Free Form 1 Motion for Order to Show Cause Regarding Modification - Oregon


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Form 1 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN

IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY OF

___________________________________, Petitioner, and ___________________________________, Respondent.

) ) ) ) ) ) ) ) ) ) ) ) ) )

Case No. _______________________

PETITIONER'S RESPONDENT'S
EX PARTE MOTION FOR ORDER TO SHOW CAUSE REGARDING MODIFICATION OF JUDGMENT RE: CUSTODY PARENTING TIME CHILD SUPPORT [ORS 107.174]

MOTION I, Petitioner Respondent, request that the court issue an Order to Show Cause requiring Petitioner Respondent to appear in Circuit Court in the Linn County Courthouse in Room 107, Albany, Oregon, to show cause why this court should not grant the following relief concerning the parties' child/ren: ________________________________________________________________________________________________________ ________________________________________________________________________________________________________
[En ter Fu ll Na me(s) an d d ate(s) of birth ]

1. Change custody of the minor child/ren as follows:

________________________________________________________

________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ 2. Change the current court-ordered parenting time (visitation) as follows: ________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ 3. Terminate Petitioner's Respondent's child support obligation due to the requested change in custody. 4. Require Petitioner Respondent to pay child support in the amount of $________________________. per month beginning , 20 , for _____________________________________________________________ until the child[ren] is/are 18 years of age or otherwise emancipated, or until age 21, so long as the child[ren] is/are student(s)

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LINN CO UNTY FORM Modificat ion-4A: Form 1 M otion for Order to Show Cause Regarding Supplemental Judgment.wpd (4/04)

attending school as defined in ORS 107.108. The support amount was calculated pursuant to the support guidelines set out in Oregon's Administrative Rules. The support amount does does not deviate from the presumed correct amount under the guidelines. If the amount does deviate, I am requesting the deviation because (explain): _________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ 5. Life Insurance Coverage for Child/ren.

Petitioner Respondent should obtain and maintain life insurance for the benefit of the parties' child/ren
throughout the period of the support obligation. The coverage should be in the amount of $_____________.

Petitioner Respondent will not obtain and maintain life insurance for the benefit of the parties' child/ren
throughout the period of the support obligation because __________________________________________________________. 6. Medical Insurance Coverage for Child/ren. Throughout the period of the support obligation, Petitioner Respondent should name the child/ren as beneficiaries of any health, accident, dental, orthodontic, and optical insurance plan, available through that parent's employment, group, or union, at a cost not to exceed the amount of child support ordered in this case. If that parent fails to maintain insurance under these circumstances for the child/ren, that parent should be responsible for any of those expenses incurred after the date of the court order requiring the coverage. If that parent maintains this insurance but the insurance does not provide complete coverage, that parent should pay ______% of the uninsured costs. If the insurance coverage for the child/ren is provided through the parent's employment, group, or union, and if this employment, group or union membership is then terminated, this parent shall notify the other parent of this fact prior to or immediately upon termination. If insurance is not available to this parent when the Supplemental Judgment is entered, that parent should provide insurance in the future when it becomes available to him/her. Whenever Petitioner Respondent does not have health, accident, dental, orthodontic, or optical insurance available through employment, group or union membership, that parent should pay ______% of the uninsured costs incurred by the child/ren throughout that period, including costs for prescriptions. 7. Court Costs and Fees. A. Costs and Fees Paid by the Parties

Each party should be responsible for paying his or her own court costs and service fees for this case. Petitioner Respondent should reimburse the other party for his/her court costs and service fees for this case. Other:_______________________________________________________________________________.
Judgment should be entered according to the cost and fee allocation listed above. ///

/// Page 2 of 3, MOTION FOR ORDER TO SHOW CAUSE REGARDING MODIFICATION
LINN CO UNTY FORM Modificat ion-4A: Form 1 M otion for Order to Show Cause Regarding Supplemental Judgment.wpd (4/04)

Points and Authorities ORS 107.135(1)(a) allows the court to modify custody, parenting time and support terms in a General Judgment of Dissolution. ORS 109.103 extends the provisions of ORS 107.135 to custody and parenting time cases involving the children of unmarried parents.

Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply:

I selected this document for myself and I completed it without paid assistance. I paid or will pay money to for assistance in preparing this form.
DATED: _______________________, 20 _____.

Submitted by:

______________________________________ Petitioner Respondent, Signature
__________________________________________________ Address or Contact Address City, State, Zip

______________________________
Print Name

________________________________________ Telephone or Contact Telephone

I certify that this is a true copy:

____________________________________

Petitioner Respondent, Signature

Page 3 of 3, MOTION FOR ORDER TO SHOW CAUSE REGARDING MODIFICATION
LINN CO UNTY FORM Modificat ion-4A: Form 1 M otion for Order to Show Cause Regarding Supplemental Judgment.wpd (4/04)