Free STATE OF WYOMING - Wyoming

STATE OF WYOMING COUNTY OF ___________________ Plaintiff: _______________________ vs. Defendant: _____________________

) ) ) ) ) ) ) )

IN THE DISTRICT COURT ___________ JUDICIAL DISTRICT Civil Case No. _____________

DECREE OF DIVORCE WITH MINOR CHILDREN

This matter came before the Court by: Default (and Entry of Default has been issued) Stipulation/agreement of the parties (Both parties have signed the document) Trial JURISDICTION: 1. The Plaintiff lived in Wyoming sixty (60) days before filing the Complaint for Divorce. 2. The Defendant was served (check one): Personally on the following date______________ in the following state: _______________. By publication. (Copy of Affidavit of Publication must be filed) Defendant accepted service (Acknowledgement and Acceptance of Service must be filed. Defendant's signature must be notarized). By Registered or Certified Mail (return receipt must be filed and Clerk must have entered certificate of service). At least twenty (20) days have passed since the Complaint for Divorce was filed. Defendant filed an Answer an Answer and Counterclaim no response (default must be entered, unless there is a waiver of right to answer) no response but both parties have signed and agreed to the entry of this Decree of Divorce.
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3.

4.

5.

The parties were married to each other on the _____ day of __________________, _______, in the County of _____________, State of
(month) (year)

___________________________. 6. The parties have irreconcilable differences constituting grounds for divorce. The irreconcilable differences include:

7.

CHILDREN: Children to whom this order relates:

Name

Address

Date of Birth

Place of Birth

8.

PREGNANCY: The wife is NOT pregnant. The wife is pregnant [NOTE: If wife is pregnant, you may have to wait until the child is born to finalize the divorce]. It is alleged that the baby is due on ________________(date), and, it is further alleged that: The Plaintiff and Defendant are the parents of the child, OR Plaintiff is not the parent of the child, OR Defendant is not the parent of the child. PROPERTY/DEBTS: The parties acquired property and debts during the marriage and the division set forth below in this Decree is just and equitable. OR The parties did not acquire any property or debts during the marriage.

9.

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10.

ALIMONY: Neither party shall pay the other alimony/spousal support. OR The wife shall pay to the husband reasonable alimony as set forth in this Decree. OR The husband shall pay to the wife reasonable alimony as set forth in this Decree. CHILD SUPPORT: The parents have an obligation to contribute toward the support and maintenance of the parties' minor children.* Both parents must fill out a Confidential Financial Affidavit in order to calculate the child support, otherwise, the court must hold a hearing or otherwise receive testimony regarding the income of the parties. If you have information regarding the other party's income for the previous two years, and you are unable to obtain a Confidential Financial Affidavit from that party, you may fill out an Affidavit of Imputed Income. If you need assistance computing child support, a local attorney or legal services organization may be willing to assist you with the calculation. WIFE'S FORMER NAME: The wife does not desire to have her former name restored; OR The wife wants her former name restored to: ______________________

11.

12.

IT IS THEREFORE ORDERED: 1. MARRIAGE DISSOLVED: The marriage of the parties is dissolved and the parties are restored to the legal status of single persons.

Wyo. Stat. §14-2-204 states a parent's legal obligation for the support of his or her children, whether natural or adopted, continues past the age of majority in cases where the children are: (1) Mentally or physically disabled and thereby incapable of self support; or (2) Between the age of majority and twenty (20) years and attending high school or an equivalent program as full-time participants.

*

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2.

PARENTING ISSUES: A. Major Decisions. Major decisions include, but are not limited to, decisions about the child(ren)'s education, non-emergency healthcare and religious training. Major Decision-Making by Both Parents. Both parents will share in the responsibility for making major decisions about their child(ren).

