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\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1 Completing Form CAO P 8-1:  Agreed Order for Custody
\par (Revised 5/20/2005)}{
\par }\pard\plain \s27\qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f1\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b [You will remove these instruction pages before filing.]
\par }{\b\f0 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 Exactly like you did in the Petition, at the top left-hand
 corner of page 1, fill in each of your names, addresses and telephone numbers.  Fill in the county and judicial district in the heading in capital letters (for example, \'93IN THE DISTRICT COURT OF THE }{\f0\ul FOURTH}{\f0 
 JUDICIAL DISTRICT IN AND FOR THE COUNTY OF }{\f0\ul ADA}{\f0 \'94).  Fill in your full legal names in the caption above \'93Petitioners\'94.  Fill in the Case Number.
\par 
\par }{\b\f0 The Name of the Document:}{\f0   Check the boxes to indicate the orders you want.  
\par 
\par Leave the date blank in the introductory sentence.  
\par 
\par }{\b\f0 Minor Child/ren of the Petitioners}{\f0 :  Fill in the name and date of birth for each minor child.
\par }\pard\plain \s20\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 1A.  }{\b\f1\fs22\ul Legal Custody.}{\b\f1\fs22  
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0 {\f0 
Check the first box if both parents are fit persons to share the decision-making rights, responsibilities and authority relating to the health, education and general welfare of the child/ren.  }{\b\f0 or }{\f0  
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Check the second box if one parent is to have sole legal custody of the child/ren, }{\b\f0 and }{\f0 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\tx630\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0 {\f0 
Write the name of the parent in the blank who will have sole legal custody.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f0 
\par }{\b\f1\fs22 1B.  }{\b\f1\fs22\ul Physical Custody}{\f1\fs22 . 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\tx360\jclisttab\tx720\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0 {\f0 
Check the first box if both parents are to be awarded physical custody of the child/ren }{\b\f0 and}{\f0  
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls18\ilvl1\adjustright\rin0\lin720\itap0 {\f0 
Attach a copy of the same Parenting Plan you attached to your Petition, marked \'93Exhibit A\'94.  IMPORTANT:  The Parenting Plan must be attached to make it a part of the Order for Custody.}{\b\f0   or}{\f0 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\tx360\jclisttab\tx720\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0 {\f0 Check the second box if physical custody of the child/ren will be
 awarded to only one parent, }{\b\f0 and }{\f0 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\tx360\jclisttab\tx720\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin720\itap0 {\f0 
Write the name of the parent in the blank who will have sole physical custody.  
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls18\ilvl1\adjustright\rin0\lin720\itap0 {\f0 
Check the box if the other parent will have time with the child/ren, write in the parent\rquote s name }{\b\f0 and }{\f0 
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\tx720\jclisttab\tx1440\aspalpha\aspnum\faauto\ls18\ilvl1\adjustright\rin0\lin720\itap0 {\f0 Write in the terms and conditions of the other parent\rquote 
s time with the child/ren.
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f0 
\par }{\b\f1\fs22 2.  }{\b\f1\fs22\ul Child Support.}{\b\f1\fs22 
\par }{\f0 If there is already a Child Support Order and there has been no change in circumstances that would require the child support amount to be changed, check the first box.  Make a copy of that Order, mark it as \'93Exhibit B\'94
 and attach it to this Order. 
\par 
\par If there is already a Child Support Order and a change in circumstances will cause the child support amount to be changed, also check the box to select the next paragraph.
\par 
\par }\pard\plain \s19\ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f0 
\par 
\par If there is NOT a Child Support Order or if the current Child Support Order needs to be changed, check the box to select this paragraph. 
\par You will first need to complete an Affidavit Verifying Income and a Child Support Worksheet.  A Court Assistance Officer can help you gene
rate these documents if you provide the required information.  The Child Support Worksheet will be used to complete this section.
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 
Write in the name of the parent who will pay child support and the total monthly amount (the base amount of support plus or minus any adjustments for medical insurance premiums and/or the tax dependency).  
\par {\listtext\pard\plain\s19 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \s19\ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\b0\f0 If your child support calculation includes the paying parent\rquote s share of medical insurance premiums and/or tax benefits, 
\par {\listtext\pard\plain\s19 \f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \s19\ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\aspalpha\aspnum\faauto\ls35\adjustright\rin0\lin720\itap0 {\b0\f0 Fill in the Base Amount of child support
\par {\listtext\pard\plain\s19 \f2 \hich\af2\dbch\af0\loch\f2 o\tab}Check the appropriate boxes and fill in the amount.  
