§ Judgment of Modification
Judgment of Modification
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]
Approved for Use in Uncontested Cases Only
IN THE CIRCUIT COURT OF ____________________, MISSOURI
___________ ___________ ___________ __________
(First) (Middle) (Last) (Jr./Sr./III)
Petitioner/Plaintiff, Case No.__________
-and-
Division No. __________
___________ ___________ ___________ __________
(First) (Middle) (Last) (Jr./Sr./III)
Respondent/Defendant.
Modification Judgment
Parties
1. Appearances(Check all that apply)
[ ] Petitioner/Plaintiff appears in [ Petitioner/Plaintiff appears by [ ] Guardian ad Litem appears
person. attorney. in person.
]
[ ] Respondent/Defendant appears in Respondent/Defendant appears [ ] Cause submitted upon
person. by attorney. affidavit of Petitioner/
[
] Plaintiff.
[ ] Third Party __________ appears Third Party ________ appears [ ] Cause submitted upon
in person. by attorney. affidavit of Respondent/ .
[ Defendant.
]
2. The last four digits of Petitioner/Plaintiff's Social Security Number are __________ and the last four digits of Respondent/ Defendant's Social Security Number are __________.
Judgment(s)
3. The initial judgment herein was entered on __________.
4. [ ] There have been no modifications of the initial judgment since it was entered.
[ ]The initial judgment has been modified most recently on __________.
Children
5. This judgment pertains to the following unemancipated child(ren) hereinafter referred to as “minor child(ren):”
Name of Child Child's Age
Judgment of Modification--Page 1 of 4
Form CAFC170-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
Child Custody
6. [ ] No change in child custody or visitation was requested by the parties.
[ ]Visitation--A modification of visitation is necessary to serve the best interests of the minor child(ren).
The court has “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, § 452.700, RSMo et seq.) over the custody arrangements of the minor child(ren).
The court approves the provisions of Part A of the parenting plan marked exhibit __________ pertaining to the visitation
arrangements of the minor child(ren) and finds that the visitation arrangements contained in said parenting plan are in the best interests of the minor child(ren).
Therefore, the court orders the provisions of Part A of the said parenting plan pertaining to the visitation arrangements of the minor child(ren) and incorporates by reference all of the terms and conditions pertaining to the visitation arrangements of the minor child(ren) set forth in Part A of said parenting plan as if fully set forth herein.
The sheriff or other law enforcement officers shall enforce the rights of any person to custody or visitation pursuant to § 452.425, RSMo.
[ ]Custody--A change in circumstances has occurred regarding the minor child(ren) or the minor child(ren)'s custodian which makes a modification necessary to serve the best interests of the minor child(ren).
The court has “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, § 452.700, RSMo et seq.) over the custody arrangements of the minor child(ren).
The court approves the provisions of Part A of the parenting plan marked exhibit __________ pertaining to the custodial
arrangements of the minor child(ren) and finds that the custodial arrangements contained in said parenting plan are in the best interests of the minor child(ren).
Therefore, the court orders the provisions of Part A of the said parenting plan pertaining to the custodial arrangements of the minor child(ren) and incorporates by reference all of the terms and conditions pertaining to the custodial arrangements of the minor child(ren) set forth in Part A of said parenting plan as if fully set forth herein.
The sheriff or other law enforcement officers shall enforce the rights of any person to custody or visitation pursuant to § 452.425, RSMo.
[ ]No change in circumstances has occurred regarding the minor child(ren) or the minor child(ren)'s custodian which makes a modification necessary to serve the best interests of the minor child(ren).
[ ]The court does NOT have “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, § 452.700, RSMo et seq.) over the custody arrangements of the minor child(ren) and therefore enters no further orders with respect to the custodial arrangements of the minor child(ren).
Child Support
7. [ ] No change in child support was requested by the parties.
[ ]A substantial and continuing change in circumstances has occurred which makes the terms concerning child support unreasonable. The court orders the provisions of Part B of the parenting plan marked exhibit __________, pertaining to the support of the minor child(ren) and incorporates by reference all of the terms and conditions set forth in Part B of said parenting plan as if fully set forth herein.
