Court Form 3

Eff. 7-1-97

IN THE COMMON PLEAS COURT OF HURON COUNTY, OHIO

DOMESTIC RELATIONS DIVISION

________________________________________ Case No. _______________________

Plaintiff

Judge Earl R. McGimpsey

vs.

PROPOSAL FOR TEMPORARY ORDERS

________________________________________

Defendant OF THE ______________________________

Marital Residence

1. The marital residence is located at ____________________________________________________.

2. The _______________________________________ (Plaintiff/Defendant/Plaintiff and Defendant) is/are presently occupying the marital residence.

3. The marital residence should temporarily be awarded to ___________________________________.

Plaintiff/Defendant/Plaintiff and Defendant

Custody

4. The children have resided during their lifetimes with the following persons as indicated:

Child’s Name Person with whom Residing Dates of Residence

_________________________________________________________________________________ _________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________ _________________________________________________________________________________

5. The ________________________________ (Plaintiff/Defendant) should be designated the residential parent for the following reasons:______________________________________________

_________________________________________________________________________________ _________________________________________________________________________________

6. The non-residential parent should have the following visitation with the child(ren) for the following reasons: __________________________________________________________________________ _________________________________________________________________________________

7.If the non-residential parent’s visitation should be supervised, state the reasons therefor and a proposed plan for supervised visitation that identifies by name, relationship, address and telephone number of the person who has agreed to supervise the visitation:

Page 2 of Court Form 3

8. If the Court does not designate the parent proposed in Paragraph 5 above as the residential parent, the non-residential parent should have the following visitation for the following reasons: __________

_________________________________________________________________________________

9.If a temporary shared parenting plan is appropriate and both parents agree, state the terms of the plan by identifying the residential parent [one parent must be designated the residential parent, even if both parents continue to temporarily reside in the marital resident], the visitation schedule of the non-residential parent [where both parents continue to temporarily reside in the marital residence, the plan should state the respective responsibilities for the children of both the residential and non-residential parent] and the percentage, if any, that the non-residential parent’s child support obligation should be reduced: __________________________________________________________________________________________________________________________________________________________________

Support

10.__________________________ [Plaintiff/Defendant] should be ordered to pay child support in the amount of $________________ per month with payments to be made in the amount of $______________ per __________________[pay period, e.g., week], which includes the administrative fee, for the following reasons [e.g., statutory guideline or reasons for deviation therefrom]:________________

_________________________________________________________________________________

11. _________________________ [Plaintiff/Defendant] is (is not) requesting spousal support in the amount of $_________________ per month for the following reasons:_______________________________

_________________________________________________________________________________

12. If the Court does not designate the parent proposed in Paragraph 5 above as the residential parent,

_______________________ [Plaintiff/Defendant] should be ordered to pay child support in the amount of $___________________ per month with payments to be made in the amount of $_____________

per _______________________[pay period, e.g., week], which includes the administrative fee, for the following reasons [e.g., statutory guideline or reasons for deviation therefrom]:_________________________

_________________________________________________________________________________

Motor Vehicles

13. Exclusive use of motor vehicles should be as follows:

Vehicle Titled User Exclusive use awarded to:

_________________________________________________________________________________

Page 3 of Court Form 3

Financial Obligations

14. The following is a list of all periodic payments on debts and the proposed party who should temporarily make the payment and the reason therefor:

Plaintiff

Creditor Periodic Payment Amount Reason

_________________________________________________________________________________________________ _________________________________________________________________________________________________

_________________________________________________________________________________

Defendant

Creditor Periodic Payment Amount Reason

_________________________________________________________________________________________________ _________________________________________________________________________________________________

_________________________________________________________________________________

Miscellaneous Factors or Issues

15. ________________________________________________________________________________________________

_________________________________________________________________________________

Approved by:

___________________________________________

Plaintiff/Defendant

___________________________________________

Attorney for Plaintiff/Defendant

(forms/court form 3)