COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

Plaintiff / Petitioner
xxx -xx-
SS#	DOB
-vs/and-
Defendant / Petitioner
xxx -xx-
SS#	DOB

HAMILTON COUNTY, OHIO

Enter:
Date:
Case No.
File No.
CSEA No.
Judge
AGREED ENTRY (SUPPORT) (SHARED PARENTING)

By agreement of the parties and with the consent of the Court:

1. The shared parenting decree in this matter is hereby modified as follows:

A. Parenting Arrangements:

B. shall pay to and for the support of the minor the sum of $ per month.

C. shall obtain/maintain health insurance for the benefit of the minor .

Shall be designated to receive reimbursements.

D. Additional documents/orders as necessary are attached hereto and incorporated herein for all purposes including [ ] Support Worksheet; [ ] §3113.21 order; [] Health Care Order; [ ] Shared Time Order, [ ] Other

E. It is further ordered that

2. Shall pay to as and for payment on a child support/spousal support arrearage of $ as of (date) the sum of $ per month. Child Support Enforcement Agency records to reflect said arrearage.

3. ALL PAYMENTS PLUS 2% PROCESSING CHARGE SHALL BE MADE THROUGH THE CHILD SUPPORT	ENFORCEMENT AGENCY EFFECTIVE .

4. Both parties acknowledge that Obligor i employed, receiving Workers’ Compensation, i receiving Unemployment Compensation, have funds on deposit in accounts and have any other income or assets from which support can be paid or secured, as set forth in the affidavit(s) previously filed herein, which Incorporated herein by reference.

5. It is further ordered that

6. Obligor acknowledges that they are eighteen (18) or more years of age and under no disability and that they have received a copy of the Support Order, the O.R.C. 3119 and 3113.217 Orders and that they waive service of same. By signature on this agreed entry, both parties expressly, knowingly and voluntarily waive their right, if any, to a Magistrate’s Decision as well as any requirement that the Court issue separate findings of fact/conclusions of law pursuant to O.R.C. 3109.04, 3109.051, 3109.052 and 3113.215.

MAGISTRATE

Plaintiff/Petitioner	Defendant/Petitioner

Attorney for Plaintiff/Petitioner	Attorney for Defendant/Petitioner

Child Support Attorney for C.S.E.A.