_____________________________________
Petitioner

v.                                No. _____________

_____________________________________
Respondent

THIS MATTER was brought before the court by _____________________________ (father's name) and _____________________________ (mother's name), "the parties". The parties have asked the court to enter a final decree of establishing parentage. In addition, the parties have filed a Parenting Plan and Child Support Obligation ("parenting plan") that sets out the custody and child support of their [child] [children].

This court has considered the parties' agreements, and finds the parties' parenting plan and requests to be reasonable.

THIS COURT FINDS AND CONCLUDES:

1.    The court has jurisdiction over the parties, the [child] [children] and the subject matter of this action.

2.    _____________________ (name of father) has acknowledged in the petition filed in this case that he is the father of ____________________________ (name of each child).

3.    The parties have sworn, under oath, that the parenting plan is complete, true and correct.

4.    The filed parenting plan determines custody and child support of the parties' minor [child] [children]. The parties have sworn, under oath, that the parenting plan is in the best interest of the [child] [children].

5.    (Judge to check applicable.)

    [ ]    The child support guidelines are appropriate in this case.

    [ ]    The child support guidelines are unjust or

inappropriate in this case because they result in substantial hardship. It is appropriate to deviate from the child support guidelines in this case.

IT IS THEREFORE ORDERED, ADJUDGED AND DECREED:

1.    ___________________________ is the father of ___________________________ (name of each minor child).

2.    The parties are ordered to fully comply with all terms and provisions of the parenting plan the terms of which are incorporated by reference.

3.    [ ] Father [ ] Mother is ordered to pay child support in the amount of _______________ to the other parent.

4.    (check applicable alternative)

    [ ] The parties have joint custody of the [child] [children]

    [ ] Father [ ] Mother is the sole custodian of the [child] [children].

5.    The court will have continuing jurisdiction over issues relating to the [child] [children] while the [child is a minor] [children are minors].

6.    (Check and complete if applicable)

    [ ]    The Department of Health, Health Services Division, Vital Statistics Bureau is ordered to change the birth record of ___________________________ (name of each child) to reflect ____________________ (name of father) is the [child's] [children's] father.

7.     This case is now closed. However, the court will have continuing jurisdiction over issues relating to the [child] [children] while they are minors and as provided by law.

IT IS SO ORDERED.

_______________________    _____________________________
Date                    District court judge

    When I sign here, I am telling the judge that I have read this document and agree with everything in it. I state upon my oath or affirmation that this document and the statements in it are true and correct to the best of my information and

belief.

____________________________    ______________________________
Petitioner's signature        Respondent's signature

Address:                    Address:
____________________________    ______________________________

Telephone:                Telephone:
____________________________    ______________________________

[Approved, effective November 15, 2002.]