Decree Of Dissolution Of Marriage With Children {DC-6-5-3}

Page 1 of 6 IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county where Complaint filed) , Case No. CI (your full name) (case number assigned Plaintiff, vs. DECREE OF DISSOLUTION OF MARRIAGE (WITH CHILD(REN)) , Defendant. ON this matter came on for final (date) hearing on the Complaint for Dissolution of Marriage of laintiff. laintiff appeared inourt without an attorney. efendantdid did not appear. laintiff presentedevidence, and the ourt, having fully reviewed the evidence, finds as follows: 1. Plaintiff or efendant has been a resident of the State of Nebraska for more than one year prior to the filing of this action with the intention of making Nebraska his or her permanent home and either laintiff or efendant was a resident of County at the time the omplaint was filed. (county where Complaint filed) 2.More than 60 days have passed since service was perfected or a Voluntary Appearance was filed. 3. The ourt has jurisdiction over both parties and over the subject matter of this action and to make a child custody determination. DECREE OF DISSOLUTION OF MARRIAGE (WITH CHILD(REN)) American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 6 4.The parties were married on , (date of marriage) in . (city and state where parties were married) The parties have child(ren) whose custody or welfare are affected by this (number of children of marriage) divorce: , born (name of child) of birth) , born (name of child) of birth) , born (name of child) ear of birth) , born (name of child) of birth) is not expecting a child at this time. (Plaintiff or Defendant) 5. A arenting lan, developed by both parties laintiff only (check if parties developed) check if Plaintiff developed) the ourt in accordance with the Parenting Act is attached to this ecree and (check if Court developed) incorporated herein by reference. The ourt finds the arenting lan complies with theParenting Act and is in the best interests of the minor child(ren). (Plaintiff or Defendant) should contribute to the support of the child(ren). 6. efendant is not a member of the Armed Forces of the United States or its allies. 7. The marriage of laintiff and efendant is irretrievably broken, and every reasonable effort to effect reconciliation has been made. 8.The parties are owners of various items of personal property and haveincurred certain debts, and all of the property and debts should be equitably divided between the parties. 9.(if applicable) former name of ,(Plaintiff or Defendant)(former or maiden name, including first, middle and last names) should be restored. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 6 IT IS THEREFORE, ORDERED, ADJUDGED, AND DECREED as follows: 10. The marriage between laintiff, and efendant, is hereby dissolved. Except for review on appeal, remarriage, and continuation of the health insurance coverage, this ecree shall become final and operative 30 days after this ecree is filed or on the date of death of one of the parties, whichever occurs first. For purposes of remarriage, neither laintiff nor efendant may marry anyone anywhere in the worldforsix months after this ecree is filed with the lerk of the istrict ourt. For the purposesof continuation of health insurance coverage, the ecree shall become final and operative six months after the ecree is entered. 11.Legal and physical custody: is awarded sole legal and sole physical (Plaintiff or Defendant) custody of the child(ren). The parents are awarded joint legal custody of the child(ren). Sole physical custody of the child(ren) is awarded to . (laintiff or efendant) The parties are awarded joint legal and joint physical custody of the child(ren). 12. A arenting lan, developed by the partieslaintiff only (check if parties developed) (check if Plaintiff developed) he ourt in accordance with the Parenting Act, is attached to this ecree and (check if the Court developed) incorporated herein by reference. The parties are ordered to perform by its terms. 13. shall pay child support in accordance with the(Plaintiff or Defendant) Nebraska Child Support Guidelines beginning on the 1st day of ,20, and continuing on the first day of each subsequent month thereafter in the amounts listed: American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 6 per month for children (support amount) (number of children) per month for children (support amount) (number of children) per month for children (support amount) (number of children) per month for one child (support amount) Child support will abate by % during the month(s) of . A worksheet showing the calculations under the Nebraska Child Support Guidelines is attached to this ecree. Upon the occurrence of any of the following events, child support shall terminate effective the first day of the month following the event: the child turns 19 years of age; the child marries; the ourt finds the child is emancipated; the death of the child; or further order of the ourt. All child support payments shall be paid to the Child Support Payment Center, P. O. Box 82600, Lincoln, NE 68501-2600. 14. shall provide health insurance for the dependent (Plaintiff or Defendant) minor child(ren). [ ] (for sole physical custody) shall pay (Judge will complete this blank) the first $480 of reasonable and necessary health care costs per child per year. shall pay % of all nonreimbursed reasonable (Judge will complete this blank) and necosts in excess of $480 per child per year. [ ] (for joint physical custody) Plaintiff shall pay % and efendant shall pay % of all nonreimbursed reasonable and necessary child(ren) health care costs. American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 6 15.[ ] (for sole physical custody) (Judge will complete this blank) pay % of any childare costs which are due to the employment of or to allow to obtain training or (Judge will complete this blank) (Judge will complete this blank) education necessary to obtain a job or enhance earning potential. [ ] (for joint physical custody) Plaintiff shall pay % and efendant shall pay % of any childcare costs which are due to the employment of or to allow (Judge will complete this blank) (Judge will complete this blank) to obtain training or education necessary to obtain a job or enhance earning potential. 16.Each party shall continue to have full and equal access to the education and medical records of the minor child(ren). 17.Either party may make emergency decisions affecting the health or safetyof the minor child(ren) while the child(ren) is/are in the physical custody of such party. 18. laintiff and efendant shall furnish to the lerk of the istrict ourt their addresses, telephone numbers, Social Security numbers, names of their employers, whether or not they have access to employer-related health insurance coverage and, if so, the health insurance policy information, until any judgment to pay child support is paid in full. The parties are also required to advise the lerk of any changes in suchinformation between the time of entry of the ecree and the payment of the judgment in full. Failure to comply with this section shall be punishable by contempt. 19.In the event a party fails to pay any child, medical, or spousal supportpayment, as such failure is certified each month by the State Disbursement Unit in cases in which court-ordered support is delinquent in an amount equal to the support due and payable for a one-month period of time, that party shall be subject to income withholding American LegalNet, Inc. www.FormsWorkFlow.com Page 6 of 6 and may be required to appear in ourt on a date to be determined by the ourt and show cause why such payment was not made. In the event that such party fails to pay and appear as ordered, a warrant shall be issued for the arrest of that party. 20.Eresponsible for the debts each has incurred. 21. (if applicable) P or former name of , is restored. (former name, including first, middle and last names) 22.The parties shall pay their own court costs.23.Neither party is awarded alimony.24.Delinquent child support shall accrue interest at % per annum.Dated . BY THE COURT: JUDGE American LegalNet, Inc. www.FormsWorkFlow.com