Preview
o on O28 Uk WN
PELED
S3 COU
e. Pension Plan Payments - -
£_Maintenance Paid : :
g. Normal Business Expenses -
h. Total Deductions from Gross Income
{add lines 2a through 2g) $399.84 $231.11
3. Monthly Net Income
(line 1f minus 2h) ‘ $2,200.16 $2,195.59
4. Combined Monthly Net Income
(Line 3 amounts combined) $4,395.75
(if line 4 is less than $600, skip to line 7.)
5. BASIC CHILD SUPPORT OBLIGATION: Combined a
Jazlyn Jouhal $664.00
- $664.00
6. Proportional Share of Income
(Each parent's net income from line 3 divided by line 4) 501 499
7. Each Parent's Basic Child Support Obligation
(Multiply each number on line 6 by line 5)
(if line 4 is less than $600, enter each parent's support
obligation of $25 per child. Number of children: 1
(Skip to line 15a and enter this amount.) $332.66 $331.34
Part I: Health Care, Day Care, and Special Child Rearing Expenses (See Instructions, Page 3)
8. Health Care Expenses
a. Children's Monthly Health Insurance - >
b. Children's Uninsured Monthly Health Care - =
c. Total Monthly Health Care Expenses - -
(line 8a plus line 8b)
d. Combined Monthly Health Care Expenses
: {add father's and mother's totals from line 8c)
e. Maximum Ordinary Monthly Health Care
{multiply line 5 times .05)
f. Extraordinary Monthly Health Care Expenses
(line 8d minus line 8e., if "0" or negative, enter "0")
9. Day Care and Special Child Rearing Expenses
a, Day Care Expenses - -
b. Education Expenses - -
¢. Long Distance Transportation Expenses = z
d. Other Special Expenses (describe)
e. Total Day Care and Special Expenses - -
(Add lines 9a through 9d)
10. Combined Monthly Total Day Care and Special Expenses
(Combine amounts on line 9e)
WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 2 of 511. Total Extraordinary Health Care, Day Care, and Special
Expenses (line 8fplus line 10) .
12. Each Parent's Obligation for Extraordinary Health Care,
Day Care, and Special Expenses
(Multiply each number on line 6 by line 11)
Part III: Gross Child Support Obligation
13. Gross Child Support Obligation (line 7 plus line 12) L
$331.34
Part IV: Child Support Credits (See Instructions, Page 3)
14. Child Support Credits
a, Monthly Health Care Expenses Credit
b. Day Care and Special Expenses Credit
¢, Other Ordinary Expenses Credit (describe)
d. Total Support Credits (add lines 14a through 140)
Part V: Standard Calculation/Presumptive Transfer Payment (See Instructions, Page 4)
15, Standard Calculation
Father
Mother
a. Amount ftom line 7 if fine 4 is below
“8600. Skip to Part VI.
b. Line 13 minus line 14d, if line 4 is over
$600 (sce below ifappl.) ~
$332.66
$331.34
Limitation standards adjustments
c. Amount on line 15b adjusted to meet 45%
het income limitation,
d. Amount on line 15b adjusted to meet
need standard limitation _ Need Standard Year: 2008
e. Enter the lowest amount of lines 15b, 1S¢ or 15d:
$332.66
$331.34
Part VI: Additional Factors for Consideration (See Instructions, Page 4)
16. Household Assets
(List the Present estimated value of all major household assets.)
Father's
Household
Mother's
Household
a, Real Estate
b,_ Stocks and Bonds
_ Vehicles
|. Boats,
Cash.
¢.
d.
e. Pensions/IRAs/Bank Accounts
f.
&.
. Insurance Plans
17, Household Debt
(List liens against household assets, extraordinary debt.)
a.
b
©.
WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 3 of 5Mother's
(Household Debt continued) Father's
Household Household
a. -
c. -
f. >
18. Other Household Income
a. Income Of Current Spouse or Domestic Partner
(if not the other parent of this action)
Name
Name
b. Income of Other Adults in Household
Name
Name.
c. Income of Children (if considered extraordinary)
Name
Name
d. Income from Child Support
Name
‘Name
e. Income From Assistarice Programs
Program
Program
£, Other Income (describe)
19. Non-Recurring Income (describe)
20. Child Support Paid For Other Children
Name/age:
Name/age:
Name/age:
21. Other Children Living In Each Household
(First names and ages)
‘WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 4 of 522. Other Factors For Consideration
Signature and Dates
I declare, under penaity of perjury under the laws of the State of Washington, the information contained in
these Worksheets is complete, true, and correct. lf)
Mother's Signature Father's dighature
Date City Date City
Judge/Reviewing Officer Date
Worksheet certified by the State of Washington Administrative Office of the Courts.
Photocopying of the worksheet is permitted.
WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 5 of 5 SupportCalc® 3008
c:\program files\legalplus\state templates\waworksheet.dtf s:\calcdata\jouhal\jouhal.scp 11/03/2008 02:57 pmMother: Miranda Mirelez Father: Amit Jouhal
County: KING Superior Court Cause Number: 08-3-07781-4 KNT
RESIDENTIAL SCHEDULE CREDIT USING FORMULA
16. NAMES OF CHILDREN Jazlyn
17, BASIC SUPPORT - -
(From Table) $664.00
18. ORDINARY EXPENSES
a. Health Care Expenses - - -
b. Max Health Care $33.20 - -
c. Ord. Health Care - ~ -
(Lesser 18a or 18b)
d. Other Ordinary Expenses ~ - -
e. Total Ordinary Expenses - - -
(Line 18c plus Line 18d)
19. ADJUSTED BASIC SUPPORT
$664.00
20. OVERNIGHTS WITH MOTHER 183
21. % OVERNIGHTS WITH MOTHER 50.1 - - ~
(Line 20 divided by 365)
22. OVERNIGHTS WITH FATHER 182
23. %OVERNIGHTS-FATHER 49.9 _ _ .
(Line 22 divided by 365) .
24, MOTHER’S CREDIT PROP .500 - - -
25. FATHER’S CREDIT PROP .500 - - -
26, MOTHER’S CREDIT - -
(Line 19 times Line 24) $332.00
27. FATHER’S CREDIT - ~
(Line 19 times Line 25) $332.00
28. OVERNIGHT THRESHOLD SELECTED: 91 NIGHTS
29. TRANSFER PAYMENT BEFORE CREDIT:
30. RESIDENTIAL CREDIT TO Father IS:
31. TRANSFER PAYMENT AFTER CREDIT: . $.66
ops ff
Client: s:\caledata\jouhal\jouhal.scp 11/04/2008 07:08 am Exh i b to
SupportCalc® 200824
25
SUPERIOR COURT OF WASHINGTON
COUNTY OF KING
In re the Parentage of:
Jazlyn Jouhal
Child,
Miranda Mirelez
Petitioner,
And
Amit Jouhal
Respondent,
No. 08-3-07781-4 KNT
TEMPORARY PARENTING
PLAN
"PROPOSED
This parenting plan is a temporary parenting plan signed by the court.
dt Is Ordered, Adjudged and Decreed:
I. GENERAL INFORMATION
This parenting plan applies to the following child:
Name
Jazlyn Jouhal
Age
3 mos.
Il. BASIS FOR RESTRICTIONS
Under certain circumstances, as outlined below, the court may limit or prohibit a parent's contact with
the child and the right to make decisions for the child.
Parenting Plan (PPP, PPT, PP) - Page 1 of 8
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130,
26.09.016,.181;.187;.194
FamilySoft FormPAK 2008
Boyd F. Buckingham
Attorney at Law
321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 Facsimile24
25
21
2.2
Parental Conduct (RCW 26.09.191(1), (2))
Does not apply.
Other Factors (RCW 26.09.191(3))
Does not apply.
Il. RESIDENTIAL SCHEDULE
The residential schedule must set forth where the child shall reside each day of the year, including
provisions for holidays, birthdays of family members, vacations, and other special occasions, and what
contact the child shall have with each parent. Parents are encouraged to create a residential schedule
that meets the developmental needs of the child and individual needs of their family. Paragraphs 3.1
through 3.9 ave one way to write your residential schedule. If you do not use these paragraphs, write in
your own schedule in Paragraph 3.13.
3.1
3.2
Schedule for Children Under School Age
Prior to enrotlment in school, the child shall reside with the mother, except for the following
days and times when the child will reside with or be with the father:
Effective November 12. 2008, until the child is 8 months old
From 5:00 p.m. to 9:00 p.m. Wednesday every week
From 5:00 p.m. to 9:00 p.m. Thursday every week
From 5:00 p.m. to 9:00 p.m. Friday every week
From 10:00 a.m. to 4:00 p.m. Saturday every week
From 4:00 p.m. December 25, 2008 (Christmas Day) until 5:00 p.m. on December 26, 2008
From 4:00 p.m. December 31, 2008 (New Year's Eve) until noon on January 1,-2009
After the child is 8 months old
From 5:00 p.m. Wednesday to 5:00 p.m. Saturday every week unless otherwise agreed by the
parents.
School Schedule.
Same as preschool schedule.
Schedule for Winter Vacation
Until the child starts school, same as preschool schedule. After the child is in school, the child
shall reside with each parent for one-half of winter vacation. In even years, the child shall reside
with the mother for the first half and with the father for the second half of winter vacation. In
odd years, the child shall reside with the father for the first half and with the mother for the
second half of winter vacation.
Parenting Plan (PPP, PPT, PP) - Page 2 of 8 Boyd F. Buckingham
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law
26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 Facsimile
FarnilySoft FormPAK 20053.4 Schedule for Other School Breaks
Same as school schedule.