\par {\listtext\pard\plain\s19 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s19\ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0 {\b0\f0 
If you have more than one minor child, you will need to have a separate calculation to reflect the changed amount of support as each child is emancipated (no longer eligible for support under Idaho la
w).  Fill in the total amount of child support, as calculated according to the Idaho Child Support Guidelines. 
\par {\listtext\pard\plain\s19 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s19\ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0 {\b0\f0 
Attach your Affidavit Verifying Income and Support Worksheet(s) to the Petition, marking each as \'93Exhibit B\'94.
\par }\pard\plain \s3\ql \li0\ri0\sb240\sa60\widctlpar\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \f1\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs22 Extended Visits.}{   }{\f0 If the child/
ren will be living in the home of one parent at least 75% of the time, you can adopt either or both of the next two paragraphs of the form.  If the child/ren spends more than 25% of the overnights in a year with each parent (shared physical custody), igno
re the next two paragraphs of the form.  
\par }{\i\f0 NOTE:}{\f0   Section 10(e) of the Idaho Child Support Guidelines, Rule 6(c)(6) of the Idaho Rules of Civil Procedure describe \'93Shared Physical Custody\'94 and computation of child support with that parenting arrangement.  Yo
u can get a copy of the Child Support Guidelines from a Court Assistance Office or the Internet at }{\field\flddirty{\*\fldinst {\f0  HYPERLINK "http://www.isc.idaho.gov/icsg_cov.htm" }{\f0 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000170000002600000068007400740070003a002f002f007700770077002e006900730063002e0069006400610068006f002e0067006f0076002f0069006300730067005f0063006f0076002e00680074006d000000e0c9ea79f9bace118c8200aa004ba90b4c0000006800
7400740070003a002f002f007700770077002e006900730063002e0069006400610068006f002e0067006f0076002f0069006300730067005f0063006f0076002e00680074006d0000000000}}}{\fldrslt {\cs28\f0\ul\cf2 http://www.isc.idaho.gov/icsg_cov.htm}}}{\f0 
.  If you selected the first paragraph, indicate how much the support payment will be reduced by either checking the box for 50% or filing in your own percentage as you did on the Petition.
\par }\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 
\par }{\b\f1\fs22 3.  }{\b\f1\fs22\ul Medical Insurance}{\f1\fs22\ul .
\par }{\f0   Check the first, second or third box to indicate how health insurance coverage for the child/ren is now being provided.  If you selected the first paragraph, write in the name of the parent(s) currently providing health insurance.  
\par \tab In the fourth paragraph, if health insurance premiums are NOT 
included in the calculation of child support, check the box and write in the percentage to be paid by each parent, based on each of your Guidelines income percentage.  (These percentages are determined when calculating the child support.  Refer to the Chi
ld Support Worksheet).
\par 
\par 
\par 
\par 
\par 
\par }{\b\f1\fs22 4.  }{\b\f1\fs22\ul Health Care Costs Not Paid by Insurance.}{\f0  
\par Write in the percentage to be paid by each parent, based on their Guidelines income.
\par 
\par }{\b\f1\fs22 5.  }{\b\f1\fs22\ul Net Work-related Child Care Costs.}{\f0\ul  
\par }{\f0 If you did not include this amount in your child support calculations, check the box }{\b\f0 and}{\f0 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin360\itap0 {\f0 Fill in the percentages each parent will pay.
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin360\itap0 {\f0 Check the box if both parents will pay the care provider directly.
\par }\pard \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f0 
\par }\pard \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 6.  }{\b\f1\fs22\ul Income Tax Exemption.}{\f0\ul  
\par }{\f0 Write in the blank the parent\rquote s name who will claim each child as a dependent on their income tax return(s).  Note:  The child support calculation must reflect the same designation.  
\par 
\par }{\b\f1\fs22 7. }{\b\f1\fs22\ul  Name Change.}{\f0  
\par If you want to have the last name of your child/ren changed and/or want to have your child/ren\rquote s birth certificate(s) changed, the Bureau of Vital Statistics in the state where your child/ren was born will require a court order.
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \li0\ri0\nowidctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls33\adjustright\rin0\lin0\itap0 {\f0 If you want a court order to change the last name of your child/ren, check the box }{
\b\f0 and}{\f0 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Write in the last name.  (Accurate spelling is very important.)
