Agreement To Change A Judgment-Temporary Order {CJD 311}

AGREEMENT TO CHANGE A JUDGMENT TEMPORARY ORDER Docket No. Commonwealth of Massachusetts The Trial Court Probate and Family Court IN THE MATTER OF: and Division INSTRUCTIONS: If this Agreement changes a judgment, then the signatures of Party A and Party B must be notarized (see last page of this form). If this Agreement changes a child's primary residence or custody, this Agreement must state whether any terms in the prior final judgment or temporary order relating to child support, health, dental, vision, or life insurance coverage for the child(ren) are also being changed or if they remain in effect. All provisions not modified here shall remain in the full force and effect. If this Agreement changes child support and the parties deviate from Guidelines, this Agreement must include specific facts that justify departure from the Guidelines. If this Agreement terminates child support support upon a child reaching age 18, this Agreement must acknowledge that G.L. c. 208, § 28 or G.L. c. 209C, § 9 is not applicable. A copy of G.L. c. 208, § 28 or G.L. c. 209C, § 9 can be located at: http://www.lawlib.state.ma.us/ Please initital each page of this agreement and provide page numbers where indicated. The parties agree as follows: page CJD 311 (8/1/13) AGR 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Initial here Party A Party B Docket No. IN THE MATTER OF: and The parties agree that the terms of this Agreement are fair and reasonable; that any terms that may affect the parties' child(ren) are in the best interest of the child(ren) and that full and accurate financial disclosure was made prior to signing this Agreement. The parties hereby indicate by their signatures below that they have read and agree with the terms and conditions of this Agreement in its entirety. Date: Date: Signature of Party A Signature of Party B (Print name) (Address) (Print name) (Apt, Unit, No. etc.) (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) (City/Town) (State) (Zip) Primary Phone: Primary Phone: Information on Attorney for Party A, if any Attorney for Party A (if any) Information on Attorney for Party B, if any Attorney for Party B (if any) (Address) (Apt, Unit, No. etc.) (Address) (Apt, Unit, No. etc.) (City/Town) (State) (Zip) (City/Town) (State) (Zip) Primary Phone #: B.B.O. # Primary Phone #: B.B.O. # page CJD 311 (8/1/13) AGR 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Initial here Party A Party B Docket No. IN THE MATTER OF: and NOTARY REQUIREMENT (Required to change a judgment only) State of County of On this appeared day of , 20 , before me, the undersigned Notary Public personally (name of document signer), proved to me through satisfactory , to be the person whose name is signed on the evidence of identification, which were preceding or attached document in my presence. Official Signature and Seal of Notary (Print name) My Commission Expires NOTARY REQUIREMENT (Required to change a judgment only) State of County of On this appeared day of , 20 , before me, the undersigned Notary Public personally (name of document signer), proved to me through satisfactory , to be the person whose name is signed on the evidence of identification, which were preceding or attached document in my presence. Official Signature and Seal of Notary (Print name) My Commission Expires page CJD 311 (8/1/13) AGR 3 of 3 Initial here Party A Party B