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{\author Information Systems}{\operator ccduvapm}{\creatim\yr2007\mo12\dy26\hr11\min58}{\revtim\yr2007\mo12\dy26\hr16\min47}{\printim\yr2007\mo12\dy26\hr16\min44}{\version3}{\edmins6}{\nofpages13}{\nofwords4096}{\nofchars23350}
{\*\company Idaho Supreme Court}{\nofcharsws28675}{\vern8269}}\margl1440\margr1440\margt1728 
\widowctrl\ftnbj\aenddoc\notabind\wraptrsp\transmf\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\truncatefontheight\subfontbysize\sprsbsp\wpjst\lytprtmet\hyphcaps0\horzdoc\dghspace120\dgvspace120\dghorigin1701\dgvorigin1984\dghshow0\dgvshow3
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\par }}{\*\ftnsepc \pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\chftnsepc 
\par }}{\*\aftnsep \pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\chftnsep 
\par }}{\*\aftnsepc \pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\chftnsepc 
\par }}\sectd \linex0\headery1440\footery864\sectdefaultcl {\footer \pard\plain \s20\ql \li0\ri0\nowidctlpar\tqc\tx4680\tqr\tx9360\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20 STIPULATION TO MODIFY\tab 
\tab PAGE }{\field{\*\fldinst {\cs21\f1\fs20  PAGE }}{\fldrslt {\cs21\f1\fs20\lang1024\langfe1024\noproof 5}}}{\cs21\f1\fs20 \tab }{\f1\fs20 
\par }\pard \s20\ql \li0\ri0\nowidctlpar\tqc\tx4320\tqr\tx8640\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20 AN ORDER OR DECREE
\par }{\cs21\f1\fs16 CAO M 6-1 Revised 7/29/2005}{\fs16 
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang{\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang{\pntxta )}}
{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl8
\pnlcltr\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang{\pntxtb (}{\pntxta )}}\pard\plain \s3\qc \li0\ri0\keepn\nowidctlpar\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 
\b\f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1 Completing Form M 6-1: Agreed Modification Stipulation 
\par }\pard\plain \qc \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1 7/29/2005 Revision
\par }\pard\plain \s3\qc \li0\ri0\keepn\nowidctlpar\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \b\f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f0 [You will remove these instruction pages before filing.]  
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard\plain \s2\ql \li0\ri0\nowidctlpar\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\i\f1\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\i0\f0\ul Talk to an Attorney, if Possible. }{\b0\i0\f0 
\par }{\f0 WARNING:}{\b0\f0  }{\b0\i0\f0  When you represent yourself in a court case you are held to the same standard as an attorney.  This applies to your preparation of paperwork and your c
onduct at all hearings and/or trial.  Your lack of legal knowledge may cause you to make serious errors in handling your case. These instructions are not a substitute for legal advice.  The laws and court rules are complex and following these instructions
 
will not guarantee that your rights are protected or that you will be satisfied with the result.  You should always talk to a lawyer about your legal problems before filing any legal paperwork.  Even if you do not hire a lawyer to appear in your case, a l
awyer can give you more information about your rights.  Call the Idaho State Bar (208-334-4500) to provide you with the name of an attorney who handles this type of case.  
\par }\pard\plain \ql \fi720\li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 You will be signing a sworn statement that you have read the motion, know what it says, and believe it\rquote 
s true.  To guarantee the truthfulness of that statement, be sure to read the entire completed form.  }{\b\i\f1\fs22 
\par }\pard\plain \s5\qc \li0\ri0\sl360\slmult1\keepn\nowidctlpar\faauto\outlinelevel4\adjustright\rin0\lin0\itap0 \f6\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs24 Instructions
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {Fill in the forms by typing or by printing neatly and legibly in }{\b black ink.}{
  Always keep a copy of the completed form for your records.
\par }\pard \ql \fi720\li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b 1.  At the top left-hand corner }{of page 1 you will fill in each of your names, addresses, and telephone numbers, followed by \'93Father\'94 or \'93Mother\'94.
\par 
\par Fill in the county and judicial district in the heading (for example, \'93In the District Court of the }{\ul Seventh }{Judicial District in and for the County of }{\ul Butte}{\'94).  Fill in your names in the caption (for example, \'93}{\ul John Doe,}{
 Plaintiff vs. }{\ul Mary Doe,}{ Defendent\'94) as they appeared in the caption in the original case.  Fill in the case number from the original case.  Check one or both of the boxes indicating the part of your current order you want to change, for \'93
child support\'94 and/or \'93child custody/visitation\'94.
\par 
\par }{\b 2.   Fill in the date of the order or decree you want to change}{
 (modify) in the introductory sentence.  If you want to modify child support, use the date of the most recent order for child support.  If you want to modify custody or visitation, use the date of the most recent order with respect to custody
 or visitation (or \'93parenting plan\'94).  Check the court file if you are unsure about the date of the most recent order.
\par 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li1080\ri0\nowidctlpar\jclisttab\tx1080\faauto\ls29\adjustright\rin0\lin1080\itap0 {
Fill in the name and date of birth for each minor child and the city and state where each child has lived for the last five years.  
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Write in the city, county and state where Mother lives and the city, county and state where Father lives.
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}
\par }\pard \ql \li360\ri0\nowidctlpar\faauto\adjustright\rin0\lin360\itap0 {
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\i Note}{\i : }{ If none of the children and no parent still live in Idaho, the Idaho court may lack authority (\'93jurisdiction\'94) to modify custody.  In that
 event you should consult an attorney to determine whether there may be other grounds for jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act, Section 32-11-203, I.C.