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\aspalpha\aspnum\faauto\ls33\adjustright\rin0\lin360\itap0 {\f0 If you want the court to order that your child/ren\rquote 
s last name be changed on the child/ren\rquote s birth certificate, check the box.
\par }\pard \ql \li0\ri0\nowidctlpar\jclisttab\tx0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f0 
\par }{\b\f1\fs22 8. }{\b\f1\fs22\ul  Amend Birth Certificate.}{\f0 
\par When the Court determines paternity, the Bureau of Vital Statistics in the state where your child/ren was/were born will add the father\rquote s name to your child/ren\rquote s birth certificate.
\par {\listtext\pard\plain\s25 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \s25\ql \li0\ri0\nowidctlpar\jclisttab\tx360\faauto\ls34\adjustright\rin0\lin0\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0\fs24 Write in father
\rquote s full legal name as it should appear on the child/ren\rquote s birth certificate.
\par }\pard\plain \ql \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 
\par }{\b\f0 Leave the date blank.}{\f0   The judge will fill in the date when s/he signs the Order for Custody.
\par 
\par }{\b\f0 Clerk\rquote s certificate of service:}{\f0  Fill in name, mailing address, city, state and zip code for Father and Mother.  Leave the date blank.  The clerk will fill it in when s/he signs the certificate.
\par 
\par }{\b\f0 Exhibits:}{\f0   Attach all required Exhibits to the Order for Custody (with a staple).  The Exhibits will include any:  Parenting Plan (}{\b\f0 Exhibit A}{\f0 ), and Child Support Order from another case (}{\b\f0 Exhibit B}{\f0 ).
\par 
\par }{\b\f0 Make three more copies}{\f0  of the Order for Custody (total of 4) with all the Exhibits attached.  
\par 
\par 
\par 
\par }\pard \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f0 REMEMBER TO REMOVE THESE INSTRUCTIONS BEFORE SUBMITTING THE ORDER TO THE COURT
\par }\pard \qc \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22\ul \sect }\sectd \pgnrestart\linex0\footery864\sectdefaultcl {\footer \pard\plain 
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 PAGE }}{\fldrslt {\cs22\f1\fs20\lang1024\langfe1024\noproof 1}}}{\cs22\f1\fs20 
\par }{\cs22\f1\fs16 CAO P 8-1   Revised 5/20/05
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\par 
\par }{\fs20 ______________________________________
\par }\pard\plain \s1\ql \li0\ri0\sl360\slmult1\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs18 Full Name of Father
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\ul \tab \tab \tab \tab \tab 
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs18 Mailing Address (Street or Post Office Box)
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\ul \tab \tab \tab \tab \tab 
\par }\pard\plain \s1\ql \li0\ri0\sl360\slmult1\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs18 City, State and Zip Code
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\ul \tab \tab \tab \tab \tab 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs18 Telephone Number}{\b0\i\f1\fs18 
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par }\pard \ql \li0\ri0\nowidctlpar\tx1710\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs20 ______________________________________
\par }\pard\plain \s1\ql \li0\ri0\sl360\slmult1\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs18 Full Name of Mother
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\ul \tab \tab \tab \tab \tab 
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs18 Mailing Address (Street or Post Office Box)
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16\ul \tab \tab \tab \tab \tab 
\par }\pard\plain \s1\ql \li0\ri0\sl360\slmult1\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs18 City, State and Zip Code
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx1710\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs16\ul \tab \tab \tab \tab \tab 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs18 Telephone Number}{\b0\i\f1\fs18 
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par }\pard \qc \li0\ri0\sl360\slmult1\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 IN THE DISTRICT COURT OF THE }{\f1\fs22\ul \tab \tab \tab }{\f1\fs22  JUDICIAL DISTRICT OF THE
\par }\pard \qc \li0\ri0\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 STATE OF IDAHO, IN AND FOR THE COUNTY OF }{\f1\fs22\ul \tab \tab \tab 
\par }\pard \qj \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard\plain \s29\qc \li0\ri0\widctlpar\nooverflow\faroman\rin0\lin0\itap0 \f2\fs24\dn4\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par }\trowd \trleft-14\trftsWidth3\trwWidth9360\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680 \cellx4666\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4680 \cellx9346\pard\plain \ql \li0\ri0\nowidctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