3.5 Summer Schedule
Prior to the commencement of school, same as school schedule.
After the chiid begins school, the child shall alternate weeks with the parents with the exchange
at 6pm on Sunday.
3.6 Vacation With Parents
The schedule for vacation with parents is as follows:
Prior to the child starting school, each parent may have the child for up to one (1) week for
vacation purposes. After the child begins school, each parent may take up to two (2) weeks of
vacation with the child each year during the summer, with one of the weeks being that parents’
regular summer residential time. In the event of a conflict, the mother’s vacation shall take
precedence in even years and the father's vacation shall take precedence in odd years.
Each parent shall notify the other of his/her intended vacation dates by May 15th.
3.7 Schedule for Holidays
Effective January 1.2009: The residential schedule for the child for the holidays listed below is
as follows:
With Mother With Father
New Year's Day Odd Even
Martin Luther King Day Odd Even
Presidents’ Day Even Odd
Memorial Day Odd Even
July 4th Even Odd
Labor Day Odd Even
Thanksgiving Day Even Odd
Christmas Eve Odd Even
Christmas Day Odd Even
For purposes of this parenting plan, a holiday shall begin and end as follows: 9am until 8pm
unless otherwise agreed upon by the parents or otherwise provided herein.
For 2008, the child shali be with the mother Christmas Eve until 4pm Christmas Day when she
shall be with the father until 5:00 p.m. December 26th; the chiid shail be with the father from
3:00 p.m. New Year's Eve until noon on New Year's Day. .
Parenting Plan (PPP, PPT, PP) - Page 3 of 8 Boyd F. Buckingham
WPF PS 01.0400 Mandatory (6/2608) - RCW 26.26.130, Attorney at Law
26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 Facsimile
FamilySoft FormPAK 200524
25
3.8 Schedule for Special Occasions
The residential schedule for the child for the following special occasions (for example, birthdays)
is as follows:
With Mother With Father
Mother's Day Every
Father's Day Every
Child's birthday Odd Even
For purposes of this parenting plan, a special occasion shall begin at 8am and end at 9pm unless
otherwise agreed by the parents.
3.9 Priorities Under the Residential Schedule
If the residential schedule, paragraphs 3.3 - 3.8, have priority over paragraphs 3.1 and 3.2, in the
following order:
Rank the order of priority, with 1 being given the highest priority:
4 school breaks (3.3, 3.4, 3.5)
3 vacation with parents (3.6)
2 holidays (3.7)
1 special occasions (3.8)
3.10 Restrictions
Does not apply because there are no limiting factors in paragraphs 2.1 or 2.2.
3.11 Transportation Arrangements
Transportation costs are included in the Child Support Worksheets and/or the Order for Child
Support and should not be included here.
Transportation arrangements for the child between parents shall be as follows: The receiving
parent shall provide transportation and arrive in a timely fashion.
3.12 Designation of Custodian
The child named in this parenting plan are scheduled to reside the majority of the time with the
mother. This parent is designated the custodian of the child solely for purposes of all other state
and federal statutes which require a designation or determination of custody. This designation
shall not affect either parent's rights and responsibilities under this parenting plan.
Parenting Plan (PPP, PPT, PP) - Page 4 of 8 Boyd F, Buckingham
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law
26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 facsimile
FamilySoft FormPAK 20083.13
3.14
Other
Does not apply
Summary of RCW 26.09.430 - .480, Regarding Relocation of a Child
This is a summary only. For the full text, please see RCW 26.09.430 through 26.09.480.
If the person with whom the child resides a majority of the time plans to move, that person shall
give notice to every person entitled to court ordered time with the child.
Tf the move is outside the child's school district, the relocating person must give notice by
personal service or by mail requiring a return receipt. This notice must be at least 60 days before
the intended move. If the relocating person could not have known about the move in time to give
60 days' notice, that person must give notice within five days after learning of the move. The
notice must contain the information required in RCW 26.09.440. See also form DRPSCU
07.0500, (Notice of Intended Relocation of A Child).
If the move is within the same school district, the relocating person must provide actual notice by
any reasonable means. A person entitled to time with the child may not object to the move but
may ask for modification under RCW 26.09.260.
Notice may be delayed for 21 days if the relocating person is entering a domestic violence shelter
or is moving to avoid a clear, immediate and unreasonable risk to health and safety.
If information is protected under a court order or the address confidentiality program, it may be
withheld from the notice.
A relocating person may ask the court to waive any notice requirements that may put the health
and safety of a person or a child at risk.
Failure to give the required notice may be grounds for sanctions, including contempt.
If no objection is filed within 30 days after service of the notice of intended relocation, the
relocation will be permitted and the proposed revised residential schedule may be
confirmed.
