| IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FORĀ COUNTY, FLORIDA |
|
Case No.: Judge:: |
Petitioner |
|
and |
Respondent |
SUPPLEMENTAL PETITION TO MODIFY PARENTALRESPONSIBILITY, VISITATION, OR PARENTING PLAN/TIME-SHARING SCHEDULE AND OTHER RELIEF |
| I, {full legal name} , being sworn, certify that the following information is true: |
| {Complete all that apply} | |
| 1. | The parties to this action were granted a final judgment of dissolution of marriage paternity on {date} . A copy of the final judgment and any modification(s) is attached. |
| {Complete all that apply} | |
| 2. | Paragraph(s) of the final judgment or most recent modification thereof describes the present parental responsibility, visitation, or Parenting Plan/Time-Sharing schedule. |
| {Complete all that apply} | |
| 3. | Since the final judgment or last modification thereof, there has been a substantial, material and unanticipated change in circumstances, requiring a modification of the parental responsibility, visitation,or Parenting Plan/Time-Sharing schedule. Those changes are as follows:{explain} |
| {Complete all that apply} | |
| 4. | I ask the Court to modify the parental responsibility, visitation, Parenting Plan or Time-Sharing Florida Supreme Court Approved Family Law Form 12.905(a), Supplemental Petition to Modify Parental Responsibility, Visitation, or Parenting Plan/Time-Sharing Schedule and Other Relief(11/15) schedule as follows: {explain} |
| {Complete all that apply} | |
| 5. | This modification is in the best interests of the child(ren) because:{explain} |
| {Complete all that apply} | |
| 6. | Petitioner requests does not request that child support be modified, consistent with the modification of the Parenting Plan/Time-Sharing schedule |
| {Complete all that apply} | |
| 7. | If necessary, a Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), is, or will be filed. |
| {Complete all that apply} | |
| 8. | A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), is, or will be filed. |
| {Complete all that apply} | |
| 9. | A completed Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit, Florida Supreme Court Approved Family Law Form 12.902(d), is filed with thispetition. |
| {Complete all that apply} | |
| 10. | If not previously filed in this case, a completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j), is filed with thispetition. |
| {Complete all that apply} | |
| 11. | Other: |
| I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment. |
| Dated: |
Signature of Petitioner |
| STATE OF FLORIDA COUNTY OF |
| Sworn to or affirmed and signed before me on bY |
NOTARY PUBLIC or DEPUTY CLERK
[Print, type, or stamp commissioned name of notary or
deputy clerk.]
Personally known
Produced identification
Type of identification produced
| IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:[fill in all blanks] |
| This form was prepared for the: {choose only one} ( ) ( ) .This form was completed with the assistance of: |
| {name of individual} |
| {name of business} |
| {address} |
| {city} | {state} | {telephone number} |