Parentage Agreement {VN240}

VN240 MATTER OF ___________________________________ CASE NUMBER D __________________ PARENTAGE AGREEMENT The parties to this agreement acknowledge that with this agreement they intend to resolve all issues remaining in their case. The parties hereby agree that the following may be incorporated into a Final Judgment of Parentage. 1. CHILD CUSTODY: [check one] The minor children are:________________________________________________________________ _____________________________________________________________________________________________. A. CUSTODY: the parties jointly OR to the _____________________. to the _____________________. Legal Custody shall be awarded to Physical Custody shall be awarded to the parties jointly OR Custodial time for the ______________________ shall be: per the Mediation Agreement / Order filed on _____________________________________________ . OR as follows:__________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________. The residence of the minor children shall not be changed from California _________________________________ County of Ventura without prior agreement of the parties or court order. The parties agree that this court has jurisdiction over the issue of child custody as California is the home state of the children, that they personally executed this agreement and understand their custodial rights and waive any further hearing on this issue, and agree that the United States is the country of habitual residence of the children. They acknowledge that they are aware that a violation of this custodial order may result in civil or criminal penalties. [Family Code Section 3048] B. CHILD SUPPORT: If there are minor children of this relationship, the court MUST issue orders regarding child support unless a case is already in effect through the Department of Child Support Services. : The Department of Child Support Services is enforcing an existing child support order in case number Optional Form VN240 (01/12) PARENTAGE AGREEMENT Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com VN240 D ____________. Child support is reserved to that case. No other orders regarding child support are needed. If there is no DCSS case, check ONE of the following: The parties agree to Guideline Child Support per the attached Dissomaster. Guideline support is $___________________ per month payable by the ______________________ to the _______________________. The parties agree to a Non-Guideline Child Support Order in the amount of $__________________ per month payable by the ___________________ to the ___________________, and all the following are true: The parties are fully informed of their rights concerning child support The amount is being agreed to without coercion or duress The needs of the children will be adequately met by this order Neither parent is receiving public assistance for these children and no application is pending. No change of circumstances is needed to raise the order to Guideline. Child support ordered under this section shall be paid ½ on the first and ½ on the 15th of each month commencing __________________ and shall continue until the supported child dies, emancipates, reaches the age of 18 or, if still a full-time high school student, age 19 or graduation, whichever first occurs. In the event that there is a contract between a party receiving support and a private child support collector, the party ordered to pay support must pay the fee charged by the private child support collector. This fee must not exceed 33 1/3 percent of the total amount of past due support nor may it exceed 50 percent of any fee charged by the private child support collector. The money judgment created by this provision is in favor of the private child support collector. C. MEDICAL INSURANCE: The __________________ shall maintain health insurance for the minor children. Any uncovered health care expenses shall be paid equally by the parties. D. CHILD CARE: Child care to allow either parent to work shall be paid as follows: included in the child support order above paid equally by the parties directly to the day care provider. other ______________________________________________________________________. Optional Form VN240 (01/12) PARENTAGE AGREEMENT Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com VN240 E. DEPENDENT EXEMPTIONS: The _________________ shall be allowed to claim __________________________________ [ name children ] as dependents for tax filing purposes. If necessary, the custodial parent shall execute IRS form 8332 to release the exemptions. 2. OTHER ORDERS: The parties agree to the following additional orders: _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Both parties acknowledge that they have read and understand this Parentage Agreement consisting of 3 pages and ________ attached pages. This agreement shall be incorporated into a Final Judgment and made an Order of the Court. Dated:______________ _________________________________________ PETITIONER Dated:______________ _________________________________________ RESPONDENT [if no Response has been filed, the Respondent's signature must be notarized. Attach notary page] Optional Form VN240 (01/