child support - 1-hour writer only

NOTICE OF MOTION

Plaintiff/Defendant is hereby notified of the filing of this motion for support pendente lite. Plaintiff/Defendant is hereby directed to complete an answer affidavit (form affidavit available in Legal Department located in Basement Center South or in Journal Department located in Room 306 of Old Courthouse, One Lakeside Avenue, Cleveland, Ohio) and, within fourteen (14) days after receiving this notice, to file the same with the Clerk of Courts of Cuyahoga County, 1200 Ontario Street, Cleveland, Ohio 44113. If he/she fails to do so, the affidavit supporting this motion will be taken as true.

STATE OF OHIO AFFIDAVIT OF INCOME, EXPENSES, AND FINANCIAL DISCLOSURE

Plaintiff/Defendant herein, ______________________________, having been duly sworn states that he/she has been advised that this affidavit may be used for the following purposes: (1) to disclose completely affiant’s income and expenses; (2) to assist in determining orders of child support and spousal support when applicable or any changes thereto; and (3) to provide for the issuance of an appropriate support withholding and deduction notice or other order.

Minor and/or dependent children of this marriage:

___________________________________D.O.B. ____________ is residing with ______________________________ ___________________________________D.O.B. ____________ is residing with ______________________________ ___________________________________D.O.B. ____________ is residing with ______________________________

If a child is eighteen years of age, is the child still attending high school? ________Yes ________No

SECTION I GROSS YEARLY INCOME

Husband Wife

|_| Unemployed Unemployed |_|

_______________________________............Name of last Employer................_______________________________ _______________________________..................Payroll Address....................._______________________________ _______________________________..................City, State, Zip......................_______________________________ _______________________________.................Termination Date....................._______________________________ _______________________________...Income/Salary at the time of termination...._______________________________

|_| Employed/self-employed |_| |_| Employed/self-employed |_|

$__________________......Actual or Estimate......Base Yearly Wages......Actual or Estimate....…$__________________ _______________________________.........................Employer........................._______________________________ _______________________________..................Payroll Address...................._______________________________ _______________________________..................City, State, Zip....................._______________________________

|_| 12 |_| 24 |_| 26 |_| 52...........................Scheduled Paychecks Per Year........................... |_| 12 |_| 24 |_| 26 |_| 52 $__________________...................Ordinary and Necessary Business Expenses.................….$__________________

Other income of husband Other income of wife

$__________________....................................Unemployment Benefits .....................................$___________________

$__________________.....................Social Security or Other Disability Benefits .......................$_____________________

$__________________..................Spousal Support Received from a prior marriage...................$___________________

$__________________................Interest/Dividend Income (whether or not taxable) ................$___________________

($_________________)..............Public Assistance or Supplemental Security Income.............($____________________)

$__________________.....................................Other Income Received.....................................$___________________

Specify: _______________________________________________

_______________________________________________________

$__________________.....................................TOTAL YEARLY INCOME.....................................$___________________

ANNUAL INCOME, OVERTIME AND BONUSES EARNED

Husband (Past Three Years) Wife

ADJUSTMENTS

Husband Wife

$______________per year............Court Ordered Support Paid for Other Child(ren).............. $____________per year

$____________per year.....Court Ordered Spousal Support Paid to a Former Spouse .......$______________per year

_______________………......Number of Other Dependent Children Living with the Party.........________________

(Excluding Unadopted Step Children)

$______________per year........Child Support Received for Other Dependent Children......$______________per year

(Indicated Immediately Above)

$_____________per year...Health Insurance Premium Paid by Party if Children Included .. $_____________per year

SECTION II AFFIANT'S MONTHLY EXPENSES

There are ________ adults and ________ children in my household. Expenses for my present household:

Indicate which party is currently paying each bill. Circle H (husband) or W (wife).

A. Housing

1. Rent or Mortgage (including taxes and insurance). . |_|H. . . |_| W ....................................$___________________

2. Utilities

a. Electric and Gas or Oil. . . |_|H. . . |_|W .............................................................................$___________________

b. Water and Sewer. . . |_|H. . . |_|W .....................................................................................$___________________

c. Telephone (excluding long distance). . . |_|H. . . |_|W ........................................................$___________________

3. Other: ______________________________. . . |_|H. . . |_|W ..........................................$___________________

______________________________. . . |_|H. . . |_|W.........................................................$____________________

TOTAL HOUSING .................................................................................................................$____________________