A person entitled to time with a child under a court order can file an objection to the chiid’s
relocation whether or not he or she received proper notice.
An objection may be filed by using the mandatory pattern form WPF DRPSCU 07.0700,
(Objection to Relocation/Petition for Modification of Custody Decree/Parenting Plan/Residential
Schedule). The objection must be served on all persons entitled to time with the child.
The relocating person shall not move the child during the time for objection unless: (a) the
delayed notice provisions apply; or (b) a court order allows the move.
Parenting Plan (PPP, PPT, PP) - Page 5 of 8 Boyd F. Buckingham
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law
26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 Facsimile
FamilySoft FormPAK 200524
25
If the objecting person schedules a hearing for a date within 15 days of timely service of the
objection, the relocating person shall not move the child before the hearing unless there is a
clear, immediate and unreasonable risk to the health or safety of a person or a child.
IV. DECISION MAKING
4.1 Day te Day Decisions
Each parent shall make decisions regarding the day-to-day care and control of each child while
the child is residing with that parent. Regardless of the allocation of decision making in this
parenting plan, either parent may make emergency decisions affecting the health or safety of the
child.
4.2 Major Decisions
Major decisions regarding each child shall be made as follows:
Education decisions Joint, however the child shall attend school in the Kent
School District
‘Non-emergency health care Joint
+ — Religious upbringing Joint
43 Restrictions in Decision Making
Does not apply because there are no limiting factors in paragraphs 2.1 and 2.2 above.
V. DISPUTE RESOLUTION
The purpose of this dispute resolution process is to resolve disagreements about carrying out this
parenting plan. This dispute resolution process may, and under some local court rules or the provisions
of this plan must, be used before filing a petition to modify the plan or a motion for contempt for failing
to follow the plan.
Disputes between the parties, other than child support disputes, shall be submitted to mediation by
Family Court Services or mutually acceptable mediator, if this box is checked and issues of domestic
violence or child abuse are present, then the court finds that the victim requested mediation, that
mediation is appropriate and that the victim is permitted to have a supporting person present during the
mediation proceedings, or
The cost of this process shall be allocated between the parties as follows: 50% mother 50% father.
The dispute resolution process shall be commenced by notifying the other party by written request.
Parenting Plan (PPP, PPT, PP) - Page 6 of 8 Boyd F. Buckingham
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law
26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
- (425) 271-9650 Facsimile
FamilySoft FormPAK 200524
25
Jn the dispute resolution process:
(a) Preference shall be given to carrying out this Parenting Plan.
(b) Unless an emergency exists, the parents shall use the designated process to resolve
disputes relating to implementation of the plan, except those related to financial support.
(c) A written record shall be prepared of any agreement reached in counseling or mediation
and of each arbitration award and shall be provided to each party.
@ If the court finds that a parent has used or frustrated the dispute resolution process
without good reason, the court shall award attorney's fees and financial sanctions to the
other parent.
(e) The parties have the right of review from the dispute resolution process to the superior
court.
VI. OTHER PROVISIONS
“
There are the following other provisions:
6.1 Both parents shall reside in the Auburn/Kent/Renton area and agree that the child shal] remain in
the Kent School District when the time arises for the child to be enrolled in school.
6.2 Each parent shall be entitled to reasonable telephone contact with the child when residing with
the other parent, of up to one call per day for a reasonable duration. Neither parent shall
interfere with said telephone contact.
63 Except for vacation purposes, neither parent shall remove the child from King County without
the mutual agreement of the parties.
6.4 Each party is restrained from making disparaging remarks about the other parent in front of the
child or allowing others to make disparaging remarks about the other parent in the child's
presence.
VIL. DECLARATION FOR PROPOSED PARENTING PLAN
Does not apply.
VU ORDER BY THE COURT
It is ordered, adjudged and. decreed that the parenting plan set forth above is adopted and approved as an
order of this court.
Parenting Plan (PPP, PPT, PP) - Page 7 of 8
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130,
26.09.016,.1815.1875.194
FamilySof FomPAK 2005
Boyd F. Buckingham
Aitorney at Law
321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 Facsimile25
WARNING: Violation of residential provisions of this order with actual knowledge of its terms is
punishable by contempt of court and may be a criminal offense under RCW 9A.040.060(2) or RCW
9A.40.070(2). Violation of this order may subject a violator to arrest. :
When mutual decision making is designated but cannot be achieved, the parties shall make a good faith
effort to resolve the issue through the dispute resolution process.
Ifa parent fails to comply with a provision of this plan, the other parent's obligations under the plan are
not affected.