Choose one:

OR Major Decision-Making by One Parent. __________________ shall
(parent's name)

have sole decision-making authority on major decisions about their child(ren). OR Major Decision-Making Divided Between the Parents. (You should include issues such as education, medical and dental care, religious training, extra-curricular and recreational activities and other significant decisions. Mother shall have decision-making authority regarding:

Father shall have decision-making authority regarding:

B.

Day-to-Day Decisions. Each parent will make day-to-day decisions regarding the care and control of their child(ren) during the time they are caring for their child(ren). This includes any emergency decisions affecting the health or safety of the child(ren).

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C.

BASIC PARENTING PLAN: (If this plan does not fit your situation, see D. (Other Parenting Plan) below OR G. (Supervised Visitation) below. C.1. Primary residential/physical custody Plaintiff OR Defendant shall have the primary care, custody and control of the parties' minor child(ren). C.2. Weekend Parenting Time/Visitation The child(ren) shall spend time with Plaintiff every every other other (specify) to
(specify day of week & time)

Defendant weekend from

(specify day of week & time)

C.3. Weekday Parenting Time/Visitation (If applicable) The child(ren) shall spend time with Plaintiff Defendant during the week as follows: Specify days: C.4. Other Parenting Time/Visitation Schedule OTHER: (specify)

Check box below if there is a different parenting time schedule for any child. Complete a separate attachment for each child for whom there is a different parenting time schedule. Label it "Attached Parenting Schedule." There is a different parenting time schedule for the following child(ren) in an attachment: , , and .
(name of child) (name of child) (name of child)

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D.

OTHER PARENTING PLAN

The child(ren) shall spend time with mother on the following days and times: WEEKENDS: From every every other to to
(specify time)

other (specify)
(specify day of week & time)

(specify day of week & time)

WEEKDAYS: Specify days: From
(specify time)

OTHER: (specify) The child(ren) shall spend time with father on the following days and times: WEEKENDS: From every every other to to
(specify time)

other (specify)
(specify day of week & time)

(specify day of week & time)

WEEKDAYS: Specify days: From
(specify time)

OTHER: (specify) E. SUMMER SCHEDULE. (Choose one)

Plaintiff Defendant shall have parenting time/visitation with the parties' child(ren) beginning ____________________ and continuing until __________________________ (i.e. Ten days after school lets out from 5:00 p.m. and continuing until ten days prior to school starting up again at 5:00 p.m.) AND Summer Weekend Parenting Time/Visitation (If applicable) The child(ren) shall spend time with Plaintiff Defendant every every other other (specify) weekend from to
(specify day of week & time) (specify day of week & time)

AND Summer Weekday Parenting Time/Visitation (If applicable) In the summer, the child(ren) shall spend time with Plaintiff Defendant during the week as follows: Specify days: From
(specify time) DWCD 25 Decree of Divorce with Children Revised September 2007 Page 6 of 24

to
(specify time and day, if applicable)

OR The summer schedule will remain the same as during the school year; OR The summer schedule will remain the same as during the school year, except for the following vacation times: ______________________________________ __________________________________________________________________ _________________________________________________________________; OR Other Summer Parenting Time/Visitation Schedule OTHER: (specify)

Check box below if there is a different parenting time schedule for any child. Complete a separate attachment for each child for whom there is a different parenting time schedule. Label it "Attached Parenting Schedule." There is a different parenting time schedule for the following child(ren) in an attachment: , , and .
(name of child) (name of child) (name of child)

F. HOLIDAY SCHEDULE: The following holiday schedule will take priority over the regular weekday, weekend, and summer schedules described above. Fill in the blanks below with the parent's name to indicate where the child(ren) will be for the holidays. Provide beginning and ending times. If a holiday is not specified as even, odd, or every year with one parent, then the child(ren) will remain with the parent they are normally scheduled to be with. F. 1. Spring Vacation (The weekday days of school Spring Break). F.1.A. The child(ren) will alternate spending spring break with each parent, spending it with in even years and with in odd years. Time & Place of exchange From ______ a.m./p.m. the day after school lets out until ______a.m/p.m. the day prior to school beginning after the break.