{\*\bkmkstart Parties}{\*\bkmkend Parties}In Re the Children of:
\par 
\par _____________________________________,
\par \tab \tab Father,
\par and
\par 
\par _____________________________________,
\par                         Mother,
\par 
\par                            Petitioners.\cell }\pard\plain \s26\qj \li328\ri0\sl-223\slmult0\widctlpar\intbl\nooverflow\faroman\rin0\lin328 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par 
\par }\pard\plain \s30\ql \fi371\li0\ri0\widctlpar\intbl\nooverflow\faroman\rin0\lin0 \b\f2\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs22 Case No.}{\f1\fs22  ___________________________}{\b0\f1\fs22 
\par 
\par ORDER FOR [     ] PATERNITY
\par [     ] CUSTODY,VISITATION
\par }\pard\plain \s26\qj \li0\ri0\sl-223\slmult0\widctlpar\intbl\nooverflow\faroman\rin0\lin0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22       [     ] CHILD SUPPORT\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \trowd \trleft-14\trftsWidth3\trwWidth9360\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680 \cellx4666\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4680 \cellx9346\row }\pard 
\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul 
\par }\pard\plain \s20\ql \li0\ri0\sl360\slmult1\nowidctlpar\tx-1440\tx-144\tx720\tx3456\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
This matter came before the court on the ________ day of _______________________, _________ on the Stipulated Petition for Custody of the father and mother.  It appears from the records and files of this action that the Petitioners have agreed and stipula
ted to the entry of this Order.  
\par }\pard\plain \s23\ql \li0\ri0\sl360\slmult1\widctlpar\tx-1440\tx-180\tx-144\tx720\tx1440\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab }{\b\f1\fs22 1.}{\f1\fs22 
  The following child/ren under the age of eighteen (18) years, or nineteen (19) years and still pursuing a high school education, was/were born to or adopted by the petitioners:
\par }\pard\plain \ql \li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx3456\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\ul Name}{\f1\fs22                                      
                                            \tab \tab }{\f1\fs22\ul Date of Birth}{\f1\fs22 
\par __________________________________________________\tab _______________________
\par __________________________________________________\tab _______________________
\par __________________________________________________\tab _______________________
\par __________________________________________________\tab _______________________
\par }\pard\plain \s20\ql \li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx3456\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 __________________________________________________\tab 
_______________________
\par 
\par }\pard\plain \s23\ql \li0\ri0\sl360\slmult1\widctlpar\tx-1440\tx-180\tx-144\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab 
The court has jurisdiction to determine custody of the minor child/ren pursuant to the Uniform Child Custody Jurisdiction and Enforcement Act, Idaho Code Section 32-11-101, et seq. because Idaho was the home state of the minor child/ren on the date of fil
ing the Petition.  
\par \tab The court has jurisdiction to enter a Child Support Order as set forth in Title 32, Chapter 7, Idaho Code.      
\par IT IS ORDERED:
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 1.  }{\b\f1\fs22\ul Custody}{\b\f1\fs22 .
\par }{\f1\fs22 A.  }{\f1\fs22\ul Legal Custody}{\f1\fs22 .}{\f1\fs22\ul 
\par }{\f1\fs22 \tab [     ] Both parents are awarded joint legal custody of their minor child/ren.  
\par }{\b\f1\fs22 or
\par }\pard\plain \ql \fi-720\li720\ri0\sl360\slmult1\nowidctlpar\tx-720\tx720\tx1440\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab \tab 
[     ] ____________________________ is awarded sole legal custody of their child/ren.  
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 B.  }{\f1\fs22\ul Physical Custody}{\f1\fs22 .  
\par }\pard \s17\ql \fi720\li720\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\f1\fs22 [     ] Both parents are awarded joint physical custody of their child/ren on the terms and according to the Parenting Plan which is
 attached as \'93Exhibit A\'94.  
\par }\pard \s17\ql \li720\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\b\f1\fs22 or  }{\f1\fs22 
\par }\pard\plain \ql \li720\ri0\sl360\slmult1\nowidctlpar\tx-720\tx720\tx1440\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab 
[     ] _________________________ is awarded sole physical custody of their minor child/ren.  