[ ]No substantial and continuing change in circumstances has occurred which makes the terms concerning child support
unreasonable.
[ ]The court does not have jurisdiction to enter any orders with respect to the support of the minor child(ren).
Judgment of Modification--Page 2 of 4
Form CAFC170-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
Maintenance
8. [ ] No change in maintenance was requested by the parties.
[ ]A substantial and continuing change in circumstances has occurred which makes the terms concerning maintenance unreasonable.
__________is ordered to pay to __________ the sum of __________ per month as and for maintenance commencing __________.
[ ]No substantial and continuing change in circumstances has occurred which makes the terms concerning maintenance
unreasonable.
[ ]The court does not have jurisdiction to enter any orders with respect to maintenance of the parties.
9. Wage Assignment for Maintenance(If maintenance is to be paid by either party)
[ ]Income withholding shall be prepared by the obligee and issued by the Circuit Clerk upon the effective date of this order.
[ ]Income withholding shall not issue for the following reason(s): __________.
Attorney's Fees
10. [ ] Petitioner/Plaintiff shall pay to __________ the sum of __________ as and for Respondent/Defendant's attorney's fees herein.
[ ]Respondent/Defendant shall pay to __________ the sum of __________ as and for Petitioner/Plaintiff's attorney's fees herein.
11. [ ] Petitioner/Plaintiff shall pay to __________ the sum of __________ as and for Guardian ad Litem fees in addition to the sum of __________ previously ordered.
[ ]Respondent/Defendant shall pay to __________ the sum of __________ as and for Guardian ad Litem fees in addition to the sum of __________ previously ordered.
Other Orders
12. [ ] Other orders are as per the attached Exhibit Number __________, which is incorporated by reference as if fully set forthherein.
__________
__________
Court Costs
13. [ ] Court costs are to be paid from the court cost deposit(s) previously posted.
[ ]Court costs are waived.
Waiver of Right to Rehearing (If case is heard by a Commissioner pursuant to § 487.010, RSMo et. seq.)
[ ]We, the undersigned parties, do hereby acknowledge receipt of the findings and recommendations of the commissioner, and waive the right to file a motion for rehearing in this case.
(If heard by a Family Court Judge) (If heard by a Family Court Commissioner)
Findings and Recommendations of Commissioner:
____________________ _____________ ______________________ _______________
Judge Date Commissioner Date
All orders and these findings and recommendations of the
Commissioner are confirmed and adopted as the judgment of
the court.
______________________ _______________
Judge Date
Judgment of Modification--Page 3 of 4
Form CAFC170-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
A certified copy of this judgment is to be mailed to the following person(s): (Check all applicable boxes)
[ ]Petitioner/Plaintiff's Attorney [ ] Respondent/ Defendant's Attorney [ ] Guardian ad Litem
_________________________ _________________________ _________________________
(Signature of Attorney) (Signature of Attorney) (Signature of Guardian ad Litem)
_________________________ _________________________ _________________________
(Street) (Street) (Street)
______________ ____ ____ ______________ ____ ____ ______________ ____ ____
(City) (State) (Zip) (City) (State) (Zip) (City) (State) (Zip)
_________________________ _________________________ _________________________
(Telephone Number) (Telephone Number) (Telephone Number)
[ ] Petitioner/Plaintiff [ ] Respondent/Defendant [ ] Third Party
_________________________ _________________________ _________________________
(Signature of Petitioner/Plaintiff) (Signature of Respondent/Defendant) (Signature of Third Party)
_________________________ _________________________ _________________________
(Street) (Street) (Street)
______________ ____ ____ _____________ ____ ____ ______________ ____ ____
(City) (State) Zip) (City) (State) (Zip) (City) (State) (Zip)
_________________________ _________________________ _________________________
(Telephone Number) (Telephone Number) (Telephone Number)
Judgment of Modification--Page 4 of 4
Form CAFC170-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]