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Transportation Plaintiff or Defendant shall pick up the child(ren) from______________ at
(location)

the beginning of the vacation and Plaintiff Defendant shall pick up the child(ren) at the end of the vacation from ___________
(location)

Other: F.1.B. The child(ren) will spend part of spring break with each parent (provide details): Other spring break arrangements:

F.2. Christmas (indicate either entire vacation period, half of the vacation period to each parent or other)
Name of party spending time with child(ren) Odd numbered years First Half Second Half Entire Vacation period First Half Second Half Entire Vacation period Even numbered years First Half Second Half Entire Vacation period First Half Second Half Entire Vacation period All Years Beginning and Ending Time & Place of exchange

First Half Second Half Entire Vacation period First Half Second Half Entire Vacation period

Transportation Plaintiff or at

Defendant shall pick up the child(ren) from ______________
(location)

the beginning of the vacation and Plaintiff at the end of the vacation from ___________ ________ . Other transportation arrangements:

Defendant shall drop off/pick up at

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F.3. Other Holidays (be very specific about dates or days, times and where and by whom exchanges are to going to take place)
Event Name of party spending time with child(ren) Odd numbered years Even numbered years All Years Time & Place of exchange

Mother's Day Memorial Day Father's Day July 4th Labor Day Thanksgiving Break Thanksgiving Day Winter Break Child(ren)'s Birthdays Religious Events Other Holiday Events

F.4. This holiday schedule may affect your regular parenting time/visitation schedule. You may wish to specify one or more of the following options: When parents are using an alternating weekend plan and the holiday schedule would result in one parent having the child(ren) for three weekends in a row, the alternating weekend pattern will restart so neither parent will go without having the child(ren) for more than two weekends in a row. If a parent has the child(ren) on a weekend with an unspecified holiday or non-school day attached, they shall have the child(ren) for the holiday or non-school day. Other:_______________________________________________ __________________________________________________________ ___________________________
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F.5. CHILD(REN)'S BIRTHDAYS. The child(ren)'s birthdays will be planned so that both parents may participate in the birthday celebration. The child(ren) will be in the care of each parent according to the schedule described in Section C.1 to C.4 above. Other: F.6 TEMPORARY CHANGES TO THE SCHEDULE. Any schedule for sharing time with the child(ren) may be changed as long as both parents agree to the changes ahead of time: in writing; orally (choose one). Activities scheduled that will affect the other parent's time must be coordinated with the other parent. Makeup and Missed Parenting Time: Only substantial medical reasons will be considered sufficient for postponement of parenting time. If a child is ill and unable to spend time with a parent, a makeup parenting time will be scheduled. If a parent fails to have the child(ren) during their scheduled parenting time for any other reason, there will be no makeup of parenting time unless the parents agree otherwise: in writing verbally (choose one). F.7 PERMANENT CHANGES TO THE SCHEDULE. Once the judge signs the final Decree of Divorce in your case and approves this Parenting Plan, any changes that the parents do not agree on can be made only by applying to the court for a modification. One parent cannot change a courtordered Parenting Plan on their own. F.8. PARENT-CHILD COMMUNICATION Both parents and child(ren) shall have the right to communicate by telephone, in writing or by e-mailing during reasonable hours without interference or monitoring by the other parent. Procedures for telephone, written, or e-mail access (describe ground rules for parent-child communication):

F.9. MUTUAL RESPECT. Parents will not say things or knowingly allow others to say things in the presence of their child(ren) that would take away the child(ren)'s love and respect for the other parent.

