Family Court Division

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IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
FAMILY COURT DIVISION
)
_______________________________,
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SSN: ____________________
)
)
Petitioner/Plaintiff,
)
)
vs.
)
Case No. _____________________
)
________________________________,
)
SSN: ______________________
)
)
Respondent/Defendant. )
AFFIDAVIT IN SUPPORT OF JUDGMENT FOR MODIFICATION
OF (JUDGMENT AND DECREE OF DISSOLUTION OF
MARRIAGE/JUDGMENT OF PATERNITY)
(Form 4)
The undersigned, having first been sworn upon (his/her) oath, hereby
affirms pursuant to local rule 68.6 that the following testimony is true:
1.
On __________________ a (Judgment and Decree of Dissolution of
Marriage/Judgment of Paternity) was entered in this case by a court in Case
Number _______________________.
2.
For the reasons set forth below, the current Judgment should be
modified concerning the following:
Check all that apply:
____ custody
____ visitation
____ child support
____ maintenance
3.
Petitioner/Plaintiff and Respondent/Defendant have entered into
a written settlement agreement, which is attached to the proposed Judgment
as Exhibit _____.
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