Stipulation And Order On Order To Show Cause {SB-12039}

DATE OF THIS HEARING TIME DEPARTMENT FOR COURT USE ONLY NAME, ADDRESS AND TELEPHONE NUMBER OF PETITIONER'S ATTORNEY or PETITIONER BAR NO: NAME, ADDRESS AND TELEPHONE NUMBER OF RESPONDENT'S ATTORNEY or RESPONDENT BAR NO: TITLE OF CASE : , PETITIONER , RESPONDENT CASE NUMBER: STIPULATION AND ORDER ON REQUEST FOR ORDER (FAMILY LAW) Petitioner (Husband/Wife/Mother/Father/Other) not present. Respondent (Husband/Wife/Mother/Father/Other) not present. Pendente Lite Modification THE PARTIES HEREBY STIPULATE AND AGREE TO THE ITEMS CHECKED BELOW AND THAT THE COURT SHALL MAKE THE FOLLOWING: Temporary order pending the trial of this action or further order of the Court. Order of modification. 1. CHILD CUSTODY AND VISITATION Custody and visitation have been agreed to by the parties. See attached Mediation Report (Mediation Date: ______________________). Custody of the minor child/ren shall be ordered as follows, and such arrangements are in the best interests of the minor child/ren: Child's Name: Date of Birth: Petitioner's Initials _______ Respondent's Initials ______ Form SB12039 STIPULATION AND ORDER ON REQUEST FOR ORDER (FAMILY LAW) American LegalNet, Inc. www.FormsWorkFlow.com rev 11/05/12 Page 1 of 9 Child's Name: (continued) Date of Birth: LEGAL CUSTODY JOINT LEGAL CUSTODY of the minor child/ren shall be awarded to both parties, with: BOTH PARTIES TO SHARE the physical care, custody and control of the minor child/ren reasonably between them in such a manner as to insure that the minor child/ren maintain frequent and continuing contact with both parents. SOLE LEGAL CUSTODY of the minor child/ren shall be awarded to ____________________. Additional Joint Legal Custody Provisions as stated in the Attached Form FL-341(E) PHYSICAL CUSTODY SOLE PHYSICAL CUSTODY shall be awarded to ___________________________________. JOINT PHYSICAL CUSTODY shall be shared between both parties. Additional Physical Custody Provisions as stated in the Attached Form FL-341(D) AND VISITATION AS FOLLOWS: PRIMARY PHYSICAL CUSTODY to __________________________, with the right of REASONABLE visitation to ___________________________________ as follows: ___________________________________________________________________ ___________________________________________________________________ OR As contained in the attached Family Court Services report, consisting of _____ pages with mediation date of ______/_______/_______. OR Petitioner's Initials _______ Respondent's Initials ______ Form SB12039 STIPULATION AND ORDER ON REQUEST FOR ORDER (FAMILY LAW) rev 11/05/12 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 9  SPECIFIC VISITATION as follows: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Holiday Schedule as stated in the Attached Form FL-341(C) OTHER ORDERS RE: MINOR CHILDREN Neither party shall remove the child/ren from the following geographic areas ___________ ____________________ without prior written consent of the other party or prior order of the Court first having been obtained except for vacation periods. Neither party shall use or make, nor allow any other persons to use or make, any disparaging, or derogatory remarks about the absent parent in the presence of said child/ren. Each party shall keep the other party informed of his or her current address and telephone number and those of the child/ren and shall notify the other within _____ days of any change of address or telephone number. ___________________ shall not consume any alcoholic beverages, narcotic, or restricted dangerous drug (except upon prescription) within _____ hours of visitation or during the visitation with the minor children. Neither party shall discuss the facts of this case with the minor child/ren. Party receiving physical custody shall be responsible for the child's/ren's transportation on the custody exchanges. Transportation for visitation shall be as follows: Transport TO visit provided by _________________________. visit provided by _______________________________________. Drop Off & Pickup will be at ______________________________________________. Transport FROM Petitioner's Initials _______ Respondent's Initials ______ Form SB12039 STIPULATION AND ORDER ON REQUEST FOR ORDER (FAMILY LAW) rev 11/05/12 American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 9 Other: _________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 2. CHILD SUPPORT _____ Petitioner _____ Respondent shall pay to the other party as and for child support the sum of $__________ per month. The allocation of support per child is as stated in the attached Child Support Calculation. Child Support shall be: due one-half on the first and one-half on the fifteenth day of each month due on the first of the month due on the _______ day of each month commencing ___________ and continuing until further order of the Court or until the child marries, dies, is emancipated, reaches age 19, or reaches age 18 and is not a full-time high school student, whichever occurs first. GUIDELINE: A printout of a computer calculation and findings is attached and incorporated in this order. The amount of support per the guideline formula is $___________. The amount of child support is set forth as calculated under the guideline. OR WE AGREE TO NON-GUIDELINE CHILD SUPPORT. The child support agreed to by the parties is below or above guideline. Pursuant to Family Code Section 4065(a), the parties declare that they have been fully informed of their rights concerning child support. Neither party is acting out of duress or coercion. Neither party is receiving public assistance and no application for public assistance is pending. The needs of the children will be adequately met by this agreed-upon amount of child support; the agreement is in the best