\par }\pard\plain \s17\ql \li720\ri0\sl360\slmult1\nowidctlpar\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab 
[     ] ____________________________ shall have time with the child/ren as follows:  _______________________________________________________________
\par }\pard \s17\ql \li0\ri0\sl360\slmult1\nowidctlpar\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 _____________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________. }{\b\f1\fs22 or}{\f1\fs22 
\par }\pard \s17\ql \li0\ri0\nowidctlpar\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab [     ] in accordance with the Parenting Plan which is attached as \'93Exhibit A\'94.
\par }\pard \s17\ql \li0\ri0\sl360\slmult1\nowidctlpar\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab }{\b\f1\fs22 2.  }{\b\f1\fs22\ul Child Support}{\b\f1\fs22 .
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\keep\keepn\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
[     ] Child support has already been set in Case No. _________________________, entered in _________________ County, State of ____________________, on }{\f1\fs18 (month/day/year)}{\f1\fs22  ______________________________.   }{\b\f1\fs22 or}{\f1\fs22 

\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [     ] The Child Support Order entered on __________________________ is  modified. }{\b\f1\fs22  and/or}{\f1\fs22  
\par [     ] Child support shall be paid by __________________________ in the total amount of $______________ per month.  The total amount includes:
\par }\pard \s17\ql \li360\ri0\nowidctlpar\tqr\tx9270\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0 {\f1\fs22 Base child support in the amount of: \tab $__________
\par }\pard \s17\ql \li360\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0 {\f1\fs22 plus or minus a pro rata share of:
\par }\pard \s17\ql \li0\ri0\sb60\widctlpar\tqr\tx9270\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [     ]  Work-related childcare expenses in the amount of:\tab $__________
\par }\pard \s17\ql \li0\ri0\nowidctlpar\tqr\tx9270\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [     ]  Insurance premiums allocated in the amount of: \tab $__________
\par [     ]  Tax benefits allocated in the amount of:\tab $__________
\par }\pard \s17\ql \li720\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 {\f1\fs22 
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
Child support payments shall begin on the twentieth (20) day of the month after the Order for Custody is signed and continue to be paid on the twentieth (20) day of each following month until the child/ren reaches the age of eighteen.  If the child for wh
o
m support is being paid continues his/her high school education after reaching the age of eighteen (18) years, child support payments shall continue until the child discontinues his/her high school education or reaches the age of nineteen (19) years, whic
hever is sooner.  Payment shall be made payable to the Department of Health and Welfare and sent to:}{\b\f1\fs22  Idaho Child Support Receipting, P.O. Box 70008, Boise, ID 83707-0108.  
\par }{\f1\fs22\expnd0\expndtw-2 [     ] The parents have more than one minor child.  }{\f1\fs22 If this Child Support Order has
 not been modified, when one child is no longer entitled to support, child support for the remaining child/ren shall continue in the total amount of $___________ per month; when two children are no longer entitled to support, child support for the remaini
ng child/ren shall continue in the total amount of $____________ per month; when three children are no longer entitled to support, child support for the remaining child shall continue in the total amount of $____________ per month.
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\nowidctlpar\tx-720\tx720\tx1440\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\expnd0\expndtw-2 \tab [     ] }{
\b\f1\fs22\expnd0\expndtw-2 Extended Visits:  }{\f1\fs22\expnd0\expndtw-2 Our child/ren live/s in the home of one parent at least 75% of the time.  }{\b\f1\fs22\expnd0\expndtw-2  }{\f1\fs22\expnd0\expndtw-2 
\par \tab \tab [     ] When the parent paying child support has physical custody of the child/ren for 14 or more overnights in a row, the amount of base child support shall be reduced for tha
t period of time; however, visitation of two overnights or less with the other parent will not eliminate the reduction of base}{\b\f1\fs22\expnd0\expndtw-2  }{\f1\fs22\expnd0\expndtw-2 
child support during extended visits.  The child support reduction for the period of the actual physical custody shall be [     ] 50% }{\b\f1\fs22\expnd0\expndtw-2 or}{\f1\fs22\expnd0\expndtw-2  [\~\~\~
  ] _______% of the base child support obligation.  The reduction shall be subtracted from the child support payment due the next month.
\par }\pard\plain \s25\ql \li0\ri0\sl360\slmult1\widctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\rin0\lin0\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\expnd0\expndtw-2 \tab \tab 
[     ] If the parent paying child support has physical custody of some but not all of the children for 1
4 overnights in a row, before a reduction is made, the base child support obligation shall first be divided by the number of children under 18 years of age.  The reduction for the paying parent shall only apply to the base child support thus allocated to 
the children in that parent's custody.