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F.10. ACCESS TO RECORDS. The law provides that both parties have access to the records of the child(ren) including school records, activities, teachers and teachers' conferences as well as medical and dental treatment providers and mental health records, unless access is limited by the Court. If you believe that there are valid reasons to limit the other party's access to records, you must ask the Court to limit access and obtain an order that does so. (Wyo. Stat. §20-2201(e)). OTHER:

F.11. OTHER TERMS Add any other items regarding the child(ren) you would like to include in your Parenting Plan. Use additional sheets if necessary. __________________________________________________________________ ____________________________ ____________________________________________________________ Additional sheets of paper are attached. G. SUPERVISED OR NO VISITATION (Check and complete only if supervised or no visitation is ordered): G.1. The father mother shall have no visitation with the minor child(ren) and this is best for the child(ren) for the following reasons: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ OR G.2. The father mother shall have supervised visitation with the minor child(ren) for the following reasons: _________________________________________________________________ _________________________________________________________________ Visitation may only take place in the presence of another person as listed below or as otherwise approved by the Court. Name of Supervisor: ___________________________________________________________ Visitation shall occur on the following days/times: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________
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The cost of supervised visitation will be paid by shared equally. H. EXCHANGE OF CHILDREN/TRANSPORTATION:

father

mother OR

Both parents shall have the child(ren) ready on time with sufficient clothing packed and ready at the agreed-upon time of exchange. All clothing that accompanied the child(ren) shall be returned to the other parent. While both parents continue to reside in the same locale, both parents shall share equally in the responsibility of exchanging their child(ren) from one parent to the other. Other: (provide details for the exchange of the child(ren)):

I.

FUTURE CONFLICT RESOLUTION. If the parents cannot reach an agreement in the future on any issue involving the parenting plan, they agree do not agree to enter into mediation. Any costs of mediation (or other alternative dispute resolution) shall be paid _______ % by _____________________________________________(name of party) and _______% by ______________________________________ (name of party). If the mediation fails, the final decision will be made by the Court.
ONCE FILED, THE PARTIES MAY MAKE SUBSTANTIAL, PERMANENT MODIFICATIONS TO THIS PARENTING PLAN ONLY BY WRITTEN AGREEMENT SIGNED BY BOTH PARTIES, APPROVED BY THE JUDGE AND FILED WITH THE COURT. MINOR, NON-PERMANENT CHANGES MAY BE MADE ANY TIME IF BOTH PARTIES AGREE TO THE CHANGES.

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3. CHILD SUPPORT: 3.A. In accordance with Wyo. Stat. § 20-2-304, Presumptive Child Support for _____ (number of) child(ren) is as follows: 1. Father's net monthly income is: 2. Mother's net monthly income is: 3. Total child support obligation of both parents is: 4. Father's presumptive child support obligation is: 5. Mother's presumptive child support obligation is: $_______ $_______ $_______ $_______ $_______

The child support amount may depend on the custodial arrangement that is ordered by the court. If each parent keeps the children overnight for more than forty percent (40%) of the year and both parents contribute substantially to the expenses of the children in addition to the payment of child support, a joint presumptive support obligation shall be determined by use of the tables. Also, when each parent has physical custody of at least one (1) of the children, a joint presumptive support obligation for all of the children shall be determined by use of the tables. See Wyo. Stat. §§20-2-304(c) and (d).

3.B. Amount. $_________ per month is the presumptive child support amount determined by Wyoming's Child Support Guidelines (Wyo. Stat. 202-304). Every order or decree providing for the support of a child shall set forth the presumptive child support amount and shall state whether the order or decree departs from that amount. The court shall use the presumed child support amounts to review the adequacy of child support agreements negotiated by the parties. 3.C. Payor. The mother OR father shall pay $____________ per month for child support beginning on THE FIRST DAY OF THE MONTH following the date this Decree is signed by the Judge) and continue on the first day of the month thereafter, until further order of the court, OR: beginning on the ____ day of _____________, _______and continuing as follows: .

