COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

HAMILTON COUNTY, OHIO

Petitioner 1
Street Address
,
City, State and Zip Code
and
Petitioner 2
Street Address
,
City, State and Zip Code

Case No.
Judge
Magistrate

JUDGMENT ENTRY OF DISSOLUTION OF MARRIAGE

WITH CHILDREN WITHOUT CHILDREN

This matter came on for hearing on before Judge Magistrate , upon the petition for Dissolution of Marriage filed on .

Present at the hearing were the following persons:

FINDINGS

At the time of the filing of the Petition, (my name) _ (my Spouse’s name) Both parties was/were (a) resident(s) of the State of Ohio for at least six months.

(my name) (my Spouse’s name) Both parties was/were (a) resident(s) of County for at least 90 days immediately before the filing of the Petition.

The parties were married to one another on (date of marriage) in , (city or county, and state).

Check all that apply regarding child(ren):

There is/are no child(ren) expected from this marriage or relationship..

There is/are child(ren) expected from this marriage or relationship and the approximate due date is: .

There is/are no child(ren) from this marriage or relationship.

The parties are parents of (number) child (ren) from the marriage or relationship. Of the child (ren), (number) is/are now emancipated adults(s) and not under any disability. The following (number) child(ren) is/are minor child (ren) and/or mentally or physically disabled and incapable of supporting or maintaining themselves (name and date of birth of each child):

Name of Child	Date of Birth

________________________________(other parent’s name) is not the parent of the following child(ren) who was/were born during the marriage (name and date of birth of each child):

________________________________(other parent’s name) is not the parent of the following child(ren) who was/were born during the marriage (name and date of birth of each child):

The following child(ren) of this marriage or relationship is/are subject to a custody or parenting order in a different Court proceeding (name of each child with the Court that has issued the custody or parenting order):

Petitioner requests to be restored to the former name of : .

The parties personally appeared before this Court, and more than 30 and less than 90 days have elapsed after the filing of the Petition.

Upon examination under oath, the parties acknowledge that they have agreed on the Shared Parenting Plan or Parenting Plan for their child(ren), which they believe to be in their best interests. The Court’s adoption of the Plan is in the best interests of the child(ren).

IT IS FURTHER ORDERED that the parties have entered into a Shared Parenting Plan which has been submitted to and approved by the Court. Both parents shall be designated residential parent and legal custodian, with parenting time as outlined in the Decree of Shared Parenting, filed herewith.

IT IS FURTHER ORDERED that (Obligor) shall pay as and for the support of the minor children the sum of $ per month, per child, plus 2% processing charge, payable through The Office of Child Support of The Department of Jobs and Family Services for the parties' children. This order is effective and is payable monthly in the total amount of $ , including the processing charge.

DEVIATION - CHOOSE ONE:

This support order amount is the same as that indicated on the signed and attached child support worksheet

or

This support order amount is different from that indicated on the attached child support worksheet and the deviation is in the child(ren)’s best interest because:

Notwithstanding Section 3109.01 of the Revised Code, the parental duty of support to children, including the duty of a parent to pay support pursuant to a child support order shall continue beyond the child's eighteenth birthday only in accordance with Section 3119.86 of the Revised Code. The duty of support shall continue during seasonal vacations. The obligor is responsible for making payments directly to The Office of Child Support of The Department of Jobs and Family Services until such time as a deduction order takes effect. Any payment made directly to the residential parent and not through The Office of Child Support of The Department of Jobs and Family Services shall be deemed a gift and not credited to the support account.

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. A person and/or entity required to comply with withholding or deduction notices described in Section 3121.03 of the Revised Code shall determine the manner of withholding or deducting from the specific requirement included in the notices without the need for any amendment to the support order, and a person required to comply with an order described in sections 3121.03, 3121.04 to 3121.06 and 3121.12 of the Revised Code shall comply without need for any amendment to the support order. The withholding or deduction noticed and other orders issued under sections 3121.03, 3121.04 to 3121.06 and 3121.12 of the Revised Code, and the notices that require the obligor to notify the child support enforcement agency administering the support

order of any change in the obligor’s employment status or of any other change in the status of the obligor’s assets, are final and enforceable by the court.

