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District Court Denver Juvenile Court ___________________ County, Colorado Court Address:

In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address):

COURT USE ONLY
Case Number:



Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

Courtroom

VERIFIED

MOTION STIPULATION TO RELOCATE MINOR CHILD(REN) PURSUANT TO ยง14-10-129(1)(a)(II), C. R.S.

Note to Responding Party: If you disagree with this Motion, the Colorado Civil Rules of Procedure allow you to file a written response with the Court which must be filed within 15 days of the date this Motion was served on you or mailed to you.

Petitioner Co-Petitioner/Respondent Both requests that the Court enter an Order to allow the The permanent residence of the minor child(ren) to be changed to a residence that substantially changes the geographical ties between the child(ren) and the other party and to modify the Parenting Plan.

1. The

Petitioner Co-Petitioner/Respondent requests to relocate the child(ren) to __________________ (city) ______________________ (state), on _______________________(date).

2. Information about Petitioner:
Current Mailing Address: City, State & Zip: Home Phone #: Work Phone #:

Date of Birth:

Cell #: Date of Birth:

3. Information about Co-Petitioner/Respondent:
Current Mailing Address: City, State & Zip: Home Phone #: Work Phone #:

Cell #:

4. The parties have ______ minor child(ren):
Full Name of Child Present Address Sex Date of Birth

JDF 1407

R7/07

VERIFIED MOTION/STIPULATION TO RELOCATE MINOR CHILDREN

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5. The last Parenting Plan/Order regarding the residence of the minor child(ren) was entered on
_________________________________ (date) and is attached.

6. Under the terms of the last Parenting Plan/Order, the Petitioner has _______ overnights per year with the
child(ren) and the Co-Petitioner/Respondent has _______ overnights per year with the child(ren).

7. I/We have filed a motion to modify the Parenting Plan/Order within the last two years?
please identify the outcome of that motion: Ordered by Court Denied by the Court.

Yes

No If Yes,

8. I

have

have not notified the other party in writing of my request to relocate the child(ren).

9. I

have

have not provided a revised Parenting Plan to address the issues presented with the relocation.

10. Restrictions currently exist in the current Parenting Plan/Order regarding relocation of the child(ren)'s
residence? Yes No If Yes, please identify:

11. The relocation or change of residence is in the best interests of the child(ren) because:

12. Required Notice of Prior Protection/Restraining Orders.
Have any Temporary or Permanent Protection/Restraining Orders to prevent domestic abuse or any Criminal Protection/Restraining Orders or Emergency Protection Orders been issued against either party within two No Yes If your answer was Yes, complete the following: years prior to the filing of this petition? The Protection/Restraining Order was , in the County of number . Temporary Permanent and issued against , State of , in case

What was the subject matter of the Civil Protection/Restraining Order or Emergency Protection Order?

JDF 1407

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VERIFIED MOTION/STIPULATION TO RELOCATE MINOR CHILDREN

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13.

Check only if applicable. Due to this request to relocate the minor child(ren) and to modify the Parenting Plan, I/we request that child support also be modified. Under the current child support order, the Petitioner's Co-Petitioner's/Respondent's child support and is paid: obligation is $ weekly bi-weekly twice a month monthly Other: . The new child support obligation requested is is not more than a 10% change from the current child support order. I/We have completed a child support worksheet that shows what the new child support obligation should be. The child support worksheet is attached to this Motion. I/We have attached current Sworn Financial Statements.

I/We respectfully request that this Court enter an Order to relocate the minor child(ren) and to modify the Parenting Plan/Order, and if applicable modify child support.

VERIFICATION AND ACKNOWLEDGMENT
I swear/affirm under oath that I have read the foregoing Motion/Stipulation and that the statements set forth therein are true and correct to the best of my knowledge.

_______________________________________
Petitioner Signature Date

______________________________________
Co-Petitioner/Respondent Signature Date

______________________________________
Petitioner's Attorney Signature, if any

______________________________________
Co-Petitioner's/Respondent's Attorney Signature, if any

Subscribed and affirmed, or sworn to before me in the County of ________________________, State of ____________________, this _______ day of ________________, 20 ____. My Commission Expires: __________________ _______________________________________ Notary Public/Clerk

Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ___________________, this ________ day of ________________, 20 ____. My Commission Expires: __________________ ______________________________________ Notary Public/Clerk

CERTIFICATE OF SERVICE
(Required if only one of the parties is filing the Motion.) I certify that on _________________________ (date) a true and accurate copy of the Verified Motion/Stipulation to Relocate Minor Children served on the other party by: Hand Delivery E-filed Faxed to this number ___________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ______________________________________ ______________________________________ ______________________________________ ______________________________________ (Your Signature)
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JDF 1407

R7/07

VERIFIED MOTION/STIPULATION TO RELOCATE MINOR CHILDREN