\par 
\par }{\b\f1\fs22 3.  }{\b\f1\fs22\ul UCCJEA Jurisdiction}{\b\fs22 .}{\fs22   
\par }{You are required to let the court k
now if there have been any other cases involving your child/ren in any other court or if there are any other people claiming custody or visitation rights with the child/ren.  In paragraphs 3a, b, c and d, check the appropriate box and fill in all requeste
d information. 
\par }{\b 
\par }\pard \ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b 4.}{  Before asking the court to modify (change) the order now in effect, you must provide information to the court explaining what }{\ul significant}{ (\'93substantial and material\'94
 for child support) change(s) in circumstances make the modification necessary}{\i .}{  Check the box/es that describe the changes(s) that have occurred since the most recent order.  You may need to provide your own description of the changes.  
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {
\par }{\b\fs22 5.  }{\b\f1\fs22\ul Custody}{\b\f1\fs22 .}{\b\fs22  }{\b  
\par }{Check the first box if there will be no change.}{\b   
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls11\adjustright\rin0\lin720\itap0 {Check the second box
 if you are seeking to have the previous order modified with respect to custody (or \'93Parenting Plan\'94) }{\b and}{ 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Write in the date of the most recent Custody Order.  }{\b\i Note}{\i :  Check the court file if you are unsure about the date of the most recent order.  There 
may be different orders if you have changed either support or custody before.}{
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {
\par }\pard \ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22\ul Legal Custody}{\b .}{  }{\i \'93Joint legal custody\'94}{
 means the parents are required to share the decision-making rights, responsibilities and authority relating to the health, education and ge
neral welfare of the child/ren.  The court will award joint legal custody unless you can prove it would not be in the best interest of the minor child/ren for the other parent to share decision-making rights.}{\i  }{
\par {\listtext\pard\plain\s22 \f3\fs22 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \s22\qj \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\faauto\ls25\adjustright\rin0\lin360\itap0 \f1\fs22\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 
Check the first box if there will be no change.  }{\b\f0 or}{\f0 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\faauto\ls6\adjustright\rin0\lin360\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
Check the second box if both parents are fit persons to share decision-making rights, responsibilities and authority relating to the health, education and general welfare of the child/ren,  }{\b or}{
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Check the third box if you are declaring that one parent should have sole legal custody of the child/ren, }{\b and }{
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\tx630\jclisttab\tx720\faauto\ls24\adjustright\rin0\lin720\itap0 {Write in the name of the parent who should be awarded sole legal custody }{\b and}{ 
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\tx630\jclisttab\tx720\faauto\ls23\adjustright\rin0\lin720\itap0 {State why the other parent should NOT be allowed to share decision making.   
\par }\pard \ql \li0\ri0\nowidctlpar\tx630\faauto\adjustright\rin0\lin0\itap0 {
\par }{\b\f1\fs22\ul Physical Custody}{.  \'93}{\i Joint physical custody}{\'94
 means each parent has significant periods of time in which a child resides with or is under his/her care and supervision.  Joint physical custody assures the child/ren frequent and continuing cont
act with both parents but does not necessarily mean the child spends exactly the same amount of time with each parent.  The court will award joint physical custody unless you can prove it would not be in the best interest of the minor child/ren}{\i .}{

\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\faauto\ls6\adjustright\rin0\lin360\itap0 {Check the first box if there will be no change.  }{\b or}{
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Check the second box if both parents should be given physical custody of the child/ren }{\b and}{ 
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls6\ilvl1\adjustright\rin0\lin720\itap0 {Complete the }{\b Parenting Plan}{
. (Both parents may sign the Parenting Plan, but it is not required).  Write }{\b Exhibit\~A}{ on the bottom of the first page of the Parenting Plan and attach (staple) it to the Motion for Modification.  }{\b 
IMPORTANT:  A copy of the Parenting Plan must be attached to make it a part of the Stipulation for Modification.  }{(The original copy of the Parenting Plan will be attached (stapled) to the Modification Order.)  }{\b or
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li360\ri0\nowidctlpar\jclisttab\tx360\faauto\ls6\adjustright\rin0\lin360\itap0 {
Check the third box if you are asking the court to give sole physical custody of the child/ren to only one parent, }{\b and}{ 
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls6\ilvl1\adjustright\rin0\lin720\itap0 {Write in the name of the parent should be given sole physical custody }{\b and
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}}{State why the other parent should NOT be given periods of time when the child/ren resides with or is under his/her care and supervision.  
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}If you want the court\rquote s order to give the other parent restricted or conditional time with the child/ren, write in the parent\rquote s name }{\b and}{ 
\par {\listtext\pard\plain\f2 \hich\af2\dbch\af0\loch\f2 o\tab}State specifically what you want the court to order; or check the box to refer to the Parenting Plan you will attach (staple) to your Motion.
\par }\pard \ql \li0\ri0\nowidctlpar\tx630\faauto\adjustright\rin0\lin0\itap0 {
\par }\pard\plain \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 6.  }{\b\f1\fs22\ul Child Support.}{\b\f1\fs22 
\par }\pard \s16\ql \li0\ri0\nowidctlpar\tx270\faauto\adjustright\rin0\lin0\itap0 {\b\i\f0 
\par Note}{\i\f0 :}{\b\f0   }{\f0 
If the percentage of time the child/ren is with each parent is changed, or your income has changed, the amount of child support will probably also need to be changed.  You will need to complete an Affidavit Verifying Income and a Child Support Worksheet t
o calculate the amount of child support.  A full service Court Assistance Officer will be able to help you generate these documents if you provide the required information 
\par {\listtext\pard\plain\s16 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s16\ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls12\adjustright\rin0\lin720\itap0 {\f0 
If you want or need to change the current amount of child support, check the appropriate box, }{\b\f0 and}{\f0  
\par {\listtext\pard\plain\s16 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s16\ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\tqc\tx2430\faauto\ls12\adjustright\rin0\lin720\itap0 {\f0 
Write in the date of the most recent support order.  Check the court file if you are unsure about the date of the most recent order.  }{\i\f0 Note:  There may be different orders if you have changed either support or custody before.  }{\f0 
\par }\pard \s16\ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f0 
\par Note:}{\f0   If the child support order is in a different case, that case and this case will need to be consolidated so the child support can be modified.