\par }\pard \s25\ql \li0\ri0\widctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\rin0\lin0\itap0 {\f1\expnd0\expndtw-2 
(Example: Parent has 3 of 4 children for 14 overnights.  $300/mo. base support payment divided by 4 children = $75 per child per month divided by 30  = $2.50 per day per child x 14 = $35.00 x 3 for 3 children = $105.00
.  Reduction = 50% of $105 or $52.50.)}{\i\f1\expnd0\expndtw-2 
\par }{\f1\fs22\expnd0\expndtw-2 
\par }\pard\plain \qc \li360\ri360\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin360\lin360\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 NOTICES
\par }\pard\plain \s19\qj \li360\ri720\keepn\widctlpar\aspalpha\aspnum\faauto\adjustright\rin720\lin360\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs22 \tab 
According to Chapter 12, Title 32, Idaho Code, this Child Support Order is immediately enforceable through income withholding.  Income withholding shall be enforced by a Withholding Order issued to the paying parent\rquote 
s employer without additional notice to the paying parent.  A statewide lien on all real and personal property of the paying parent will arise automatically if child support is past due in an amount equal to the smaller of $2,000 or 90 days of sup
port, according to Idaho Code \'a7\'a77-1206 and 45-1901, }{\b0\i\f1\fs22 et.seq.}{\b0\f1\fs22  
\par }\pard \s19\ql \li360\ri720\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin720\lin360\itap0 {\b0\f1\fs22 The Support Order can also be enforced by license suspension.}{\f1\fs22   }{\b0\f1\fs22 
\par }\pard \s19\qj \li360\ri360\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin360\lin360\itap0 {\b0\f1\fs22 
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\nowidctlpar\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 \tab 3.  }{\b\f1\fs22\ul Medical Insurance}{\b\f1\fs22 .
\par }{\f1\fs22 \tab [     ] }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab }{\f1\fs22  is/are currently providing health insurance for the minor child/ren and shall continue to do so, so long as it is reasonably available through that parent\rquote 
s employment.  If such insurance becomes unavailable to the parent currently providing insurance, the parent first reasonably able to obtain group health insurance through employment shall do so.  }{\b\f1\fs22  or  }{\f1\fs22 
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
[     ] Neither parent is currently providing health insurance for the child/ren.  The parent first reasonably able to obtain group health insurance through employment shall do so.  }{\b\f1\fs22 or
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [     ] The child/ren participate in the Children\rquote 
s Health Insurance Program.  The parent first reasonably able to obtain group health insurance through employment shall do so. 
\par }\pard \s17\ql \li0\ri0\sl360\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\cf1 \tab [     ]}{\f1\fs22  The total child support amount does not include any actual}{\f1\fs22\cf1 
 cost paid by either parent for health insurance premiums for the child/ren.  That cost, whether being paid now or incurred in the future, shall be prorated between the parents in proportion to their Guide
lines income.  Father shall pay ______ % and Mother shall pay  _______ %.  The payment shall be in addition to the base child support award and promptly paid directly between the parents.
\par }\pard \s17\ql \li0\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab Where medical insurance is provided, each parent is ordered to prov
ide the other with all medical insurance information necessary to obtain health care for the child/ren.  Insurance proceeds shall be applied first to unpaid medical bills and then to reimburse the paying parent for any prepaid medical costs.  Both parents
 shall sign any needed document that provides continuing health care for their child/ren.  
\par }\pard \s17\qc \li0\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 Notice
\par }\pard\plain \ql \fi360\li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
Failure to provide medical insurance coverage may result in the direct enforcement of a medical support order by either the obligee (party or parent other tha
n the parent ordered to carry or provide a health benefit plan for the parties' minor child/ren) or the Department of Health and Welfare.  A national medical support notice will be sent to your employer, requiring your employer to enroll the child in a he
alth benefit plan as provided by Sections 32-1214A through 32-1214J, Idaho Code, and applicable rules of the department.
\par }\pard\plain \s17\ql \li0\ri0\sl360\slmult1\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par }\pard\plain \s23\ql \li0\ri0\sl360\slmult1\widctlpar\tx-1440\tx-180\tx-144\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab }{\b\f1\fs22 4.  }{\b\f1\fs22\ul 
Health Care Costs}{\b\f1\fs22 .  }{\f1\fs22 The actual cost paid by either parent for health care expenses for the child/ren not covered or paid in full b
y insurance, including, but not limited to orthodontic, optical and dental, shall be prorated between the parents.   ______ % shall be paid by Father and _______ % shall be paid by Mother.  These payments shall be in addition to the child support award an
d be promptly paid directly between the parents.  
