees were Paid by the Parties: (please check the boxes below that apply) ‘ Petitioner ‘ Respondent shall be liable for ‘ one-half ‘ all the filing fees, court costs, service fees, that have been paid in this suit, and judgment shall be entered accordingly. other: /// /// Page 2 of 6, SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN PTEnforcement-5A: Judgment5AVer05.wpd (4/04) American LegalNet, Inc. www.USCourtForms.com Information Required by ORS 25.020 and ORS 107.085. ‘ Based on a finding that the health, safety, or liberty of ‘ Petitioner ‘ Respondent or a child ____________________ would unreasonably be put at risk by disclosure of the following information, ‘ Petitioner ‘ Respondent has been allowed not to disclose this information. ‘ Otherwise: (Fill in the blanks below) Petitioner Respondent Full Name Former Legal Name(s) Age Address or Contact Address Telephone Number Social Security Number Do not list. Provided by UTCR 2.100 Affidavit Do not list. Provided by UTCR 2.100 Affidavit Drivers License Number Employer Name Employer Address Employer Telephone ‘ Additional page labeled “Information Required by ORS 25.020 and ORS 107.085" attached. Both parties shall inform the Court and the Department of Justice (P.O. Box 14506, Salem, Oregon 97309) in writing of any change in the above information required by ORS 25.020 within ten (10) days of such change, unless a finding of unreasonable risk has been made in this case. If the court has ordered that a party be allowed not to disclose information by means of this Judgment in the section above, the Department of Justice or the District Attorney shall not disclose the information in the preceding section to the other parent. Money Award. Child Support Obligation ‘ included ‘ not included. JUDGMENT CREDITOR (This is the party receiving payment from Judgment Debtor) G Petitioner G Respondent JUDGMENT DEBTOR (This is the party required to pay Judgment Creditor) G Petitioner G Respondent Full Name Address or Contact Address Page 3 of 6, SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN PTEnforcement-5A: Judgment5AVer05.wpd (4/04) American LegalNet, Inc. www.USCourtForms.com Attorney’s Name, Telephone Number and Address The following information is required ONLY for the party designated as the “Judgment Debtor” above. Date of Birth Social Security Number Do not list. Provided by UTCR 2.100 Affidavit Do not list. Provided by UTCR 2.100 Affidavit Driver’s License Number and State of Issuance The following information is to be provided by the party designated as the “Judgment Creditor” above. Others Entitled to Portions of Judgment Type of Judgment The following person(s) or public bod(ies) are known by judgment creditor to be entitled to a portion of a payment made on the judgment (other than the judgment creditor’s attorney): ‘ None or ‘ JUDGMENT CREDITOR (This is the party receiving payment from Judgment Debtor) JUDGMENT DEBTOR (This is the party required to pay Judgment Creditor) G Petitioner G Respondent G Petitioner G Respondent Child Support Award Amount of Judgment 1. $ ‘ per month or ‘ Other: , starting on the ‘ first day or ‘ Other: of the month following the date of the judgment Page 4 of 6, SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN PTEnforcement-5A: Judgment5AVer05.wpd (4/04) American LegalNet, Inc. www.USCourtForms.com Type of Judgment JUDGMENT CREDITOR (This is the party receiving payment from Judgment Debtor) JUDGMENT DEBTOR (This is the party required to pay Judgment Creditor) G Petitioner G Respondent G Petitioner G Respondent Spousal Support Award Amount of Judgment 1. $ ‘ per month or ‘ Other: , starting on the ‘ first day or ‘ Other: of the month following the date of the judgment, lasting until (date), or the death of either party, whichever comes first; or 1. A lump sum payment of $ to be paid by (date): Prejudgment Interest (Note: ORS 21.607(1) disallows interest on fees that have been deferred.) $ Postjudgment Interest (Note: ORS 21.607(1) disallows interest on fees that have been deferred.) percent ( %) per annum simple interest on the total judgment amount(s) of . $ Interest begins accruing on the date the judgment is entered until fully paid. Accrued Arrears (if any, on judgments to be paid on a periodic basis) per month, 1. $ starting on the ‘ first day or ‘ Other: of the month following the date of the judgment until the total is amount of $ paid in full; or 1. A lump sum payment of $ to be paid by: (date). Page 5 of 6, SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN PTEnforcement-5A: Judgment5AVer05.wpd (4/04) American LegalNet, Inc. www.USCourtForms.com Type of Judgment JUDGMENT CREDITOR (This is the party receiving payment from Judgment Debtor) JUDGMENT DEBTOR (This is the party required to pay Judgment Creditor) G Petitioner G Respondent Amount of Judgment G Petitioner G Respondent Costs and Service Expenses (e.g., filing fees, hearing fees, trial fees, process fees) $ Attorneys Fees (if any) $ DATED this ________ day of ________________________________, 20______. _______________________________ Circuit Court Judge _______________________________ Print Name ‘ Both parties have agreed to the terms of this judgment (sign only your name): Petitioner (signature) Respondent (signature) Date Date Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: ‘ I selected this document for myself and I completed it without paid assistance. ‘ I paid or will pay money to __________________________ for assistance in preparing this document. DATED this _______ day of ____________________, 20_____. ______________________________________ ‘ Petitioner ‘ Respondent, Signature Submitted by: ___________________________________________________________________________________________ Print Name ‘ Petitioner ‘ Respondent, Signature ___________________________________________________________________________________________ Address or Contact Address City, State, Zip Telephone or Contact Telephone I certify that this is a true copy: ‘ Petitioner ‘ Respondent, Signature Page 6 of 6, SUPPLEMENTAL JUDGMENT RE: ENFORCEMENT OF PARENTING PLAN PTEnforcement-5A: Judgment5AVer05.wpd (4/04) American LegalNet, Inc. www.USCourtForms.com