\par {\listtext\pard\plain\s16 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s16\ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls8\adjustright\rin0\lin720\itap0 {\f0 Fill in the month and year the change in the amount of child support should start,

\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li720\ri0\nowidctlpar\tqc\tx360\tx450\jclisttab\tx720\faauto\ls7\adjustright\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
write in the name of the parent who will pay child support }{\b and}{ 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\tqc\tx360\tx450\jclisttab\tx720\tqc\tx900\tqc\tx1800\tqc\tx2610\faauto\ls7\adjustright\rin0\lin720\itap0 {
the total monthly amount (the base amount of support plus or minus any adjustments for work-related child care expenses, health insurance premiums and/or the tax dependency). 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Fill in the Base Amount of child support 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}If your child support calculation includes adjustments for sharing work-related child care costs, health insurance premiums and/or tax benefits, 
\par {\listtext\pard\plain\s16 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \s16\ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls7\adjustright\rin0\lin720\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f0 
Check the boxes that apply and fill in the amounts.  If you have more than one minor child, check the box
.  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 law).  Fill in the }{\f0\ul total}{\f0 
 amount of child support from the child support worksheet.  
\par {\listtext\pard\plain\s16 \f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \s16\ql \fi-360\li720\ri-270\nowidctlpar\jclisttab\tx720\jclisttab\tx1020\faauto\ls7\adjustright\rin-270\lin720\itap0 {\f0 Attach 
your Affidavit Verifying Income and Support Worksheet(s) to the Motion, marking each as }{\b\f0 Exhibit B}{\f0 .
\par }\pard \s16\qj \fi720\li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f0 
\par }\pard\plain \s23\ql \li0\ri0\widctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\rin0\lin0\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22\ul\expnd0\expndtw-3 Extended Visits}{\b\i\f1\fs22\expnd0\expndtw-3 .}{
\b\i\f0\fs24\expnd0\expndtw-3  }{\f0\fs24\expnd0\expndtw-3  }{\f0\fs24 Check the box if the child/ren lives in the home of one parent at least 75% of the time.  You can choose either or both of the next two pa
ragraphs of the form.  If the child/ren spends more than 25% of the year with each parent (shared physical custody), write \'93N/A\'94 in the box.   }{\f0\fs24\expnd0\expndtw-3 
\par {\listtext\pard\plain\s3 \f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard\plain \s3\ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\faauto\ls16\outlinelevel2\adjustright\rin0\lin720\itap0 \b\f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\f0 
If you selected the first paragraph, indicate how much the support payment will be reduced by either checking 
the box for 50% or filling in your own percentage.  You will need to notify the Department of Health & Welfare, Child Support Services when this paragraph should take effect.
\par {\listtext\pard\plain\s3 \f2 \hich\af2\dbch\af0\loch\f2 o\tab}}\pard \s3\ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\faauto\ls16\ilvl1\outlinelevel2\adjustright\rin0\lin720\itap0 {\b0\f0 
If you have more than one child, you can check the box to also select the next paragraph.
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\i 
\par }{\b\i WARNING: }{ If you are the parent paying child support (the \'93obligor\'94
) you should be aware the decree will provide for collection of unpaid child support from your wages and from your real estate or personal property.  The decree will also provid
e that if you move to another state, the child support award (and any spousal maintenance award) can be enforced directly by courts in other states. Additionally, you should be aware that, according to Idaho law, if unpaid child support equals or exceeds 
t
he total support owing for ninety (90) days or the sum of $2,000, whichever is less, you are subject to suspension of any license to practice or engage in any business, occupation or profession, operate a motor vehicle, carry a concealed weapon, or engage
 
in any recreational activity, including hunting or fishing.  Further, the State Tax Commission will withhold and set-off any state tax refund to collect any unpaid child support, or unpaid spousal support, and the Idaho State Lottery will likewise withhol
d and set-off a prize of a lottery prize-winner.
\par }{\b 
\par }\pard\plain \s16\ql \fi90\li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 7. }{\b\f1\fs22\ul  Medical Insurance.}{\b\f1\fs22 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
Check the first box if there will be no change.  }{\b or}{
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\tx360\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 {
Check the appropriate box to indicate how health insurance coverage for the child/ren is now being taken care of.  If you selected the second paragraph, write in the name of the parent(s) who is now taking care of health insurance.  
\par }\pard \ql \li1080\ri0\nowidctlpar\jclisttab\tx1440\faauto\adjustright\rin0\lin1080\itap0 {
\par }\pard\plain \s17\ql \li0\ri0\nowidctlpar\tx-1440\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\i\f0 \tab WARNING}{\i\f0 :}{\f0 
  The Order will provide: Failure to provide medical insurance coverage may result in the direct enforcement of a med
ical support order by either the oblige (party or parent other than the parent ordered to carry or provide a health benefit pland for parties\rquote 
 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 health benefit plan as provided by Sections 32-1214A through 32-1214J, Idaho Code, and applicable rules of the department of Health and Welfare.   