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3.D. Restriction on reducing amount of child support: No agreement which is less than the presumed child support amount shall be approved if means tested sources of income such as aid under the personal opportunities with employment responsibilities (POWER) program, health care benefits under Title XIX of the Social Security Act, food stamps, supplemental security income (SSI) or other similar benefits are being paid on behalf of any of the children. CHECK ONE: The child(ren) receive(s) means tested income; The child(ren) DO NOT receive(s) any means tested income. 3.E. The amount of child support is based upon: The presumptive amount of child support determined by Wyoming's Child Support Guidelines/formula, therefore there is no deviation; OR Not the presumptive level of child support, and there is a deviation upwards downwards from the presumptive amount. (If the court deviates, there must be a specific finding that the application of the presumptive child support would be unjust or inappropriate in this particular case. In any case where the court has deviated from the presumptive child support, the reasons have to be specifically set forth fully below): ____________________________________________________________ ____________________________________________________________ _________________ 3.F. CONTINUATION OF CHILD SUPPORT: Child support shall continue during the minor child's minority, and beyond if the child has a mental, emotional or physical impairment preventing emancipation, or while the child is attending high school or an equivalent program as a full-time student between the ages of 18 and 20. Child support shall terminate if, during the child's minority, the child marries, is emancipated, becomes selfsupporting or dies. 3.G. PLACE: All child support payments shall be paid to the Clerk of District Court, whose address is:______________________________(See District Court Clerks' Addresses in the packet). The Clerk shall forward the support payments to the receiving parent at the address provided by that parent to the Clerk. DO NOT PAY WITH A PERSONAL CHECK. CASH ACCEPTED IN PERSON ONLY. CASHIER'S CHECKS AND MONEY ORDERS ACCEPTED.
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3.H. MODIFICATION: Either party may seek a modification of the child support payments upon showing of a substantial or material change of circumstances and that it would be in the best interests of the child(ren) that a modification be made or when, in applying the presumptive child support established by this article, the support amount will change by twenty percent (20%) or more per month from the amount of the existing order. No deviation as stated above shall nullify this provision of Wyoming law as set forth in Wyo. Stat. §20-2-311. MODIFICATION OF CHILD SUPPORT NOT EFFECTIVE UNLESS IT IS APPROVED BY A WRITTEN ORDER SIGNED BY THE JUDGE. 3.I. ABATEMENT (Temporary Relief from Paying) CHILD SUPPORT: Wyo. Stat. §20-2-305 says child Support may abate or decrease by one-half (1/2) of the daily support obligation for each day the noncustodial parent has physical custody of the child for whom support is due, ONLY IF the noncustodial parent has custody of the child for more than fifteen (15) consecutive days and if approved by the Court. REQUIREMENTS: 1. The non-custodial parent MUST FILE any claim for child support abatement with the clerk of the court within thirty (30) days after the period for which abatement is claimed and must pay ten dollars ($ 10.00) to the clerk when filed. 2. The clerk will then mail a copy of the claim to the custodial parent. 3. The custodial parent can object or dispute any abatement claim by filing an objection with the clerk of court within thirty (30) days of the date the clerk mailed the notice to the custodial parent and paying ten dollars ($ 10.00) to the clerk. 4. The clerk will mail a copy of the objection to the noncustodial parent. 5. Claims or objections not filed in a timely manner or not accompanied by the ten dollar fee will be rejected. 3.J. ENFORCEMENT: Either party has the right to petition to enforce an order pursuant to Wyo. Stat. §§20-2-201 through 20-2-204 and 20-2-311(d). Wyoming law states that any payment of child support not paid when due shall automatically become a judgment against the parent who is supposed to pay on the due date. This judgment is subject to a 10% late payment penalty if it is not paid within thirty-two (32) days. Wyoming law §1-16-103(b) also states that if child support becomes delinquent in an amount equal to or greater than one month's obligation, a notice may issue to employers and others who may owe money to the obligated parent; a percentage of the noncustodial parent's income (35% minimum and up to 65% in some cases) of the obligated parent's wages and other income could be withheld and
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submitted to the Clerk of this Court to be applied toward child support obligations. 4. MEDICAL INSURANCE PAYMENTS AND EXPENSES: Either or both of the parents shall provide medical support, which may include dental, optical or other health care needs for their dependent children. 4.A.____ mother, OR ____ father OR _______ both parents are/is ordered to provide medical insurance for the minor child(ren). (It is important to understand that both parents have an obligation to ensure that their child or children have medical insurance coverage even if the state is currently providing such coverage, either or both parents may be required to pay the state back for the expenses incurred in providing medical insurance coverage for the child or children.) 4.B. The party or parties ordered to provide insurance shall submit to the court and to the other parent or the other parent's representative written proof that the insurance has been obtained or that application for insurability has been made within sixty (60) days of entry of this Decree. 4.C. Proof of insurance coverage shall contain, at a minimum: (i) The name of the insurer; (ii) The policy number; (iii) The address to which all claims should be mailed; (iv) A description of any restrictions on usage, such as pre-approval for hospital admission, and the manner in which to obtain pre-approval; (v) A description of all deductibles; and (vi) Two (2) copies of claim forms. 4.D. UNCOVERED MEDICAL EXPENSES: The parties shall pay any non-covered expenses of medical, dental, orthodontic and optical care that is not covered by insurance; the Mother paying ______% of uncovered expenses and Father paying ______% of uncovered expenses including co-payments and deductibles.

