Notice Of Intent To Relocate Long Distance

Revised March 22, 2001 IN THE COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION MAHONING COUNTY, OHIO ___________________________________________ ) ___________________________________________ ) CASE NO._________________ SSN:_______________________________________ ) DOB:______________________________________ ) EMPLOYER :_______________________________ ) JUDGE BETH A. SMITH ) PLAINTIFF/PETITIONER ) ) ) VS./AND ) NOTICE OF INTENT TO RELOCATE - LONG DISTANCE ___________________________________________ ) (O.R.C. 3109.051(G)) ___________________________________________ ) (Where travel time exceeds two hours) ___________________________________________ ) (To be filed not less than 60 days of the intended relocation) SSN:_______________________________________ ) DOB:______________________________________ ) EMPLOYER :_______________________________ ) ) DEFENDANT/PETITIONER ) I, _________________________, as Residential Parent, hereby give notice of my intent to relocate within or outside the State of Ohio with the following minor child(ren) effective ___________________________. 1._________________________________________born_________________________ _Age__________ 2._________________________________________born_________________________ _Age__________ 3._________________________________________born_________________________ _Age__________ Intended New Address Mailing Address (if not same) ________________________________________ ________________________________________ ________________________________________ _____________________ __________________ ________________________________________ _____________________ __________________ Phone ( )_____________________________ Phone( )____________ __________________ The name and address of the childs new school is_______________________ _____________ ________________________________________________________________________ ______________ A brief statement of the reason for the proposed relocation of the child(ren) is as follows:________________________ ________________________________________________________ ___________________________________________________ ____________________________________ ________________________________________________________________________ ______________ MAILING OF THIS NOTICE As Residential Parent, I 1 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 _____have no objection to the Court mailing a copy of this notice to the Non- Residential Parent at his/her captioned address. _____state that the Non-Residential Parent has been convicted of domestic violence or child abuse therefore objects to the Court maili ng a copy of this Notice to the Non- Residential Parent AND REQUESTS THAT THIS MATTER BE SET FOR HEARING on the issue of whether a copy of said Relocation Notice should be mailed to the Non-Residential Parent as set forth in ORC 3109.051(G)(2). IMPACT ON VISITATION SCHEDULE As Residential Parent, I _____acknowledge that no change in the current Parenting Time Schedu le is required because the Non-Residential and I are currently subject to the Courts Parenting Time Schedule and the same will still continue be applicable. _____agree that upon the relocation taking effect, that the non-Residential Parents visitation shall be governed by this Courts Long Distance Pare nting Time Scbedule, a copy of which is attached hereto as Exhibit A. _____do not agree to the Long Distance Parenting Time Schedule being applied and REQUEST THAT A HEARING BE SCHEDULED on the issue of whether it is in the best interest of the child to revise the current Parenting Time Schedule. DATE______________ _ ____________________________________ RESIDENTIAL PARENT NOTICE TO NON-RESIDENTIAL PARENT You have the right to request a hearing for the Court to determine whether it is in the best interest of the child(ren) to revise the Parenting Time Schedule in this case. If you do not request a hearing, the current Parenting Time Schedule may be modified as requested by the Residential Parent as set forth above. IF YOU WANT THE COURT TO SET THIS MATTER FOR HEARING ON PARENTING TIME ISSUES, PLEASE SO INDICATE ON THE FOLLOWING REQUEST FOR HEARING PORTION OF THIS NOTICE AND RETURN A COPY OF THIS NOTICE OF INTENT TO RELOCATE TO THE COURT AT THE FOLLOWING ADDRESS WITHIN 30 DAYS OF THE FILING OF THIS NOTICE. Mahoning County Domestic Relations Court Attention: Assignment Commissioner th 4 Floor, Mahoning County Courthouse 120 Market Street Youngstown, Ohio 44503 REQUEST FOR HEARING _____AS THE NON-RESIDENTIAL PARENT, I WANT THIS MATTER SET FOR HEARING TO CONSIDER A MODIFICATION OF THE PARENTING TIME SCHEDULE. MY CURRENT NAME AND ADDRESS IS AS FOLLOWS: __________________________________________ __________________________________________ __________________________________________ DATE:___ _____________ ________ ______________________________ NON-RESIDENTIAL PARENT 2 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 3 INSTRUCTIONS FOR SERVICE TO THE CLERK: Unless an objection to the mailing of this notice is set forth above, pl ease serve a copy of the foregoing Notice of Intent to Relocate upon the non- Residential Parent, ______________________, at his/her captioned address by certifie d mail, return receipt requested, and make the same returnable according to law. If an objection is set forth, please do not serve a copy of this notice, but p rovide a time-stamped copy of the Notice to the Domestic Relations Court Assignme nt Commissioner who shall then provide supplemental Instructions for Servic e. ____________________________________ RESIDENTIAL PARENT 3 American LegalNet, Inc. www.USCourtForms.com