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\par }\pard\plain \s23\ql \fi-360\li360\ri0\nowidctlpar\faauto\adjustright\rin0\lin360\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f0\fs24 
\par 
\par 
\par }{\b\f0\fs22 8. }{\b\f0\fs22\ul  }{\b\f1\fs22\ul Health Care Costs Not Paid by Insurance.}{\b\f1\fs22  
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
Check the first box if there will be no change.  }{\b or}{
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}Check the second box and write in the percentage to be paid by each parent.  Idaho\rquote s Child Support Guidelines presume a sharing in proportion to your Guidelines incomes.  
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {
\par 
\par 
\par }\pard \ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 9.  }{\b\f1\fs22\ul Work-Related Child Care Costs}{\b\f1 .}{  
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 {Check the first box if there will be no change.  }{\b or}{
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 {If you DID figure this cost in your child support calculation, check the second box.  }{\b or}{

\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}If you did NOT figure these expenses in your child support calculation, check the third box }{\b and}{
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li1080\ri0\widctlpar\jclisttab\tx1080\faauto\ls9\adjustright\rin0\lin1080\itap0 {Fill in the percentages each parent will pay.
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-720\li1080\ri0\widctlpar\jclisttab\tx720\faauto\ls9\adjustright\rin0\lin1080\itap0 {Check the box }{\ul if both parents will pay the care provider directly.}{
\par }\pard \ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {
\par }\pard\plain \s23\ql \fi-360\li360\ri0\widctlpar\faauto\adjustright\rin0\lin360\itap0 \f2\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs24 10. }{\b\f1\fs22  Income Tax Exemption}{\b\f1\fs24 .  
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard\plain \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
Check the first box if there will be no change.  }{\b or}{\i 
\par {\listtext\pard\plain\f3 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\nowidctlpar\jclisttab\tx720\faauto\ls13\adjustright\rin0\lin720\itap0 {Check the box and write in the blank the name
 of the parent who will claim each child as a dependent on their income tax return(s).  Note:  The child support calculation must reflect the same designation.}{\i  
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b 
\par Signatures}{: Leave the spaces for the State and County blank.  Go to an office where there\rquote s a Notary.  Have the notary fill in the spaces.  Sign the Stipulation in front of the Notary and have your signatures notarized.
\par 
\par }{\b Exhibits}{:  Mark your Parenting Plan as }{\b Exhibit A}{ and your Child Support Order from another case or Income Affidavit and Child Support Worksheet as }{\b Exhibit B}{
.  Make a copy of the Parenting Plan to attach (staple) to the Stipulation.  Save the original Parenting Plan to attach to the Order.  Then make two copies of the Stipulation with Exhibits.  Take the original and both copies to t
he clerk of the court for filing and conforming.}{\b 
\par 
\par Continue to follow CAO M Instruction 1, \'93Agreed Modification of Child Custody, Visitation or Support\'94}{.
\par 
\par 
\par }\pard \qc \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b REMOVE THESE INSTRUCTIONS BEFORE FILING YOUR STIPULATION TO MODIFY}{\b\ul 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {
\par 
\par \sect }\sectd \sbknone\pgnrestart\linex0\headery1440\footery864\sectdefaultcl {\footer \pard\plain \s20\ql \li0\ri0\nowidctlpar\tqc\tx4680\tqr\tx9360\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20 
STIPULATION TO MODIFY\tab \tab PAGE }{\field{\*\fldinst {\cs21\f1\fs20  PAGE }}{\fldrslt {\cs21\f1\fs20\lang1024\langfe1024\noproof 1}}}{\cs21\f1\fs20 \tab }{\f1\fs20 
\par }\pard \s20\ql \li0\ri0\nowidctlpar\tqc\tx4320\tqr\tx8640\faauto\adjustright\rin0\lin0\itap0 {\f1\fs20 AN ORDER OR DECREE
\par }{\cs21\f1\fs16 CAO10-7    Revised 10/10/2003}{\fs16 
\par }}\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\sect }\sectd \pgnrestart\linex0\headery1440\footery864\sectdefaultcl {\footer \pard\plain \s20\ql \li0\ri0\nowidctlpar
\tqc\tx4680\tqr\tx9360\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs20 STIPULATION TO MODIFY AN ORDER OR DECREE\tab PAGE }{\field{\*\fldinst {\cs21\f1\fs20  PAGE }}{\fldrslt {
\cs21\f1\fs20\lang1024\langfe1024\noproof 1}}}{\cs21\f1\fs20  \tab }{\f1\fs20 
\par }\pard \s20\ql \li0\ri0\nowidctlpar\tqc\tx4320\tqr\tx8640\faauto\adjustright\rin0\lin0\itap0 {\cs21\f1\fs16 CAO M 6-1    7/29/2005}{\fs16 
\par }}\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par 
\par 
\par 
\par 
\par ______________________________
\par }\pard \qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16  (Plaintiff\rquote s name)
\par }{\f1\fs22\ul \tab \tab \tab \tab 
\par }{\f1\fs16 (Street Address)
\par }{\f1\fs22\ul \tab \tab \tab \tab 
\par }\pard \qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx4608\tx5328\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 (City, State and Zip Code)
\par }\pard \qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul \tab \tab \tab \tab 
\par }\pard \qj \li0\ri0\nowidctlpar\hyphpar0\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 (Telephone)
\par }\pard \qj \li0\ri0\keep\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 _____________________________
\par }\pard \qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16  (Defendant\rquote s name)
\par }{\f1\fs22\ul \tab \tab \tab \tab 
\par }{\f1\fs16 (Street Address)
\par }{\f1\fs22\ul \tab \tab \tab \tab 
\par }\pard \qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx4608\tx5328\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 (City, State and Zip Code)
\par }\pard \qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx1440\tx2160\tx2880\tx3600\tx4608\tx5328\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul \tab \tab \tab \tab 
\par }\pard \qj \li0\ri0\nowidctlpar\hyphpar0\faauto\adjustright\rin0\lin0\itap0 {\f1\fs16 (Telephone)
\par }\pard \qj \li0\ri0\widctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard \qc \li0\ri0\nowidctlpar\tx0\tqc\tx4680\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\field\flddirty{\*\fldinst {\f1\fs22 ADVANCE \\d12}}{\fldrslt }}{\f1\fs22 IN THE DISTRICT COURT OF THE }{\f1\fs22\ul \tab 
\tab \tab }{\f1\fs22  JUDICIAL DISTRICT OF
\par THE STATE OF IDAHO, IN AND FOR THE COUNTY OF }{\f1\fs22\ul \tab \tab \tab 
\par }\pard \qj \li0\ri0\nowidctlpar\tx0\tx1440\tx2160\tx4680\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\trowd \trleft-8\trftsWidth1 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680 \cellx4672\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth4680 \cellx9352\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs22 
\par _____________________________________,
\par \tab \tab Plaintiff,
\par \tab vs.