EACH PARTY TO THIS SUPPORT ORDER MUST NOTIFY THE CHILD SUPPORT ENFORCEMENT AGENCY IN WRITING OF HIS OR HER CURRENT MAILING ADDRESS, CURRENT RESIDENCE ADDRESS, CURRENT RESIDENCE TELEPHONE NUMBER, CURRENT DRIVER’S LICENSE NUMBER, AND OF ANY CHANGES IN THAT INFORMATION. EACH PARTY MUST NOTIFY THE AGENCY OF ALL CHANGES UNTIL FURTHER NOTICE FROM THE COURT OR AGENCY, WHICHEVER ISSUED THE SUPPORT ORDER. IF YOU ARE THE OBLIGOR UNDER A CHILD SUPPORT ORDER AND YOU FAIL TO MAKE THE REQUIRED NOTIFICATIONS, YOU MAY BE FINED UP TO $50 FOR A FIRST OFFENSE, $100 FOR A SECOND OFFENSE, AND $500 FOR EACH SUBSEQUENT OFFENSE. IF YOU ARE AN OBLIGOR OR OBLIGEE UNDER ANY SUPPORT ORDER ISSUED BY A COURT AND YOU WILLFULLY FAIL TO GIVE THE REQUIRED NOTICES, YOU MAY BE FOUND IN CONTEMPT OF COURT AND BE SUBJECTED TO FINES UP TO $1,000 AND IMPRISONMENT FOR NOT MORE THAN 90 DAYS.

IF YOU ARE AN OBLIGOR OR OBLIGEE AND YOU FAIL TO GIVE THE REQUIRED NOTICES TO THE CHILD SUPPORT ENFORCEMENT AGENCY, YOU MAY NOT RECEIVE NOTICE OF THE CHANGES AND REQUESTS TO CHANGE THE CHILD SUPPORT AMOUNT, HEALTH CARE PROVISIONS, OR TERMINATION OF THE CHILD SUPPORT ORDER. IF YOU ARE AN OBLIGOR AND YOU FAIL TO GIVE THE REQUIRED NOTICES, YOU MAY NOT RECEIVE NOTICE OF THE FOLLOWING ENFORCEMENT ACTIONS AGAINST YOU: IMPOSITION OF LIENS AGAINST YOUR PROPERTY; LOSS OF YOUR PROFESSIONAL OR OCCUPATIONAL LICENSE, DRIVERS LICENSE, OR RECREATIONAL LICENSE; WITHHOLDING FROM YOUR INCOME; ACCESS RESTRICTION AND DEDUCTION FROM YOUR ACCOUNTS IN FINANCIAL INSTITUTIONS; AND ANY OTHER ACTION PERMITTED BY LAW TO OBTAIN MONEY TO SATISFY YOUR SUPPORT OBLIGATION.

HEALTH INSURANCE- CHOOSES ONE:

IT IS FURTHER ORDERED THAT shall maintain private health insurance for the parties’ child/children so long as he/she has accessible health insurance available for 5% or less of his/her gross annual income. A Qualified Medical Child Support Order shall issue. This order shall remain in effect until the child reaches the age of eighteen (18) and no longer attends an accredited high school on a full-time basis unless otherwise ordered. Except in cases in which a child support order requires the duty of support to continue for any period after the child reaches age nineteen, the order shall not remain in effect after the child reaches age nineteen. A Cash Medical Order is attached and incorporated for all purposes.

or

Neither party has private health insurance available for a reasonable cost. A Shared Liability Order shall issue for division of uninsured health care expenses. The obligor will be required to pay cash medical support in the amount of $ per month plus a 2% processing charge effective .

Upon examination under oath, the parties acknowledge that they voluntarily entered into a Separation Agreement, attached and incorporated in the Petition, as modified on and the parties are satisfied with the terms of the Separation Agreement and Plan and fully understand the same. Each Petitioner desires to have the marriage dissolved, and the Separation Agreement approved by the Court.

JUDGMENT

Based upon the findings set out above, it is, therefore, ORDERED, ADJUDGED and DECREED that:

FIRST: DISSOLUTION GRANTED

The dissolution of marriage is granted. The Court approves the Separation Agreement

Amended Separation Agreement Shared Parenting Plan Amended Shared Parenting Plan or

Parenting Plan Amended Parenting Plan as submitted and releases the parties from the obligations of their marriage except as set out in the attached Agreement and Plan, which is incorporated in this entry.

The parties shall fulfill each and every obligation imposed by the Agreement and Plan as submitted and modified, if applicable. The Plan is approved and this entry shall constitute a Parenting Decree under R.C. 3109.04(D).

SECOND: NAME

Petitioner is restored to the

Prior name of:

THIRD: OTHER

FOURTH: COURT COSTS

Court costs shall be (select one):

Taxed to the deposit. Court costs due above the deposit shall be paid as follows:

Other (specify):

__________________________________________

Judge

______________________________________	___________________________________________

Your Signature ____________________(Name)	Your Signature_________________ (Spouse’s Name)

______________________________________	____________________________________________

Attorney	Attorney