Parentage Final Order by t2dOT6Bk

VIEWS: 0 PAGES: 4

									  ________________ Court
                                        FINAL ORDER OF                          Case Number
  ______________ County,
        Tennessee                         PARENTAGE

 _____________________________________ _____________________________________
        Petitioner                             Respondent

       This case was heard on __________________ [date]. The Petition is incorporated into this
Decree. On the basis of the Petition and the testimony in this proceeding, the Court concludes:

                                    FINDINGS OF FACT

   1. The Petition was filed on _________________________, 20___.

   2. All persons entitled to notice of the proceedings have been served with process, and all
necessary parties are properly before the Court. The following have taken part in the
proceedings: __________________________________________________________________.

   3. The time for answering the Petition has expired.

   4. The full names and residential and mailing addresses of the mother, father and child are:

       Mother: ________________________________________________________________

       Father: _________________________________________________________________

       Child: __________________________________________________________________


   5. The dates of birth and social security numbers of the mother, father and the child are:

       Mother: ________________________________________________________________
       Father: _________________________________________________________________
       Child: __________________________________________________________________

       6. The father's place of birth is: _______________________________________

       7. The home telephone numbers of the mother and the father are:

       Mother: ________________________________________________________________
       Father: _________________________________________________________________

   8. The driver license numbers of the mother and father are:

       Mother: ________________________________________________________________
       Father: _________________________________________________________________

   9. The names, addresses, and telephone numbers of the mother’s and father's employers are:

       Mother: ________________________________________________________________

       Father: _________________________________________________________________

   9. The availability of health insurance to cover the child is: _________________________.

    10. The Court has considered the following factors in determining whether a deviation from
the presumption in the child support guidelines that child and medical support shall be awarded
retroactively to the date of the child's birth: [specify any that may apply]

        The extent to which the father did not know, and could not have known, of the
         existence of the child, the birth of the child, his possible parentage of the child or the
         location of the child.

        The extent to which the mother intentionally, and without good cause, failed or refused
          to notify the father of the existence of the child, the birth of the child, the father's
          possible parentage of the child or the location of the child.

        The attempts, if any, by the child's mother or caretaker to notify the father of the
         mother's pregnancy, or the existence of the child, the father's possible parentage or the
         location of the child.

        Other [specify]:________________________________________________________.

    11. The presumption that the child support guidelines apply to a retroactive support award
[select one]  has not been rebutted  has been rebutted by clear and convincing evidence and
the application of the guidelines would be unjust or inappropriate in order to provide for the best
interests of the child or the equity between the parties.

     12.        The total amount of support that would have been paid retroactively to the birth of
the child, had no deviation been made by the Court, is $____________________.

    13.        Other: [specify]:___________________________________________________.

                                   CONCLUSIONS OF LAW
        1.     Nothing in this Order limits the right of the State of Tennessee to recover from the
father expenditures made by the State for the benefit of the child, or the right, or obligation, of a
child support agency to pursue retroactive support for the custodial parent or caretaker of the
child.

       2.     Any amounts of retroactive support ordered that have been assigned to the State
of Tennessee are subject to the child support distribution requirements of federal law.

PARENTAGE FINAL ORDER                           www.selegal.org                              PAGE 2
       3.       The provisions of Tenn. Code Ann. § 36-5-501(a)(3) apply with respect to
enrollment of a child in the noncustodial parent's employer-based health care plan.

         4.     Other: [specify]:___________________________________________________.

                                            ORDER

        The Court is satisfied that all the requirements necessary to establish parentage of the
child have been met. IT IS, THEREFORE, ORDERED that:

        1.      The relationship of parent and child is established between the Respondent and
the child.

         2.     The name of the child shall be or remain ________________________________.

        3.     The parenting plan attached to this Order shall govern custody, visitation, and
child support.

        4.     The following provisions shall apply so that the State of Tennessee may recover
the retroactive support amounts that have been assigned to it: [add any special provisions]
_____________________________________________________________________________.

        5.     _______________________________ [the non-prevailing party or, if parentage
was not contested, the person who is being confirmed as the father of the child] shall pay into the
court an amount equal to the sum of any fees required to be paid by the Department of Health for
the processing or issuance of a birth certificate.

        6.     [If this is a case in which the court enters an order of support under Title IV-D of
the Social Security Act, add the following.] Health care coverage shall be provided for the child
in the following manner: _________________________________________________________
_____________________________________________________________________________.

       7.     If the name of the child is changed, this Order be reported by the clerk to the
Division of Vital Records of the Department of Health for preparation of a new Certificate of
Birth.

         8.     Court costs are taxed against  the Petitioner  the Respondent  __________.

         9.     Other: ___________________________________________________________.

Enter:
                                                                 Judge or Chancellor
Presented by:

_______________________________________


PARENTAGE FINAL ORDER                          www.selegal.org                             PAGE 3
Party Submitting Order
Address: _______________________________
_______________________________________
Telephone: ______________________________
Fax: ___________________________________
Email: _________________________________

_______________________________________
Other Party [if there is agreement by the parties]
Address: _______________________________
_______________________________________
Telephone: ______________________________
Fax: ___________________________________
E-Mail: _________________________________

        CERTIFICATE OF SERVICE OF PROPOSED ORDER [if no agreement]

I served a copy of the foregoing upon the following persons at the following addresses:


I did so on or before the date below by personal delivery or by U.S. Mail.

Dated: ___________________________                       ___________________________________
                                                         Party Submitting Order

                CLERK’S CERTIFICATE OF SERVICE OF FINAL ORDER

I certify a copy of this Order was served upon the following persons at the following addresses:



Dated: _______________________                          ____________________________________
                                                                  Deputy Clerk




PARENTAGE FINAL ORDER                              www.selegal.org                        PAGE 4

								
To top