\par 
\par _____________________________________,
\par \tab \tab Defendant.\cell }\pard\plain \s24\qj \li328\ri0\sl-223\slmult0\widctlpar\intbl\nooverflow\faroman\rin0\lin328 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 {\*\bkmkstart CaseNumber}{\*\bkmkend CaseNumber}
\par Case No.: __________________________
\par 
\par STIPULATION TO MODIFY AN ORDER OR
\par DECREE
\par Fee Category:
\par Filing Fee:  
\par \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \trowd \trleft-8\trftsWidth1 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680 \cellx4672\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4680 \cellx9352\row }\trowd \trrh252\trleft-8\trftsWidth1 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680 \cellx4672\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4680 
\cellx9352\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\adjustright\rin0\lin0 {\f1\fs22 \cell }\pard\plain \s24\qj \li328\ri0\sl-223\slmult0\widctlpar\intbl\nooverflow\faroman\rin0\lin328 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \trowd \trrh252\trleft-8\trftsWidth1 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680 \cellx4672\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4680 \cellx9352\row }\pard \qj \li0\ri0\nowidctlpar
\tx0\tx1440\tx2160\tx4680\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard \qj \li0\ri0\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }\pard \qj \fi360\li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2856\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
Plaintiff and Defendant agree, stipulate and ask the court to enter its order pursuant to Rule 60(c), I.R.C.P., modifying the Order/Decree entered in this matter on }{\f1\fs22\ul \tab \tab \tab \tab }{\f1\fs22 
.  As grounds therefore the parties state that there have been substantial and material changes in their circumstances since the date of the last Order/Decree herein. 
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 1.}{\f1\fs22  }{\f1\fs21 
The following child/ren under the age of 18 years, or 19 years and still pursuing a high school education, was/were born to or adopted by the parties:}{\f1\fs22 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\ul Name}{\f1\fs22 \tab \tab \tab \tab }{\f1\fs22\ul Date of Birth}{\f1\fs22 \tab \tab }{\f1\fs22\ul 
Addresses for last 5 years}{\f1\fs22  }{\f1\fs18 (city and state) 
\par }\pard\plain \s19\ql \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab \tab \tab \tab \tab \tab \tab }{\f1\fs16 (beginning with most recent) 
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\tab \tab \tab \tab \tab \tab \tab 
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul Name}{\f1\fs22 \tab \tab \tab \tab }{\f1\fs22\ul Date of Birth}{\f1\fs22 \tab \tab }{\f1\fs22\ul Addresses for last 5 years}{\f1\fs22  }{\f1\fs18 (city and state) 
\par }\pard \ql \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\tab \tab \tab \tab \tab \tab \tab 
\par }\pard \ql \fi720\li0\ri0\sl360\slmult1\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 2.}{\f1\fs22   Mother resides at }{\f1\fs18 (city, county, state)}{\i\f1\fs18  }{\f1\fs22 ________________________________________. Father resides at }{
\f1\fs18 (city, county, state)}{\f1\fs22  _________________________________________________.
\par }\pard \ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 3.  UCCJEA Jurisdiciton.}{\f1\fs22 
  The parents consent and agreed that the Idaho court has exclusive, continuing jurisdiction to determine custody of this/these child/ren in accordance with the provisions of 
the Uniform Child Custody Jurisdiction and Enforcement Act, Section 32-11-101, et seq..  
\par }\pard\plain \s16\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
a.  [        ] Neither parent has participated as a party or witness, in any other case involving our child/ren. }{\b\f1\fs22 or}{\f1\fs22 
\par }\pard \s16\ql \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22      \tab [        ] I/we have participated as a party or witness in the following case involving our children }{\f1\fs18 
(provide all specifics including the parent\rquote s name, the state, the court, the case number and the date of the child custody order, if any):}{\f1\fs22  }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\tab \tab \tab \tab            \tab \tab }{\f1\fs22 . 
\par }\pard \s16\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 b.  [        ] Neither parent knows of any other case that could affect our child/ren. }{\b\f1\fs22 or}{\f1\fs22 
\par }\pard \s16\ql \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22     \tab  [        ]  I/we know of the following court case that could affect our child/ren }{\f1\fs18 (provide all specifics including the parent\rquote 
s name, the state, the court, the case number and the nature of the proceeding):}{\f1\fs22  }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab }{\f1\fs22 .