Dated: -
Judge/Commissioner
Presented by: Approved for entry:
Boyd F. Buckingham, WSBA #10985 Miranda Mirelez
Attorney for Respondent Petitioner Pro Se
wy
Amit Jouhal, Respondent
Parenting Plan (PPP, PPT, PP) - Page 8 of 8
WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130,
26.09.016,.181;.187;.194
FamilySoft FormPAK 2005
Boyd F. Buckingham
Attorney at Law
321 Burnett Ave S, Ste 200
Renton, Washington 98057
(425) 228-6662
(425) 271-9650 Facsimile
Preview
o on O28 Uk WN PELED S3 COU e. Pension Plan Payments - - £_Maintenance Paid : : g. Normal Business Expenses - h. Total Deductions from Gross Income {add lines 2a through 2g) $399.84 $231.11 3. Monthly Net Income (line 1f minus 2h) ‘ $2,200.16 $2,195.59 4. Combined Monthly Net Income (Line 3 amounts combined) $4,395.75 (if line 4 is less than $600, skip to line 7.) 5. BASIC CHILD SUPPORT OBLIGATION: Combined a Jazlyn Jouhal $664.00 - $664.00 6. Proportional Share of Income (Each parent's net income from line 3 divided by line 4) 501 499 7. Each Parent's Basic Child Support Obligation (Multiply each number on line 6 by line 5) (if line 4 is less than $600, enter each parent's support obligation of $25 per child. Number of children: 1 (Skip to line 15a and enter this amount.) $332.66 $331.34 Part I: Health Care, Day Care, and Special Child Rearing Expenses (See Instructions, Page 3) 8. Health Care Expenses a. Children's Monthly Health Insurance - > b. Children's Uninsured Monthly Health Care - = c. Total Monthly Health Care Expenses - - (line 8a plus line 8b) d. Combined Monthly Health Care Expenses : {add father's and mother's totals from line 8c) e. Maximum Ordinary Monthly Health Care {multiply line 5 times .05) f. Extraordinary Monthly Health Care Expenses (line 8d minus line 8e., if "0" or negative, enter "0") 9. Day Care and Special Child Rearing Expenses a, Day Care Expenses - - b. Education Expenses - - ¢. Long Distance Transportation Expenses = z d. Other Special Expenses (describe) e. Total Day Care and Special Expenses - - (Add lines 9a through 9d) 10. Combined Monthly Total Day Care and Special Expenses (Combine amounts on line 9e) WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 2 of 511. Total Extraordinary Health Care, Day Care, and Special Expenses (line 8fplus line 10) . 12. Each Parent's Obligation for Extraordinary Health Care, Day Care, and Special Expenses (Multiply each number on line 6 by line 11) Part III: Gross Child Support Obligation 13. Gross Child Support Obligation (line 7 plus line 12) L $331.34 Part IV: Child Support Credits (See Instructions, Page 3) 14. Child Support Credits a, Monthly Health Care Expenses Credit b. Day Care and Special Expenses Credit ¢, Other Ordinary Expenses Credit (describe) d. Total Support Credits (add lines 14a through 140) Part V: Standard Calculation/Presumptive Transfer Payment (See Instructions, Page 4) 15, Standard Calculation Father Mother a. Amount ftom line 7 if fine 4 is below “8600. Skip to Part VI. b. Line 13 minus line 14d, if line 4 is over $600 (sce below ifappl.) ~ $332.66 $331.34 Limitation standards adjustments c. Amount on line 15b adjusted to meet 45% het income limitation, d. Amount on line 15b adjusted to meet need standard limitation _ Need Standard Year: 2008 e. Enter the lowest amount of lines 15b, 1S¢ or 15d: $332.66 $331.34 Part VI: Additional Factors for Consideration (See Instructions, Page 4) 16. Household Assets (List the Present estimated value of all major household assets.) Father's Household Mother's Household a, Real Estate b,_ Stocks and Bonds _ Vehicles |. Boats, Cash. ¢. d. e. Pensions/IRAs/Bank Accounts f. &. . Insurance Plans 17, Household Debt (List liens against household assets, extraordinary debt.) a. b ©. WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 3 of 5Mother's (Household Debt continued) Father's Household Household a. - c. - f. > 18. Other Household Income a. Income Of Current Spouse or Domestic Partner (if not the other parent of this action) Name Name b. Income of Other Adults in Household Name Name. c. Income of Children (if considered extraordinary) Name Name d. Income from Child Support Name ‘Name e. Income From Assistarice Programs Program Program £, Other Income (describe) 19. Non-Recurring Income (describe) 20. Child Support Paid For Other Children Name/age: Name/age: Name/age: 21. Other Children Living In Each Household (First names and ages) ‘WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 4 of 522. Other Factors For Consideration Signature and Dates I declare, under penaity of perjury under the laws of the State of Washington, the information contained in these Worksheets is complete, true, and correct. lf) Mother's Signature Father's dighature Date City Date City Judge/Reviewing Officer Date Worksheet certified by the State of Washington Administrative Office of the Courts. Photocopying of the worksheet is permitted. WSCSS-Worksheets - Mandatory (CSW/CSWP) 6/2008 Page 5 of 5 SupportCalc® 3008 c:\program files\legalplus\state templates\waworksheet.dtf s:\calcdata\jouhal\jouhal.scp 11/03/2008 02:57 pmMother: Miranda Mirelez Father: Amit Jouhal County: KING Superior Court Cause Number: 08-3-07781-4 KNT RESIDENTIAL SCHEDULE CREDIT USING FORMULA 16. NAMES OF CHILDREN Jazlyn 17, BASIC SUPPORT - - (From Table) $664.00 18. ORDINARY EXPENSES a. Health Care Expenses - - - b. Max Health Care $33.20 - - c. Ord. Health Care - ~ - (Lesser 18a or 18b) d. Other Ordinary Expenses ~ - - e. Total Ordinary Expenses - - - (Line 18c plus Line 18d) 19. ADJUSTED BASIC SUPPORT $664.00 20. OVERNIGHTS WITH MOTHER 183 21. % OVERNIGHTS WITH MOTHER 50.1 - - ~ (Line 20 divided by 365) 22. OVERNIGHTS WITH FATHER 182 23. %OVERNIGHTS-FATHER 49.9 _ _ . (Line 22 divided by 365) . 