IN THE FAMILY COURT OF ________________ COUNTY, WEST VIRGINIA. In Re: The Marriage / Children of: Civil Action No. ____________  _________________________, and _________________________. Petitioner Respondent _________________________ _________________________ _________________________ _________________________ Address Address ________________ ________________ Daytime phone Daytime phone MOTION TO ADOPT INDIVIDUAL PROPOSED PARENTING PLAN NOTICE TO: ________________________. Take Notice that I, ________________________, (Print the name of the other party.) (Print your nam.) ewill come before the Family Court of _________________ County, and make a MOTION for the Court to adopt my Individual Proposed Parenting Plan. This Motion will be made at ____ a.m./p.m. on the ____ day of ___________________, _____. MOTION I, ____________________________, request that the Court adopt my Individual Proposed Parenting Plan. I have attached copies of my Individual Proposed Parenting Plan and Worksheet to this Motion. _______________________ ___________________________ ____________ (Print your name.) Signature Date CERTIFICATE OF SERVICE State of West Virginia County of _______________________________ I, _______________________, the person making this Motion, mailed the Motion and Notice, together with my Individual Proposed Parenting Plan, by first class mail, to _________________________, at the address of ___________________________ __________, on the ____ day of __________________, _____. ___________________________ ____________ Signature Date SCA-FC-129 (12/01) Motion to Adopt Individual Parenting Plan Page 1 of 1