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4.E. CHANGES TO INSURANCE: The obligated parent(s) shall provide written notice to the clerk of this court and to the other parent if insurance coverage for any child is denied, revoked or altered in any way that would affect the child's coverage including any change relating to the information required in Paragraph 4.C. in compliance with Wyo. Stat. §20-2-401(c). 5. SPOUSAL SUPPORT/ALIMONY: 5.A. Neither party shall pay spousal support/alimony to the other party, OR 5.B. Wife OR Husband is ordered to pay the other spouse the sum of $________ per month spousal support/alimony BEGINNING THE FIRST DAY OF THE MONTH after this Decree has been entered and continuing to be paid on the same day each month until the receiving party is: remarried or deceased or until (date) . Unless stated otherwise, spousal support/alimony payments end if the receiving party is remarried or deceased. Payments made shall be included in receiving spouse's taxable income and are tax deductible from the paying spouse's income as required by law. 5.C. OTHER TERMS: (may include alternate beginning or termination date or event): ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ________________ 6. PROPERTY/DEBT DIVISION: 6A. DIVISION OF PROPERTY ­ 6.A.1. The wife shall have as her sole and separate property, free and clear of any and all claims thereto by the husband, but subject to any indebtedness thereon, all of the property in her possession (list any vehicles by description and include Vehicle Identification Number VIN) in table below.
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6.A.2. The husband shall have as his sole and separate property, free and clear of any and all claims thereto by the wife, but subject to any indebtedness thereon, all of the property in his possession (list any vehicles by description and include Vehicle Identification Number VIN) in table below. 6.B. OR 6.C. There is specific property the parties would like to mention, it is described as follows: DESCRIPTION OF PROPERTY(include AWARDED TO: wife or husband VIN numbers of vehicles and joint bank account numbers) 1. WIFE HUSBAND 2. WIFE HUSBAND 3. WIFE HUSBAND 4. WIFE HUSBAND 5. WIFE HUSBAND 6. WIFE HUSBAND 7. WIFE HUSBAND 8. WIFE HUSBAND 9. WIFE HUSBAND 10. WIFE HUSBAND 11. WIFE HUSBAND 12. WIFE HUSBAND (if more space is needed attach a separate sheet of paper) 7. DIVISION OF DEBTS ­ Each party shall pay such debt as they have accumulated since the separation. The parties shall pay the following debts acquired prior to separation: Who it is owed to (include Account #) Amount owed Paid By: Wife/Husband WIFE WIFE WIFE WIFE WIFE WIFE WIFE WIFE WIFE HUSBAND HUSBAND HUSBAND HUSBAND HUSBAND HUSBAND HUSBAND HUSBAND HUSBAND There is no specific property to be divided.