\par }\pard \s23\ql \li0\ri0\sl360\slmult1\widctlpar\tx-1440\tx-180\tx-144\tx720\tx1080\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab 
Any claimed health care expense for the child/ren (whether denominated as psychiatric, psychological, special education, addiction treatment or counseling in any form, and including regular medical or dent
al care), whether or not covered by insurance, that would result in an actual out-of-pocket expense of over $500 to the parent who did not incur or consent to the expense, shall be approved in advance, in writing, by both parents or by prior court order. 
 
Relief may be granted by the court for failure to comply under extraordinary circumstances, and the court may in its discretion apportion the incurred expense in some percentage other than that specified herein and, in so doing, may consider whether conse
nt was unreasonably requested or withheld.  
\par }\pard \s23\ql \fi720\li0\ri0\sl360\slmult1\keepn\widctlpar\tx-1440\tx-180\tx-144\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 5.  }{\f1\fs22 [     ]}{\b\f1\fs22  }{\b\f1\fs22\ul Work-Related Child Care Costs}{\b\f1\fs22 .  
\par }\pard \s23\ql \li0\ri0\sl360\slmult1\keepn\widctlpar\tx-1440\tx-180\tx-144\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab 
The total child support amount does not include work-related child care costs.  The actual net out-of-pocket costs for work-related child care shall be paid:  ______%
 by Father and _____% by Mother.  [     ] Payment shall be made directly to the child care provider by both parents according to arrangements made with the care provider.  
\par }\pard \s23\ql \li0\ri0\sl360\slmult1\widctlpar\tx-1440\tx-180\tx-144\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab If one parent pays the child care provider any portion of the other parent\rquote s share
 of costs, the non-paying parent shall reimburse the paying parent within 10 days after the paying parent provides a copy of the invoice and receipt for the payment. 
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\tx-180\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 6.  }{\b\f1\fs22\ul Income Tax Exemption}{\b\f1\fs22 .}{
\f1\fs22   }{\f1\fs22\expnd0\expndtw-2 The state and federal dependency tax exemption(s) for the Petitioners\rquote  minor child/ren is/are assigned as follows:  __________________________________
\par }\pard \s17\ql \li0\ri0\sl360\slmult1\widctlpar\tx-180\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 ____________________________________________________________________________}{\f1\fs22\expnd0\expndtw-2 
\par _____________________________________________________________________________.
\par The parent not receiving the exemption(s) shall sign the required Internal Revenue Service form(s) to release the claim to the exemption(s).
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\widctlpar\tx720\tqc\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 \tab 7.  }{\f1\fs22 [     ] }{\b\f1\fs22\ul Name Change}{
\b\f1\fs22 .   }{\f1\fs22 The last name of Petitioners\rquote  child/ren named above is changed to  __________________________.   [     ] The Bureau of Vital Statistics shall amend the birth certificate(s) of the child/ren to reflect that name.
\par }{\b\f1\fs22 \tab 8.  }{\b\f1\fs22\ul Amend Birth Certificate}{\b\f1\fs22 .  }{\f1\fs22 The Bureau of Vital Statistics shall amend the birth certificate(s) of Petitioners\rquote  child/ren to add father\rquote s name:  }{\f1\fs18 (father\rquote 
s legal name)}{\i\f1\fs18  }{\f1\fs22 _____________________________________________________.