24, MOTHER’S CREDIT PROP .500 - - - 25. FATHER’S CREDIT PROP .500 - - - 26, MOTHER’S CREDIT - - (Line 19 times Line 24) $332.00 27. FATHER’S CREDIT - ~ (Line 19 times Line 25) $332.00 28. OVERNIGHT THRESHOLD SELECTED: 91 NIGHTS 29. TRANSFER PAYMENT BEFORE CREDIT: 30. RESIDENTIAL CREDIT TO Father IS: 31. TRANSFER PAYMENT AFTER CREDIT: . $.66 ops ff Client: s:\caledata\jouhal\jouhal.scp 11/04/2008 07:08 am Exh i b to SupportCalc® 200824 25 SUPERIOR COURT OF WASHINGTON COUNTY OF KING In re the Parentage of: Jazlyn Jouhal Child, Miranda Mirelez Petitioner, And Amit Jouhal Respondent, No. 08-3-07781-4 KNT TEMPORARY PARENTING PLAN "PROPOSED This parenting plan is a temporary parenting plan signed by the court. dt Is Ordered, Adjudged and Decreed: I. GENERAL INFORMATION This parenting plan applies to the following child: Name Jazlyn Jouhal Age 3 mos. Il. BASIS FOR RESTRICTIONS Under certain circumstances, as outlined below, the court may limit or prohibit a parent's contact with the child and the right to make decisions for the child. Parenting Plan (PPP, PPT, PP) - Page 1 of 8 WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, 26.09.016,.181;.187;.194 FamilySoft FormPAK 2008 Boyd F. Buckingham Attorney at Law 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 Facsimile24 25 21 2.2 Parental Conduct (RCW 26.09.191(1), (2)) Does not apply. Other Factors (RCW 26.09.191(3)) Does not apply. Il. RESIDENTIAL SCHEDULE The residential schedule must set forth where the child shall reside each day of the year, including provisions for holidays, birthdays of family members, vacations, and other special occasions, and what contact the child shall have with each parent. Parents are encouraged to create a residential schedule that meets the developmental needs of the child and individual needs of their family. Paragraphs 3.1 through 3.9 ave one way to write your residential schedule. If you do not use these paragraphs, write in your own schedule in Paragraph 3.13. 3.1 3.2 Schedule for Children Under School Age Prior to enrotlment in school, the child shall reside with the mother, except for the following days and times when the child will reside with or be with the father: Effective November 12. 2008, until the child is 8 months old From 5:00 p.m. to 9:00 p.m. Wednesday every week From 5:00 p.m. to 9:00 p.m. Thursday every week From 5:00 p.m. to 9:00 p.m. Friday every week From 10:00 a.m. to 4:00 p.m. Saturday every week From 4:00 p.m. December 25, 2008 (Christmas Day) until 5:00 p.m. on December 26, 2008 From 4:00 p.m. December 31, 2008 (New Year's Eve) until noon on January 1,-2009 After the child is 8 months old From 5:00 p.m. Wednesday to 5:00 p.m. Saturday every week unless otherwise agreed by the parents. School Schedule. Same as preschool schedule. Schedule for Winter Vacation Until the child starts school, same as preschool schedule. After the child is in school, the child shall reside with each parent for one-half of winter vacation. In even years, the child shall reside with the mother for the first half and with the father for the second half of winter vacation. In odd years, the child shall reside with the father for the first half and with the mother for the second half of winter vacation. Parenting Plan (PPP, PPT, PP) - Page 2 of 8 Boyd F. Buckingham WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law 26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 Facsimile FarnilySoft FormPAK 20053.4 Schedule for Other School Breaks Same as school schedule. 3.5 Summer Schedule Prior to the commencement of school, same as school schedule. After the chiid begins school, the child shall alternate weeks with the parents with the exchange at 6pm on Sunday. 3.6 Vacation With Parents The schedule for vacation with parents is as follows: Prior to the child starting school, each parent may have the child for up to one (1) week for vacation purposes. After the child begins school, each parent may take up to two (2) weeks of vacation with the child each year during the summer, with one of the weeks being that parents’ regular summer residential time. In the event of a conflict, the mother’s vacation shall take precedence in even years and the father's vacation shall take precedence in odd years. Each parent shall notify the other of his/her intended vacation dates by May 15th. 3.7 Schedule for Holidays Effective January 1.2009: The residential schedule for the child for the holidays listed below is as follows: With Mother With Father New Year's Day Odd Even Martin Luther King Day Odd Even Presidents’ Day Even Odd Memorial Day Odd Even July 4th Even