\par }\pard \s16\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 c.  [        ] Other than the two of us, no one claims custody or visitation rights with our child/ren.  }{\b\f1\fs22 or 
\par }\pard\plain \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22    \tab 
 [        ] In addition to the parents, the following person/s claim custody or visitation for our child/ren }{\f1\fs18 (list names and addresses):}{\f1\fs22  }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\tab \tab \tab \tab \tab \tab }{\f1\fs22 . 
\par \tab d.  [        ] Our child/ren live(s) only with both parents.  }{\b\f1\fs22 or
\par     \tab  }{\f1\fs22 [        ]  If our child/ren lives(s) with someone other than a parent, the name(s) and present address(es) of the person(s) with whom our child/ren live(s) is/are:  }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\tab \tab \tab \tab \tab \tab }{\f1\fs22 .  
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 4.}{\f1\fs22   There have been substantial and material changes in the circumstan
ces of the parties since the date of the last Order/Decree herein.  The following changes have occurred }{\f1\fs18 (}{\i\f1\fs18 check all boxes that apply}{\f1\fs18 )}{\f1\fs22 :
\par }\pard \s17\ql \li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab [        ] The custodial arrangement.\tab 
\par \tab [        ] The gross annual income of one or both parents.
\par \tab [        ] A parent is providing medical insurance.
\par \tab [        ] The parent claiming the tax dependency exemption should be changed.
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [        ] }{\f1\fs18 (other reason) }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab 
\tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab }{\f1\fs22 
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 5.}{\f1\fs22   }{\b\f1\fs22 Custody.  }{\f1\fs22 [        ] No change.   }{\b\f1\fs22 or   }{\f1\fs22 [        ] The court should modify the 
order entered }{\f1\fs18 (}{\i\f1\fs18 date of last custody order}{\f1\fs18 )}{\f1\fs22  _____________________________ respecting custody of the minor child/ren as follows:  
\par }{\b\f1\fs22      }{\b\f1\fs22\ul Legal Custody}{\b\f1\fs22 . }{\f1\fs22  [        ] No change.   }{\b\f1\fs22 or}{\b\f1\fs22\ul 
\par }{\f1\fs22 [        ] Both parties are fit to act as parents.  It is in the best interest of our child/ren that we be awarded joint legal custody.  }{\b\f1\fs22 or
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\nowidctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab 
[        ] It is in the best interest of our child/ren that ____________________________ be awarded sole legal custody because }{\f1\fs22\expnd0\expndtw-2  _______________________________________________
\par }\pard\plain \s17\ql \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 __________________
_________________________________________________________________________________________________________________________________________________________________________________________________________________}{\f1\fs22\ul \tab }{\f1\fs22 
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22      }{\b\f1\fs22\ul Physical Custody}{\b\f1\fs22 .  }{\f1\fs22 [        ] No change.   }{\b\f1\fs22 or}{\f1\fs22 
\par [        ] It is in the best interest of our child/ren that we be awarded joint physical custody of our child/ren according to the Parenting Plan which is attached as }{\b\f1\fs22 Exhibit A}{\f1\fs22 .   }{\b\f1\fs22 or  }{\f1\fs22 
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\nowidctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab [        ] _________________________ should be awarded sole phys
ical custody of our child/ren because }{\f1\fs22\expnd0\expndtw-2  ______________________________________________________________
\par }\pard\plain \s17\ql \li0\ri0\sl360\slmult1\nowidctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________.
\par \tab [        ] ____________________________ should spend time with our child/ren 
\par \tab [        ] as follows:  _______________________________________________________
\par ________________________________________________________________________________________________________________________________________________________
\par ____________________________________________________________________________
\par ____________________________________________________________________________
\par }{\b\f1\fs22 or}{\f1\fs22 
\par }\pard \s17\ql \li0\ri0\nowidctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab [        ] in accordance with the Parenting Plan which is attached as }{\b\f1\fs22 Exhibit A}{\f1\fs22 .
\par 
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 6.}{\f1\fs22   }{\b\f1\fs22 Child Support.}{\f1\fs22 
\par [        ] Child support does not need to change.  If child support was set in a different case, a copy of the Child Support Order is attached as }{\b\f1\fs22 Exhibit B}{\f1\fs22 .}{\b\f1\fs18   }{\b\f1\fs22 or}{\f1\fs22 
\par }\pard \s17\ql \fi720\li0\ri0\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\i\f1\fs18  }{\f1\fs22 [        ] This court has jurisdiction to determine child support, Title 32, Chapter 7, Idaho Code.  
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\tqr\tx9270\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
[        ] Child support should be paid by _________________________ in the total amount of $_________ per month, based on the Idaho Child Support Guidelines, according to the Affidavit Verifying Income and Child Support Worksheet(s) attached as }{
\b\f1\fs22 Exhibit B}{\f1\fs22 .  The total amount includes:  Base child support in the amount of: \tab $_________
\par }\pard \s17\ql \li0\ri0\widctlpar\tqr\tx9270\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [   ]  Work-related childcare expenses\tab $_________
\par }\pard \s17\ql \li0\ri0\nowidctlpar\tqr\tx9270\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 [   ]  Medical, dental, and/or optical insurance premiums allocated in the amount of: \tab $_________
\par [   ]  Tax benefits allocated in the amount of:\tab $_________
\par }\pard \s17\ql \li720\ri0\nowidctlpar\faauto\adjustright\rin0\lin720\itap0 {\f1\fs22 
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
Child support payments should begin on the twentieth (20) day of the month after the Modification Order is signed and continue to be paid on the twentieth (20) day of each following month until the child/ren for whom support 
is being paid reaches the age of eighteen (18).  If a child for whom support is being paid continues his/her high school education after reaching the age of eighteen (18) years, child support payments should continue until the child discontinues his/her h
igh school education or reaches the age of nineteen (19) years, whichever is sooner.  Payment should 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 [        ] We 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 should continue in the total amount of $___________ per month; when
 two children are no longer entitled to support, child support for the remaining child/ren should continue in the total amount of $____________ per month; when three children are no longer entitled to support, child support for the remaining child should 
continue in the total amount of $____________ per month.
