Form Cafc170 – Fill Out and Use This PDF

Approved for Use in Uncontested Cases Only

IN THE CIRCUIT COURT OF _________________________, MISSOURI

_________________	_____________	____________________	_________
(First)	(Middle)	(Last)	(Jr./Sr./III)
Petitioner/Plaintiff,			Case No. ____________
-and-
			Division No. ____________
_________________	_____________	____________________	_________
(First)	(Middle)	(Last)	(Jr./Sr./III)

Respondent/Defendant.

Modification Judgment

Parties

1.Appearances (Check all that apply)

Petitioner/Plaintiff appears	Petitioner/Plaintiff	Guardian ad Litem
in person.	appears by attorney.	appears in person.
Respondent/Defendant	Respondent/Defendant	Cause submitted upon
appears in person.	appears by attorney.	affidavit of
		Petitioner/Plaintiff.
Third Party _____________	Third Party ___________	Cause submitted upon
appears in person.	appears by attorney.	affidavit of
		Respondent/Defendant.

2.The last four digits of Petitioner/Plaintiff’s Social Security Number are ___________________ and the last four digits of Respondent/Defendant’s Social Security Number are _________________.

Judgment(s)

3.The initial judgment herein was entered on _____________________.

4. There have been no modifications of the initial judgment since it was entered.

The initial judgment has been modified most recently on _____________________.

Children

5.This judgment pertains to the following unemancipated child(ren) hereinafter referred to as “minor child(ren):”

Judgment of Modification – Page 1 of 4

Form CAFC170-01/01/2011

This form is available for free at www.selfrepresent.mo.gov

Child Custody

6. No change in child custody or visitation was requested by the parties.

Visitation - A modification of visitation is necessary to serve the best interests of the minor child(ren).

The court has “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, §452.700, RSMo et seq.) over the custody arrangements of the minor child(ren).

The court approves the provisions of Part A of the parenting plan marked exhibit _________

pertaining to the visitation arrangements of the minor child(ren) and finds that the visitation arrangements contained in said parenting plan are in the best interests of the minor child(ren). Therefore, the court orders the provisions of Part A of the said parenting plan pertaining to

the visitation arrangements of the minor child(ren) and incorporates by reference all of the terms and conditions pertaining to the visitation arrangements of the minor child(ren) set forth in Part A of said parenting plan as if fully set forth herein.

The sheriff or other law enforcement officers shall enforce the rights of any person to custody or visitation pursuant to §452.425, RSMo.

Custody - A change in circumstances has occurred regarding the minor child(ren) or the minor child(ren)’s custodian which makes a modification necessary to serve the best interests of the minor child(ren).

The court has “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, §452.700, RSMo et seq.) over the custody arrangements of the minor child(ren).

The court approves the provisions of Part A of the parenting plan marked exhibit _________

pertaining to the custodial arrangements of the minor child(ren) and finds that the custodial arrangements contained in said parenting plan are in the best interests of the minor child(ren). Therefore, the court orders the provisions of Part A of the said parenting plan pertaining to

the custodial arrangements of the minor child(ren) and incorporates by reference all of the terms and conditions pertaining to the custodial arrangements of the minor child(ren) set forth in Part A of said parenting plan as if fully set forth herein.

The sheriff or other law enforcement officers shall enforce the rights of any person to custody or visitation pursuant to §452.425, RSMo.

No change in circumstances has occurred regarding the minor child(ren) or the minor child(ren)’s custodian which makes a modification necessary to serve the best interests of the minor child(ren).

The court does NOT have “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, §452.700, RSMo et seq.) over the custody arrangements of the minor child(ren) and therefore enters no further orders with respect to the custodial arrangements of the minor child(ren).

Child Support

7. No change in child support was requested by the parties.

A substantial and continuing change in circumstances has occurred which makes the terms concerning child support unreasonable. The court orders the provisions of Part B of the parenting plan marked exhibit _________ , pertaining to the support of the minor child(ren) and incorporates by reference all of the terms and conditions set forth in Part B of said parenting plan as if fully set forth herein.

No substantial and continuing change in circumstances has occurred which makes the terms concerning child support unreasonable.

The court does not have jurisdiction to enter any orders with respect to the support of the minor child(ren).

Judgment of Modification – Page 2 of 4

Form CAFC170-01/01/2011

This form is available for free at www.selfrepresent.mo.gov

Maintenance

8. No change in maintenance was requested by the parties.

A substantial and continuing change in circumstances has occurred which makes the terms concerning maintenance unreasonable.

__________________ is ordered to pay to __________________ the sum of ____________ per month as and for maintenance commencing _____________________.

No substantial and continuing change in circumstances has occurred which makes the terms concerning maintenance unreasonable.

The court does not have jurisdiction to enter any orders with respect to maintenance of the parties.

9.Wage Assignment for Maintenance (If maintenance is to be paid by either party)

Income withholding shall be prepared by the obligee and issued by the Circuit Clerk upon the effective date of this order.

Income withholding shall not issue for the following reason(s):

_________________________________________________________________________________________.

Attorney’s Fees

10. Petitioner/Plaintiff shall pay to _____________________ the sum of _____________ as and for Respondent/Defendant’s attorney’s fees herein.

Respondent/Defendant shall pay to _____________________ the sum of _____________ as and for Petitioner/Plaintiff’s attorney’s fees herein.

11. Petitioner/Plaintiff shall pay to _____________________ the sum of _____________ as and for Guardian ad Litem fees in addition to the sum of _____________ previously ordered.

Respondent/Defendant shall pay to _____________________ the sum of _____________ as and for Guardian ad Litem fees in addition to the sum of _____________ previously ordered.

Other Orders

12. Other orders are as per the attached Exhibit Number___________, which is incorporated by reference as if fully set forth herein.

_________________________________________________________________________________________

_________________________________________________________________________________________

Court Costs

13. Court costs are to be paid from the court cost deposit(s) previously posted. Court costs are waived.

Waiver of Right to Rehearing (If case is heard by a Commissioner pursuant to §487.010, RSMo et. seq.)

We, the undersigned parties, do hereby acknowledge receipt of the findings and recommendations of the commissioner, and waive the right to file a motion for rehearing in this case.

	Judgment of Modification – Page 3 of 4
Form CAFC170-01/01/2011	This form is available for free at www.selfrepresent.mo.gov

A certified copy of this judgment is to be mailed to the following person(s): (Check all applicable boxes)

____________________________			____________________________			____________________________
(Signature of Attorney)			(Signature of Attorney)			(Signature of Guardian ad Litem)
____________________________			____________________________			____________________________
(Street)			(Street)			(Street)
____________	______ ______		____________	______ ______		____________	______ ______
(City)	(State)	(Zip)	(City)	(State)	(Zip)	(City)	(State)	(Zip)
_________________________			_________________________			_________________________
(Telephone Number)			(Telephone Number)			(Telephone Number)
Petitioner/Plaintiff			Respondent/Defendant			Third Party
____________________________			____________________________			____________________________
(Signature of Petitioner/Plaintiff)			(Signature of Respondent/Defendant)			(Signature of Third Party)
____________________________			____________________________			____________________________
(Street)			(Street)			(Street)
____________	______ ______		____________	______ ______		____________	______ ______
(City)	(State)	(Zip)	(City)	(State)	(Zip)	(City)	(State)	(Zip)
_________________________			_________________________			_________________________
(Telephone Number)			(Telephone Number)			(Telephone Number)

	Judgment of Modification – Page 4 of 4
Form CAFC170-01/01/2011	This form is available for free at www.selfrepresent.mo.gov