Odd Labor Day Odd Even Thanksgiving Day Even Odd Christmas Eve Odd Even Christmas Day Odd Even For purposes of this parenting plan, a holiday shall begin and end as follows: 9am until 8pm unless otherwise agreed upon by the parents or otherwise provided herein. For 2008, the child shali be with the mother Christmas Eve until 4pm Christmas Day when she shall be with the father until 5:00 p.m. December 26th; the chiid shail be with the father from 3:00 p.m. New Year's Eve until noon on New Year's Day. . Parenting Plan (PPP, PPT, PP) - Page 3 of 8 Boyd F. Buckingham WPF PS 01.0400 Mandatory (6/2608) - RCW 26.26.130, Attorney at Law 26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 Facsimile FamilySoft FormPAK 200524 25 3.8 Schedule for Special Occasions The residential schedule for the child for the following special occasions (for example, birthdays) is as follows: With Mother With Father Mother's Day Every Father's Day Every Child's birthday Odd Even For purposes of this parenting plan, a special occasion shall begin at 8am and end at 9pm unless otherwise agreed by the parents. 3.9 Priorities Under the Residential Schedule If the residential schedule, paragraphs 3.3 - 3.8, have priority over paragraphs 3.1 and 3.2, in the following order: Rank the order of priority, with 1 being given the highest priority: 4 school breaks (3.3, 3.4, 3.5) 3 vacation with parents (3.6) 2 holidays (3.7) 1 special occasions (3.8) 3.10 Restrictions Does not apply because there are no limiting factors in paragraphs 2.1 or 2.2. 3.11 Transportation Arrangements Transportation costs are included in the Child Support Worksheets and/or the Order for Child Support and should not be included here. Transportation arrangements for the child between parents shall be as follows: The receiving parent shall provide transportation and arrive in a timely fashion. 3.12 Designation of Custodian The child named in this parenting plan are scheduled to reside the majority of the time with the mother. This parent is designated the custodian of the child solely for purposes of all other state and federal statutes which require a designation or determination of custody. This designation shall not affect either parent's rights and responsibilities under this parenting plan. Parenting Plan (PPP, PPT, PP) - Page 4 of 8 Boyd F, Buckingham WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law 26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 facsimile FamilySoft FormPAK 20083.13 3.14 Other Does not apply Summary of RCW 26.09.430 - .480, Regarding Relocation of a Child This is a summary only. For the full text, please see RCW 26.09.430 through 26.09.480. If the person with whom the child resides a majority of the time plans to move, that person shall give notice to every person entitled to court ordered time with the child. Tf the move is outside the child's school district, the relocating person must give notice by personal service or by mail requiring a return receipt. This notice must be at least 60 days before the intended move. If the relocating person could not have known about the move in time to give 60 days' notice, that person must give notice within five days after learning of the move. The notice must contain the information required in RCW 26.09.440. See also form DRPSCU 07.0500, (Notice of Intended Relocation of A Child). If the move is within the same school district, the relocating person must provide actual notice by any reasonable means. A person entitled to time with the child may not object to the move but may ask for modification under RCW 26.09.260. Notice may be delayed for 21 days if the relocating person is entering a domestic violence shelter or is moving to avoid a clear, immediate and unreasonable risk to health and safety. If information is protected under a court order or the address confidentiality program, it may be withheld from the notice. A relocating person may ask the court to waive any notice requirements that may put the health and safety of a person or a child at risk. Failure to give the required notice may be grounds for sanctions, including contempt. If no objection is filed within 30 days after service of the notice of intended relocation, the relocation will be permitted and the proposed revised residential schedule may be confirmed. A person entitled to time with a child under a court order can file an objection to the chiid’s relocation whether or not he or she received proper notice. An objection may be filed by using the mandatory pattern form WPF DRPSCU 07.0700, (Objection to Relocation/Petition for Modification of Custody Decree/Parenting Plan/Residential Schedule). The objection must be served on all persons entitled to time with the child. The relocating person shall not move the child during the time for objection unless: (a) the delayed notice provisions apply; or (b) a court order allows the move. Parenting Plan (PPP, PPT, PP) - Page 5 of 8 Boyd F. Buckingham WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law 26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 Facsimile FamilySoft FormPAK 200524 25 If the objecting person schedules a hearing for a date within 15 days of timely service of the objection, the relocating person shall not move the child before the hearing unless there is a clear, immediate and unreasonable risk to the health or safety of a person or a child. IV. DECISION MAKING 4.1 Day te Day Decisions Each parent shall make decisions regarding the day-to-day care and control of each child while the child is residing with that parent. Regardless of the allocation of decision making in this parenting plan, either parent may make emergency decisions affecting the health or safety of the child. 