\par }\pard\plain \qc \li360\ri360\keepn\nowidctlpar\faauto\adjustright\rin360\lin360\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 NOTICES
\par }\pard\plain \s16\ql \fi720\li360\ri720\keepn\widctlpar\faauto\adjustright\rin720\lin360\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22\lang1024\langfe1024\noproof \tab }{\f1\fs22\lang1024\langfe1024\noproof 
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 o
r 90 days of support, according to Idaho Code \'a7\'a77-1206 and 45-1901, }{\i\f1\fs22\lang1024\langfe1024\noproof et.seq.}{\f1\fs22\lang1024\langfe1024\noproof   
\par }\pard\plain \s17\qj \li720\ri720\widctlpar\faauto\adjustright\rin720\lin720\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 The Support Order can also be enforced by license suspension.  }{\f1\fs20 
\par }\pard \s17\ql \li720\ri720\widctlpar\faauto\adjustright\rin720\lin720\itap0 {\f1\fs20 
\par }\pard\plain \s23\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 [        ]}{\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.
\par }\pard \s23\ql \li720\ri0\sl360\slmult1\widctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\rin0\lin720\itap0 {\f1\fs22\expnd0\expndtw-2 \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 should be reduced for that period of time; however, visitation of two overnights or less with the other paren
t should 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 should be [        ] 50% }{
\b\f1\fs22\expnd0\expndtw-2 or}{\f1\fs22\expnd0\expndtw-2  [        ] _______% of the base child support obligation.  The reduction should be subtracted from the child support payment due the next month.
\par \tab [        ] If the parent paying child support has physical custody of some but not all of the children for a continuous period of fourteen (14) or more overnights in a row, before a
 reduction is made, the base child support obligation should first be divided by the number of children under eighteen (18) years of age. The reduction for the paying parent should only apply to the base child support thus allocated to the children in tha
t parent's custody.  
\par }\pard \s23\ql \li0\ri0\widctlpar\tx-720\tx720\tx1440\hyphpar0\faauto\rin0\lin0\itap0 {\f1\fs18\expnd0\expndtw-2 
(Example: Parent has 3 of 4 children for 14 days.  $300/mo. base support payment divided by 4 children = $75 per child per month divided by 30 days = $2.50 per day per child x 14 days = $35.00 x 3 for 3 children = $105.00.  Reduction =
 50% of $105 or $52.50.)
\par }\pard\plain \s16\qj \fi720\li360\ri360\nowidctlpar\faauto\adjustright\rin360\lin360\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1 
\par }\pard\plain \ql \li0\ri0\sl360\slmult1\widctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 \tab }{\b\f1\fs22 7.}{\f1\fs22  }{\b\f1\fs22 Medical Insurance.  }{\f1\fs22  [        ] No change.   }{
\b\f1\fs22 or
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 \tab }{\f1\fs22 [        ] }{\f1\fs22\ul \tab \tab \tab \tab \tab \tab \tab \tab \tab \tab }{\f1\fs22 
 is/are currently providing health insurance for the minor child/ren and should 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 should do so.  }{\b\f1\fs22  or  }{\f1\fs22 
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22  [        ] Neither parent is currently providing h
ealth insurance for the child/ren. The parent first reasonably able to obtain group health insurance through employment should do so.  }{\b\f1\fs22 or
\par }{\f1\fs22  [        ] The child/ren participate/s 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\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab }{\f1\fs22\cf1 [        ]}{\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 incurr
ed in the future, should be prorated between the parents in proportion to their Guidelines income.  Father should pay ______ % and Mother should pay  _______ %.  The payment should be in addition to the base child support award and promptly paid directly 
between the parents.
\par }\pard \s17\ql \fi720\li0\ri0\sl360\slmult1\widctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
Where medical insurance is provided, each parent should be ordered to provide the other with all medical insurance information necessary to obtain health care for the child/ren.  Insurance proceeds will be applied first to unpaid medica
l 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 our child/ren.
\par }\pard \s17\qc \li0\ri0\sl360\slmult1\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 Notice
\par }\pard\plain \ql \fi360\li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 Failure to provide medical insurance coverage may result in the direc
t enforcement of a medical support order by either the obligee (party or parent other than 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 health benefit plan as provided by Sections 32-1214A through 32-1214J, Idaho Code, and applicable rules of the department.
\par }\pard\plain \s18\ql \li0\ri0\sl360\slmult1\nowidctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\par \tab }{\b\f1\fs22 8.}{\f1\fs22   }{\b\f1\fs22 Health Care Costs Not Paid by Insurance.}{\b\f1\fs20    }{\f1\fs22 [        ] No change.  }{\b\f1\fs22 or
\par \tab }{\f1\fs22      [        ] The actual cost paid by either parent for health care expenses for the child/ren not covered or paid in full by insurance, including, but not limited to orthodontic, optical and dental, should be prorated betwee
n the parents.  Father should pay ______ % and Mother should pay _______ %.  These payments should be in addition to the base child support award and be promptly paid directly between the parents.  