B. 1. Auto repairs and license. . . |_|H. . . |_|W .....................................................................$____________________

2. Gasoline and oil. . . |_|H. . . |_|W.......................................................................................$____________________

3. Insurance: ______________________________. . . |_|H. . . |_|W ...................................$____________________

______________________________. . . |_|H. . . |_|W......................................$___________________

______________________________. . . |_|H. . . |_|W......................................$___________________

4. Medical expenses (not covered by insurance). . . |_| H. . . |_| W .......................................$___________________

5. Clothing. . . |_|H. . . |_|W ....................................................................................................$___________________

6. Groceries (including food, laundry and cleaning products/toiletries, lunches) |_|.H |_|W. ..$___________________

7. Child care expenses:

a. Education and employment related only. . . |_|H. . . |_|W....................................$____________________

b. Non-employment related. . . |_|H. . . |_|W ...........................................................$____________________

MONTHLY TOTAL..................................................................................................................$____________________

C. Monthly Installment Payments

(Do not list expenses previously listed in Section B)

TO WHOM PAID PURPOSE BALANCE DUE MONTHLY PAYMENT PAID BY:

____________________ _______________________ $_______________ $__________________ |_|H |_|W

____________________ _______________________ $_______________ $__________________ |_|H |_|W ____________________ _______________________ $_______________ $__________________ |_|H |_|W

____________________ _______________________ $_______________ $__________________ |_|H |_|W

MONTHLY TOTAL.......................................................................................... $__________________

D. Additional Monthly Expenses

Complete if you are seeking either an award of spousal support or a significant deviation from the child support schedule.

1. Special and unusual needs of the children

Specify: ________________________________________________. |_|H.... |_|W.... . $______________________

2. Extraordinary visitation-related travel expenses. . . |_|H. . . |_|W ..................................$____________________

3. Extraordinary obligations to other children, minor and handicapped. . |_|H . . |_|W .....$____________________

(Excluding step-children)

4. Mandatory deduction from wages (not taxes, Social Security). . . |_|H. . . |_|W.............$____________________

5. Additional taxes paid (not from wages). . . |_|H. . . |_|W ................................................$____________________

6. Hair care, dry cleaning. . . |_|H. . . |_|W .........................................................................$___________________

7. Newspapers, periodicals, and books. . . |_|H. . . |_|W ...................................................$____________________

8. Children's activity fees. . . |_|H. . . |_|W ... .....................................................................$____________________

9. Tuition (for minor children or self). . . |_|H. . . |_|W.........................................................$____________________

10. Entertainment. . . |_|H. . . |_| W ...................................................................................$____________________

11. Contributions. . . |_|H. . . |_| W ....................................................................................$____________________

12. Memberships (associations, clubs). . . |_|H. . . |_|W ...................................................$____________________

13. Travel, vacations. . . |_|H. . . |_|W ...............................................................................$____________________

14. Housing repairs. . . |_|H. . . |_|W .................................................................................$____________________

15. Other Specify: ____________________________________________|_|H. . |_|W ..$____________________

____________________________________________|_|H. . . |_|W...$____________________

____________________________________________|_|H. . |_|W ....$____________________

TOTAL OTHER EXPENSES ...............................................................................................$____________________

GRAND TOTAL MONTHLY EXPENSES (Sum of A, B, C, and D [optional]).......................$____________________

I am currently in bankruptcy. YES ________ NO ________ Chapter ____________ Case No. ________________

Affiant states under penalty of law that the information contained herein is complete and accurate to the best of his/her information, knowledge, or belief.

________________________________________ ________________________________________

Attorney Affiant |_|Plaintiff |_|Defendant

Sworn to and subscribed in my presence this ____________ day of ______________________, 20________.

_________________________________________

My commission expires ______________________

COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CUYAHOGA COUNTY, OHIO

Plaintiff/Defendant moves the Court for an order for support during the pendency of this action and for cause refers to the affidavit attached hereto.

CERTIFICATE OF SERVICE

The Motion for Support Pendente Lite with Notice has been sent by _________________ mail to _________________________ (NAME OF ATTORNEY OR PARTY) located at _________________________________ __________________________________________ on ________________________ (DATE).

__________________________________________ ___________________________________________ Signature of Plaintiff/Defendant, if unrepresented Signature of Attorney for Plaintiff/Defendant __________________________________________ Attorneys Name and Registration Number __________________________________________ Address __________________________________________ City, State, Zip __________________________________________ Telephone Number

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Family Law: Draft the Motion

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