Type of Debt 1. 2. 3. 4. 5. 6. 7. 8. 9.
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8.

UNKNOWN DEBTS Husband is ordered to pay all debts incurred by him and unknown to wife, AND wife is ordered to pay all debts incurred by her and unknown to husband. SEPARATE DEBTS Each party is ordered to pay his or her debts from the following date (usually date of separation): Each party is assigned his or her separate property and wife must pay her separate debt, and husband must pay his separate debt.

9.

10.

TITLE TRANSFER: Parties shall sign all documents necessary to complete all transfer of title ordered in this Decree, such as motor vehicles, houses, and bank accounts. Otherwise, this Decree can be used as a transfer of title and can be recorded. FILING INCOME TAX [If Decree entered between January 1st and April 15th ] 11.A. For previous calendar years, pursuant to IRS rules and regulations, the parties will file joint federal and state income tax returns and hold the other harmless (meaning other party won't be responsible) from half of all additional income taxes if any and other costs, and each will share equally in any refunds, OR 11.B. Separate federal and state income tax returns. OR 11.C. Other, explain:

11.

For this calendar year and continuing thereafter, each party will file separate federal and state income tax returns. 12. OR 12.B. The parties shall exchange financial information (tax returns, financial affidavits, earning statements and/or other related financial statements) by __________________________________(date) every year OR every other year. FINANCIAL INFORMATION EXCHANGES: 12.A. The parties are not required to exchange financial affidavits;

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13.

TAX EXEMPTION The parties shall claim as income tax dependency exemptions on federal and state tax returns as follows. A party required to pay child support is only entitled to claim a child(ren) as an income tax dependency exemption if that parent has paid all of the child support due and owing for the year that party is entitled to the exemption: Name of child Parent entitled to claim mother father mother mother mother father father father Year Allowed to Claim every odd even Other: ______ every odd Other: ______ every odd Other: ______ every odd Other: ______ even even even

14.

CHANGE OF EMPLOYMENT OR ADDRESS: Each parent shall inform the other parent and the clerk of court in writing of any change of address, phone number, and employment: 14.A. CHANGE OF EMPLOYMENT STATUS - so long as there is a child support obligation, each parent shall notify the other parent and the Clerk of this Court, in writing, on forms available from the Court, within fifteen (15) days of any change in employment, including second jobs, changed employers, starting or ending unemployment compensation, and starting or ending of worker's compensation, or any other change in income. 14.B. CHANGE OF ADDRESS ­ so long as there is a child support obligation, if either parent plans to change his or her address, that parent must notify the other parent and the clerk of this court, in writing, on forms available from the Clerk of this Court, no later than fifteen (15) days prior to the day of the move, the destination of the move and the proposed move date.

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14.C. CHANGE OF HOME CITY OR STATE OF RESIDENCE either parent who plans to change their home city or state of residence, must give written notice thirty (30) days prior to the move, both to the other parent and to the clerk of district court stating the date and destination of the move. 15. RESTORATION OF NAME: (This is wife's sole decision). The wife's former name is restored to: _______________________________________; or The wife does not desire to have her name changed. REQUIRED INFORMATION: The wife's NAME ADDRESS DATE OF BIRTH PLACE OF BIRTH EMPLOYER'S NAME EMPLOYER'S ADDRESS The husband's NAME ADDRESS DATE OF BIRTH PLACE OF BIRTH EMPLOYER'S NAME EMPLOYER'S ADDRESS 17. INCOME WITHHOLDING ORDER: Upon entry or modification of any support order, the court shall also enter an income withholding order which shall take effect immediately, unless the parties agree otherwise, or unless one (1) of the parties demonstrates, and the court finds, that there is good cause not to require immediate income withholding. When the parties agree to an alternative arrangement, the arrangement shall be in writing, signed by the parties and reviewed and entered in the record by the court. The court shall include in the record its findings of good cause, including a statement explaining why implementation of immediate income withholding would not be in the best interests of the child and, in cases involving modification of child support, proof of timely payments.