\par }\pard \s18\ql \li0\ri0\sl360\slmult1\widctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab Any health care for the child/ren (whether denominated a
s psychiatric, psychological, special education, addiction treatment, or counseling in any form, and including regular medical or dental care), whether or not covered by insurance, that would result in an actual out-of-pocket expense of over $500 to the p
arent who did not incur or consent to the expense, must be approved in advance, in writing, by both parents or by prior court order.  (}{\b\i\f1\fs22 Note}{\i\f1\fs22 :}{\b\i\f1\fs22  }{\i\f1\fs22 
The court may consider whether consent for out-of-pocket expenses in excess of $500 was unreasonably requested or withheld and order payment of the incurred expense in some percentage other than the Guidelines Income.}{\f1\fs22 )  
\par }\pard \s18\ql \li0\ri0\sl360\slmult1\keep\keepn\nowidctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 {\b\f1\fs22 \tab 9.}{\f1\fs22   }{\b\f1\fs22 Work-related Child Care Costs.  }{\f1\fs22  [        ] No change.  }{\b\f1\fs22 or
\par }{\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 should be paid ______% by Father and _____% by Mother.  
\par }\pard \s18\ql \li0\ri0\sl360\slmult1\nowidctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab [        ] Payment should be made directly to the child care provider by both parents according to arrangements made with the car
e provider.  If one parent pays the child care provider any portion of the other parent\rquote 
s share of costs, the non-paying parent should 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 \li0\ri0\sl360\slmult1\widctlpar\tx-180\tx720\faauto\adjustright\rin0\lin0\itap0 \f6\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs22 \tab 10.}{\f1\fs22   }{\b\f1\fs22 Income Tax Exemption.  }{\f1\fs22 
  [        ] No change.  }{\b\f1\fs22 or 
\par }{\f1\fs22   [        ] }{\f1\fs22\expnd0\expndtw-2 The state and federal dependency tax exemption(s) for the parties\rquote  minor child/ren should be assigned as follows:  ____________________________________________________
\par ___________________________________________________________________________________________________________________________________________________________.
\par }\pard\plain \s18\ql \li0\ri0\sl360\slmult1\widctlpar\tx720\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
The parent not receiving the exemption(s) should sign the required Internal Revenue Service form(s) to release the claim to the exemption(s).
\par }\pard\plain \qj \fi360\li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs22 
\tab Verification:  We each swear to have read this Stipulation for Modification and state all facts included are true.   
\par }\pard \ql \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \tab 
Wherefore, we ask the Court to enter the orders requested above.    
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 Date:  ________________, 20 ____.
\par }{\f1\fs22\cgrid0 
\par }\pard \qj \fi5040\li0\ri0\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs22 Father\rquote s signature
\par 
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 SUBSCRIBED AND SWORN to before me this }{\f1\fs22\ul \tab \tab }{
\f1\fs22 day of }{\f1\fs22\ul \tab \tab }{\f1\fs22 , 20}{\f1\fs22\ul \tab }{\f1\fs22 .
\par 
\par }\pard \qj \fi5040\li0\ri0\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs22 Notary Public for Idaho
\par }\pard \qj \fi5040\li0\ri0\widctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 Residing at: }{\f1\fs22\ul \tab \tab \tab \tab \tab 
\par }\pard \qj \li5040\ri0\nowidctlpar\tx0\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin5040\itap0 {\f1\fs22 My Commission expires: }{\f1\fs22\ul \tab \tab \tab }{\f1\fs22 
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par Date:  ________________, 20 ____.
\par 
\par }\pard \qj \fi5040\li0\ri0\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul 
\par \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs22 Mother\rquote s signature 
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par SUBSCRIBED AND SWORN to before me this }{\f1\fs22\ul \tab \tab }{\f1\fs22 day of }{\f1\fs22\ul \tab \tab \tab }{\f1\fs22 , 20}{\f1\fs22\ul \tab }{\f1\fs22 .
\par 
\par }\pard \qj \fi5040\li0\ri0\nowidctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22\ul \tab \tab \tab \tab \tab \tab 
\par }{\f1\fs22 Notary Public for Idaho
\par }\pard \qj \fi5040\li0\ri0\widctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 Residing at: }{\f1\fs22\ul \tab \tab \tab \tab \tab 
\par }\pard \qj \li5040\ri0\nowidctlpar\tx0\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin5040\itap0 {\f1\fs22 My Commission expires: }{\f1\fs22\ul \tab \tab \tab 
\par }\pard \qj \li0\ri0\sl360\slmult1\nowidctlpar\tx0\tx360\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 \sect }\sectd \psz1\linex0\headery1440\footery864\sectdefaultcl 
\pard\plain \s8\qc \li0\ri0\keepn\nowidctlpar\faauto\outlinelevel7\adjustright\rin0\lin0\itap0 \b\f6\fs36\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs34 REMOVE THIS PAGE AND
\par }\pard\plain \qc \li0\ri0\nowidctlpar\faauto\adjustright\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\fs23 
\par If you are using it, Attach (staple) and Mark it \'93EXHIBIT A\'94:
\par 
\par PARENTING PLAN
\par 
\par If child support was set in another case, Attach (staple) the support Order and Mark it \'93EXHIBIT B\'94   
\par 
\par If you are modifying support, Attach (staple) and Mark as \'93EXHIBIT B\'94:
\par 
\par AFFIDAVIT VERIFYING INCOME
\par and
\par CHILD SUPPORT WORKSHEET(s)
\par }\pard \qj \li0\ri0\sl360\slmult1\widctlpar\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\adjustright\rin0\lin0\itap0 {\f1\fs22 
\par }}