4.2 Major Decisions Major decisions regarding each child shall be made as follows: Education decisions Joint, however the child shall attend school in the Kent School District ‘Non-emergency health care Joint + — Religious upbringing Joint 43 Restrictions in Decision Making Does not apply because there are no limiting factors in paragraphs 2.1 and 2.2 above. V. DISPUTE RESOLUTION The purpose of this dispute resolution process is to resolve disagreements about carrying out this parenting plan. This dispute resolution process may, and under some local court rules or the provisions of this plan must, be used before filing a petition to modify the plan or a motion for contempt for failing to follow the plan. Disputes between the parties, other than child support disputes, shall be submitted to mediation by Family Court Services or mutually acceptable mediator, if this box is checked and issues of domestic violence or child abuse are present, then the court finds that the victim requested mediation, that mediation is appropriate and that the victim is permitted to have a supporting person present during the mediation proceedings, or The cost of this process shall be allocated between the parties as follows: 50% mother 50% father. The dispute resolution process shall be commenced by notifying the other party by written request. Parenting Plan (PPP, PPT, PP) - Page 6 of 8 Boyd F. Buckingham WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, Attorney at Law 26.09.016,.181;.187;.194 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 - (425) 271-9650 Facsimile FamilySoft FormPAK 200524 25 Jn the dispute resolution process: (a) Preference shall be given to carrying out this Parenting Plan. (b) Unless an emergency exists, the parents shall use the designated process to resolve disputes relating to implementation of the plan, except those related to financial support. (c) A written record shall be prepared of any agreement reached in counseling or mediation and of each arbitration award and shall be provided to each party. @ If the court finds that a parent has used or frustrated the dispute resolution process without good reason, the court shall award attorney's fees and financial sanctions to the other parent. (e) The parties have the right of review from the dispute resolution process to the superior court. VI. OTHER PROVISIONS “ There are the following other provisions: 6.1 Both parents shall reside in the Auburn/Kent/Renton area and agree that the child shal] remain in the Kent School District when the time arises for the child to be enrolled in school. 6.2 Each parent shall be entitled to reasonable telephone contact with the child when residing with the other parent, of up to one call per day for a reasonable duration. Neither parent shall interfere with said telephone contact. 63 Except for vacation purposes, neither parent shall remove the child from King County without the mutual agreement of the parties. 6.4 Each party is restrained from making disparaging remarks about the other parent in front of the child or allowing others to make disparaging remarks about the other parent in the child's presence. VIL. DECLARATION FOR PROPOSED PARENTING PLAN Does not apply. VU ORDER BY THE COURT It is ordered, adjudged and. decreed that the parenting plan set forth above is adopted and approved as an order of this court. Parenting Plan (PPP, PPT, PP) - Page 7 of 8 WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, 26.09.016,.1815.1875.194 FamilySof FomPAK 2005 Boyd F. Buckingham Aitorney at Law 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 Facsimile25 WARNING: Violation of residential provisions of this order with actual knowledge of its terms is punishable by contempt of court and may be a criminal offense under RCW 9A.040.060(2) or RCW 9A.40.070(2). Violation of this order may subject a violator to arrest. : When mutual decision making is designated but cannot be achieved, the parties shall make a good faith effort to resolve the issue through the dispute resolution process. Ifa parent fails to comply with a provision of this plan, the other parent's obligations under the plan are not affected. Dated: - Judge/Commissioner Presented by: Approved for entry: Boyd F. Buckingham, WSBA #10985 Miranda Mirelez Attorney for Respondent Petitioner Pro Se wy Amit Jouhal, Respondent Parenting Plan (PPP, PPT, PP) - Page 8 of 8 WPF PS 01.0400 Mandatory (6/2008) - RCW 26.26.130, 26.09.016,.181;.187;.194 FamilySoft FormPAK 2005 Boyd F. Buckingham Attorney at Law 321 Burnett Ave S, Ste 200 Renton, Washington 98057 (425) 228-6662 (425) 271-9650 Facsimile