COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

Plaintiff () Obligor () Obligee
xxx -xx-
SS#	DOB
-vs/and-
Defendant () Obligor () Obligee
xxx -xx-
SS#	DOB

HAMILTON COUNTY, OHIO

Enter:
Date:
Case No.
File No.
CSEA No.
Judge
AGREED ENTRY (PARENTING AND SUPPORT)

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

I	A. is hereby designated the residential parent and legal custodian for the minor child(ren)	with the other party being awarded visitation as follows:

With the other party being awarded parenting time as follows: ]Standard Order []Other:

B. The Shared Parenting Decree is modified as it relates to companionship rights as follows:

II	A. shall pay to for the current support of the minor the sum of $ per month per child, total $ per month, excluding processing charge.

B. Obligor shall pay to as spousal support the sum of $ per month until .

Jurisdiction is/is not reserved to the Court to modify said award in conformity with O.R.C.3105.18(E).

C. Obligor shall pay to for payment on a child support/spousal support arrearage of $ as of , the sum of $ per month. The C.S.E.A. records shall reflect this arrearage.

D. X All of the above payments shall be made with the requisite processing charge through the Ohio Child Support Payment Central, P. O. Box 182394, Columbus OH 43218.

III	A. shall obtain/maintain health insurance for the benefit of the minor . shall be designated to receive reimbursements.

B. Additional document/orders are attached and incorporated herein for all purposes including

[ ]Support Worksheet [ ] 3121.03 Order [ ]Health Care Order [ ]Standard Parenting Order [ ] Other:

It is further ordered that

IV	A. Obligee acknowledges that is under no disability.

B. Obligor acknowledges that: is under no disability; has received a copy of the Support Order, the O.R.C.3113.21 and	3121 orders; and waives 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, other appropriate requirements plus court orders 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.

This order is effective .

Plaintiff/Petitioner	Magistrate

Attorney for Plaintiff/Petitioner	Defendant/Petitioner

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