COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

Plaintiff () Obligor () Obligee
-vs/and-
Defendant () Obligor () Obligee

HAMILTON COUNTY, OHIO

Enter:
Date:
Case No.
File No.
CSEA No.
Judge
AGREED CHANGE OF RESIDENTIAL PARENT AND LEGAL CUSTODIAN

BY AGREEMENT OF THE PARTIES and with the consent of the Court it is hereby ordered that:

1.	The residential parent and legal custodian of (name of minor children) hereby changed from () TO

(). The non-residential parent shall have parenting time as follows: [] Standard Order; [] Other (You must be specific)

2.	shall pay child support to in the sum of $ per month per child, total $ , excluding processing fee.

3.	shall pay spousal support to in the sum of $ per month until .

4.	shall pay to the sum of $ per month toward the support arrearage of $ as of . The Child Support Enforcement Agency records shall reflect this arrearage.

5.	() obligation to pay support is terminated effective with an arrearage of $ which shall be paid as follows: .

6. All of the above payments shall be made through the Child Support Enforcement Agency plus 2% processing charge and shall be
effective . Any payments not made through CSEA shall be deemed gifts.

7.	shall obtain/maintain health insurance for the benefit of the minor child(ren). shall be designated to receive reimbursements.

8.	Additional documents/orders as necessary are attached hereto and incorporated herein for all purposes including [] Support Worksheet; [] §3121.03 Order; [] Health Care Order; [] Parenting Time Order; [] Other It is further ordered that

Obligor acknowledges that they are under no disability; they have received a copy of the Support Order, the O.R.C. 3121.03 and 3119.30 orders; and that they waive service of same.

By signature on this agreed entry, both parties expressly, knowingly and voluntarily waive their right, if any, to a Magistrate’s Decision or Order as well as any requirements that the Court issue separate findings of fact/conclusions of law pursuant to O.R.C. 3l09.04, 3l09.05l, 3l09.052 and 3119.

All support under this order shall be withheld or deducted from the income or assets of the obligor pursuant to a withholding or deduction notice or appropriate order issued in accordance with Chapters 3119., 3121., 3123., and 3125. of the Revised Code or a withdrawal directive issued pursuant to sections 3123.24 to 3123.38 of the Revised Code and shall be forwarded to the obligee in accordance with Chapters 3119., 3121., 3123., and 3125. of the Revised Code. The specific withholding or deduction requirements, or other appropriate requirements to be used to collect the support, shall be set forth in and determined by reference to the notices that are mailed by the Court or The Division Of Child Support Of The Department Of Human Services Agency in accordance with Section 3121 of the Revised Code. Those notices and court orders plus the notices provided by the court or agency that require the obligor to notify The Division Of Child Support Of The Department Of Human Services Agency of any change in their employment status or of any other change in the status of their assets, are final and are enforceable by the Court.

Magistrate

Plaintiff/Petitioner	Defendant/Petitioner
Attorney for Plaintiff/Petitioner	Attorney for Defendant/Petitioner
Child Support Attorney for C.S.E.A.