COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

HAMILTON COUNTY, OHIO

Plaintiff
-vs-
Defendant / Petitioner

Enter:
Date:
Case No.
File No.
CSEA No.
Judge
MOTION AND AFFIDAVIT FOR TEMPORARY PARENTING ORDERS, SUPPORT, PARENTING TIME SPOUSAL SUPPORT WITHOUT ORAL HEARING

moves the Court for a temporary order granting () residential parenting rights; () support; () parenting time;

() spousal support, household expenses upon their affidavit and without oral hearing, pursuant to Rule 75(N) of the Ohio Rules of Civil Procedure. The opposing party has 14 days from the date of service to file a counter motion and/or affidavits.

THE COURT WILL NOT AWARD SHARED PARENTING ON A TEMPORARY BASIS IN A 75(N) ORDER.

For cause and upon being duly sworn, states as follows:

1.	If Defendant has an out of state address and the parties were not married in the State of Ohio, please complete. The basis of personal jurisdiction is: .

2.	Plaintiff and Defendant are residing separate and apart.

Parties are residing together and request an order for allocation of household expenses only.

3.	There are no minor children (Skip to No. 12)

4.	I have filed a 3127.23 Affidavit and have specifically addressed therein the child abuse/neglect, domestic violence,	physical harm provisions of O.R.C.3109.04, 3109.051 and 3109.052 as those statutes pertain to both parents and this case.

5.(a)	I request to be the residential parent and legal custodian on a temporary basis.

(b)	I have no objection to my spouse being the residential parent and legal custodian on a temporary basis.

6.	The minor resided solely with () since .

7 .	The minor attend(s) school at , which is the school district of () or other basis . been so enrolled since .

8.	() has been the primary caretaker of the .

9.	The special (i.e. physical, mental, educational disability) needs of the are and is best able to meet those needs.

10.	I request the following parenting time order (No supervised parenting time order will be granted unless the reasons therefore are stated with specificity).

(a)	Court Standard Parenting Order.

(b)	Specific parenting time as follows:

11.	Recognizing that the 75(N) Order is temporary only, my position on further parenting allocation is as follows: (Please Check box): () I requested shared parenting; () I to shared parenting; () I filed a shared parenting plan; () I unless ordered file a shared parenting plan. Estimated date of filing . ( )I a mediation order at the present time; () I a mediation assessment at the present time; () I am to attend mediation; () I family counseling. If requested, state subject area and reason: ; () I parenting time counseling with a parenting specialist; () I an immediate referral to a parenting specialist for a () full; () partial evaluation. The reasons why an immediate referral is necessary are: Attach affidavit (required). State reasons with specificity.

12.	I have no other income except as set forth in my Affidavit of Income, Expenses and Financial Disclosure. (Attach at least two most recent pay stubs and W-2 for previous year.

13.(a)	There is no reason known to me why I cannot continue my employment.

(b)	The reason I cannot work or continue to work is: .

14.	I believe my spouse’s income to be approximately $ gross per week based upon (Attach verification of spouse’s income)

15.	There was no previous filing in this Court which left an arrearage on records of the CSEA.

16.(a)	This affidavit is being filed only on conjunction with a complaint.

(b)	This counter affidavit is being filed in response to an affidavit filed by

17.	I request the Court to make the following order:

Support: $ per month, per child and/or spousal support $ per month. If there is a deviation between the requested amount and the worksheet amount state the reason why on a separate sheet of paper.

18.	OTHER: (attach additional pages as necessary):

STATE OF OHIO	)

COUNTY OF HAMILTON	)	SS:

herein, being first duly sworn, says that the facts stated herein are true as verily believes.

Sworn to before me and subscribed in my presence this	day of	, 20_______.

NOTARY PUBLIC

Respectfully submitted,

Attorney/Party

Address

Phone Number

CERTIFICATE OF SERVICE

I hereby certify that a copy of the foregoing Motion has this day of has been served by upon .

Attorney/Party