\par }\pard\plain \s17\ql \li0\ri0\sl360\slmult1\widctlpar\tx-1440\tx-180\tx-144\tx0\tx720\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par }\pard\plain \s20\ql \li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx3456\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par Date:  ______________________________\tab \tab ___________________________________
\par }\pard\plain \ql \fi-1080\li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx4320\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab \tab \tab \tab Judge
\par }\pard \ql \li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx4320\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par 
\par Approved by \tab \tab Approved by
\par Father }{\f1\fs18 (date)}{\f1\fs22  _________________________\tab \tab Mother }{\f1\fs18 (date)}{\f1\fs22  _______________________
\par 
\par 
\par }{\f1\fs22\ul \tab \tab }{\f1\fs22 \tab }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab }{\f1\fs22 
\par }\pard\plain \s5\ql \li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx4320\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0 \i\f1\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\i0 Father\rquote s Signature}{\tab \tab }{\i0 
Mother\rquote s Signature}{
\par }\pard\plain \ql \li0\ri0\keep\keepn\widctlpar\tx-1440\tx-144\tx720\tx4320\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx-1440\tx-144\tx720\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard\plain \s1\qc \li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 CLERK\rquote S CERTIFICATE OF SERVICE

\par }\pard\plain \ql \li0\ri0\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 I certify that a copy was served:}{\fs22\loch\af1\hich\af1\dbch\af23 
\hich\af1\dbch\af23\loch\f1  (name all parties or their attorneys in the case, including yourself)}{\f1\fs22 
\par 
\par To:
\par ____________________________________________
\par (Name) \tab \tab \tab \tab \tab \tab \tab [    ] By Hand-delivery
\par ____________________________________________\tab [    ] By Mailing
\par (Address)   \tab \tab \tab \tab \tab \tab \tab [    ] }{\fs22\loch\af1\hich\af1\dbch\af23 \hich\af1\dbch\af23\loch\f1 By Fax }{\f1\fs22 to}{\f1\fs18  (number) }{\f1\fs22 ___________
\par ____________________________________________\tab 
\par (City, State and Zip)   \tab 
\par }\pard \ql \li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard \ql \li0\ri0\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 To:
\par ____________________________________________
\par (Name)   \tab \tab \tab \tab \tab \tab \tab [    ] By Hand-delivery
\par ____________________________________________\tab [    ] By Mailing
\par (Address)\tab \tab \tab \tab \tab \tab \tab [    ] }{\fs22\loch\af1\hich\af1\dbch\af23 \hich\af1\dbch\af23\loch\f1 By Fax }{\f1\fs22 to}{\f1\fs18  (number) }{\f1\fs22 ___________
\par ____________________________________________\tab 
\par }\pard \ql \li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 (City, State and Zip)
\par 
\par }\pard\plain \s19\qj \li0\ri0\keepn\nowidctlpar\tx1440\tx2250\tx2880\tx3600\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f1\fs22 [     ] To: State of Idaho, Department of Health and

\par }\pard\plain \ql \li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22       }{\f1\fs22 Welfare, Division of Child Support Enforcement\tab 

\par }\pard \ql \li0\ri0\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 ____________________________________________
\par (Name)   \tab \tab \tab \tab \tab \tab \tab [    ] By Hand-delivery
\par ____________________________________________\tab [    ] By Mailing
\par (Address)\tab \tab \tab \tab \tab \tab \tab [    ] }{\fs22\loch\af1\hich\af1\dbch\af23 \hich\af1\dbch\af23\loch\f1 By Fax }{\f1\fs22 to}{\f1\fs18  (number) }{\f1\fs22 ___________
\par ____________________________________________\tab 
\par }\pard \ql \li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 (City, State and Zip)
\par }\pard\plain \s3\ql \li0\ri0\sb240\sa60\keep\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \f1\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs22 Date:  ____________________________\tab 
___________________________________}{\fs22\ul 
\par }\pard\plain \s19\qj \li0\ri0\sl360\slmult1\nowidctlpar\tx1440\tx2160\tx2880\tx3600\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab \tab \tab \tab \tab \tab }{\b0\f1\fs22 
Deputy Clerk}{\f1\fs22 
\par }\pard\plain \qj \li0\ri0\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1 
\par }\pard \qc \li0\ri0\keep\keepn\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\page }{\f1\fs32 REMOVE THIS PAGE AND
\par }\pard \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1 
\par }{\b\f1 Attach and Mark as \'93EXHIBIT A\'94:
\par 
\par PARENTING PLAN
\par }\pard\plain \s29\qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\dn4\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\up0\cgrid0 
\par }\pard\plain \qc \li0\ri0\nowidctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1 
\par 
\par Attach and Mark as \'93EXHIBIT B\'94:
\par }\pard \qc \li0\ri0\nowidctlpar\tqc\tx4680\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\b\f1 
\par }\pard\plain \s1\qc \li0\ri0\keepn\nowidctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \b\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1 CHILD SUPPORT ORDER FROM OTHER CASE, IF ANY}{\b0\f1 
\par }}