Cause No: IN RE: � � � AGREED ORDER/STIPULATIONS IN THE DISTRICT COURT OF FORT BEND COUNTY, TEXAS 328 TH JUDICIAL DISTRICT The following represents the Associate Judge's Report pursuant to TFC 201.11 and includes the findings, conclusions and recommendations of the judge. NATURE OF PROCEEDING: Temporary Final 1. Conservatorship of minor child(ren) (Names): Managing Conservator Petitioner Respondent Other: Possessory conservator Petitioner Respondent Other: Joint Managing conservators Petitioner Respondent Other: 2. Rights and duties as parents TFC 153.073: Independently Jointly Exclusive to parent during possession TFC 153.074: Petitioner Respondent Other: as Sole Managing Conservator TFC 153.132: Petitioner Respondent Other: Joint Managing Conservator, specify to each party: Petitioner Respondent Other: 3. Possession: Standard Possession Order as Defined by Texas Family Code 153.311 - 153.317 Extended Other: 4. Right to designate child(ren)'s primary residence: Petitioner Respondent Residence restrictions None Other: Restricted to: 5. Other Possession Commences: 6. Child Support: Petitioner Respondent to pay Direct Wage Withholding Order through Texas Child Support Disbursement Unit, P.O. Box 659791, San Antonio, Texas 78265 - 9941 Child Support payable as follows: Health Insurance for child(ren) by: Uninsured Health Expenses: 7. Spousal support (if applicable):by: Petitioner Respondent and paid by Petitioner Respondent To: 8. Property: Petitioner: Possession Ownership Attach and initial separate sheet if necessary. Respondent: 1 Revised 5/13 American LegalNet, Inc. www.FormsWorkFlow.com 9. Injunctions: Temporary Permanent Mutual Persons as set out in Texas Family Code 6.502 (1) (2) (3) (4) (5) Property as set out in Texas Family Code 6.502 (6) (7) (8) (9) (10) Other: 10. Inventory: Each party to file inventory no later than: 11. Debts/Expenses to be timely paid by: Petitioner: Respondent: 12. Additional Orders: 13. Parties to attend Parenting Program no later than: 14. Parenting Plan filed by: 15. Parties to attend MEDIATION no later than: 16. Entry Date at 8:30 AM on 17. Signed this ORDERED: day of , . , . . RONALD R. POPE, Presiding Judge The following represents the agreement of the parties: 17. Signed this day of , . WALTER ARMATYS, Associate Judge Petitioner Respondent Attorney for Petitioner Attorney for Respondent Amicus Attorney Agreed Order/Stipulations Page 2 American LegalNet, Inc. www.FormsWorkFlow.com