Free 2000C13-A intent to relocate out of BC.PDF - Ohio

C13-A Eff. 1/05

BUTLER COUNTY COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS BUTLER COUNTY, OHIO Judge Sharon L. Kennedy Judge Eva D. Kessler

______________________________ Plaintiff/1st Petitioner ______________________________ Address ______________________________ vs. ______________________________ Defendant/2nd Petitioner ______________________________ Address ______________________________

: Case No. _____________________ : : : : NOTICE OF INTENT TO RELOCATE OUTSIDE OF BUTLER COUNTY

This form must be received by the Compliance Office sixty (60) days prior to your move from your current address to any other address OUTSIDE Butler County, Ohio. I am a parent of the following minor child(ren): Name:___________________________ Date of Birth: _______________________ Name: __________________________ Date of Birth: ________________________ Name: __________________________ Date of Birth: ________________________ I intend to relocate from: __________________________________________ (Present Address) __________________________________________ Effective Move Date:______________________ To: (New Address) __________________________________________ __________________________________________ (Current Phone #) ______________ (New Phone #, if different) ______________

IF EITHER PARENT BELIEVES THIS MOVE REQUIRES A CHANGE IN THE PARENTING

TIME, IT IS THE RESPONSIBILITY OF THE PARENT TO FILE A MOTION FOR REVIEW OF PARENTING TIME. IF EITHER PARENT BELIEVES THIS MOVE REQUIRES A CHANGE IN THE RESIDENTIAL PARENT STATUS, IT IS THE RESPONSIBILITY OF THE PARENT TO FILE A MOTION IN ACCORDANCE WITH LOCAL RULE DR 38 (B.) IF YOU DO NOT WANT YOUR ADDRESS RELEASED TO YOUR FORMER SPOUSE, CHECK HERE AND COMPLETE THE ENCLOSED SUPPLEMENTAL AFFIDAVIT (C-20.) _____ DO NOT RELEASE MY ADDRESS TO FORMER SPOUSE (FORM C-20 ATTACHED) IF YOU HAVE NOT MARKED THE SPACE ABOVE AND PROVIDED A FORM C-20, YOUR ADDRESS WILL BE RELEASED TO YOUR FORMER SPOUSE.

______________________________________ Moving Parent Date

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