16.

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IMMEDIATE ENTRY (Recommended); OR NOT IMMEDIATE ENTRY. If an Income Withholding Order is not immediately effective, one will become effective upon the earliest of the following (1) The date the obligor requests withholding commence; or (2) The date the obligor becomes delinquent in payment of an amount equal to one (1) month's support obligation under the support order. If there is not to be an immediate Income Withholding Order, list the good cause why not to require an immediate income withholding: ______________________________________________________________________ ______________________________________________________________________ OTHER (i.e. Military allotment )_________________________________________.

18. ENFORCEMENT OF ORDER: Either party or, when appropriate, the department of family services has the right to petition to enforce an order pursuant to W.S. 20-2-201 through 20-2-204, 20-2-310 and 20-2-311(d). Pursuant to W.S. §20-2-204 and 20-2-310, a court having jurisdiction to enforce or revise the decree may, upon appropriate motion of either parent, require a parent to appear before the court and show just cause why the parent should not be held in contempt, upon a showing that the parent has willfully violated the decree as to the care, custody, visitation and maintenance of the children. The court may, in addition to any assessment it may impose upon a finding that the parent is in contempt of court, award attorney's fees, costs, and such other and further relief as the court may deem necessary under the circumstances, to the parent aggrieved by the violation of the decree, in order to enforce and require future compliance with the decree. 19. DEFAULT: In the event that either party hereto shall fail to perform, in whole or in part, any obligation or duty imposed by the terms of this Decree, such defaulting party shall be responsible for the payment of all reasonable attorney's fees, costs, and expenses incurred by the other party as a result of such failure or default. 20. EXECUTION OF INSTRUMENTS: Each party shall promptly execute and deliver to the other party or any nominee(s) of the other party, all instruments that may be necessary, convenient, or appropriate to carry into effect, fully and fairly, all of the terms of this Decree, and the parties shall also be free to revoke any special or general powers of attorney heretofore given the other or given to any agent or nominee of the other.

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21. LIMITED REPRESENTATION: Following Rule 1.2(c) of the Wyoming Rules of Professional Conduct, any attorney who has entered a limited appearance for the purpose of obtaining a divorce decree is now discharged. DONE this _________ day of ______________________, 20____. BY THE COURT: ________________________________ DISTRICT COURT JUDGE If the parties have agreed: I certify that I have read the foregoing Decree of Divorce and that I agree to the terms and agree to entry of the Decree of Divorce. _______________________________ Plaintiff's signature ______________________________ Defendant's signature

If default has been entered and the Defendant did not respond: The above is true and accurate and I want the court to approve: ______________________________ Signature of Plaintiff

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If a court hearing was held: APPROVED AS TO FORM: _______________________________ Plaintiff's signature ______________________________ Defendant's signature

I certify that I have read the foregoing Decree of Divorce With Minor Children and that I understand and agree to the terms and agree to the entry of this Decree. __________________________ Plaintiff's Signature STATE OF ______________________ COUNTY OF ____________________ ) ) ss )

Subscribed and sworn to before me by ________________________________________, this ______ day of _____________________, ______. Witness my hand and official seal ______________________________ Notary Public / Court Clerk My Commission Expires: __________________________ (Defendant's signature) STATE OF _____________________ COUNTY OF ____________________ ) ) ss )

Subscribed and sworn to before me by ________________________________________, this ______ day of _____________________, ______. Witness my hand and official seal: ______________________________ Notary Public / Court Clerk My Commission Expires:

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