Joint Petition for Divorce with Children · Step 5 of 7

What You Are Asking For

Neither party changed their name or neither party wishes to have a former or maiden name restored. Check this box if no one wants to go back to a former or maiden name. The name of (spouse's name) Check this box if the first person wants to go back to a former or maiden name. The name of (spouse's name) Write the current full name of the person who wants their name changed. restored to his / her former or maiden name of (write the full name the person wants to go back to) Write the full former or maiden name this person wants to use again. The name of (spouse's name) Check this box if a second person also wants to go back to a former or maiden name. The name of (spouse's name) Write the current full name of the second person who wants their name changed. restored to his / her former or maiden name of (write the full name the person wants to go back to) Write the full former or maiden name this second person wants to use again. Based on the above, $ _________ should be paid by (name) Write the dollar amount of child support based on the math above. This is the standard amount before any changes. should be paid by (name) _________________________ Write the full name of the parent who will pay this child support amount. Special educational needs Check this box if the child has special learning needs that cost extra money. A parent's legal responsibility to support others Check this box if a parent must also support other people, like other children. The value of services contributed by either parent Check this box if one parent gives services that have value instead of money, like childcare. Public assistance paid to support the child Check this box if the child gets help from a government program. Cost of transportation to and from visitation Check this box if it costs money to travel for the child's visits with a parent. The relative income of both households Check this box if you want the court to look at how much money each household earns. Any other necessary expenses for the benefit of the child Check this box if there are other needed costs that help the child. The obligor's ability to pay Check this box if the paying parent's ability to afford the payment should be considered. Explain: Explain why you checked any boxes above. Give details so the court understands your reasons. We agree to set child support based on the standard calculation above. Check this box if both of you agree to use the standard amount from the math above. Child support should be set at a different amount. We agree that Check this box if you both want a different amount than the standard calculation. $_________ will be paid by (name) Write the different dollar amount you both agree should be paid. will be paid by (name) _________________________ Write the full name of the parent who will pay this different amount. We agree that there should be no child support paid by either party. Check this box if you both agree that neither parent should pay child support. We agree to keep child support as ordered in our DA/Child Support case. Check this box if you both want to keep the child support amount already ordered in your existing case.

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