Cause No: IN RE: § IN THE DISTRICT COURT OF § FORT BEND COUNTY, TEXAS § 387 TH JUDICIAL DISTRICT AGREED ORDER/STIPULATIONS 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 Other: None 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: Petitioner Respondent Uninsured Health Expenses: 7. Spousal support (if applicable):by: 8. Property: Possession and paid by Petitioner Respondent To: Ownership Attach and initial separate sheet if necessary. Petitioner: G:/MSOffice/Template/Forms Form116 – Associate Judge’s Report 387th District Court Revised: 2007/01 Agreed Order/Stipulations Page 1 American LegalNet, Inc. www.FormsWorkflow.com Respondent: 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 9:00 AM on , day of 17. Signed this . . ORDERED: ROBERT J. KERN, Presiding Judge BRENDA G. MULLINIX, Associate Judge The following represents the agreement of the parties: 17. Signed this day of , . Petitioner Respondent Attorney for Petitioner Attorney for Respondent Amicus Attorney Agreed Order/Stipulations Page 2 American LegalNet, Inc. www.FormsWorkflow.com Agreed Order/Stipulations Page 3 American LegalNet, Inc. www.FormsWorkflow.com