Family Court Division (Page 4 of 5) in pdf

Family Court Division Page 4

____ The presumed amount of child support based on the Form 14 attached

is not rebutted as unjust or inappropriate and that presumed amount of

child support is set forth in the proposed Judgment of Modification.

____ The presumed amount of child support based on the Form 14 attached

is rebutted as unjust and inappropriate and the court should depart

(upward/downward) from the Form 14 presumed amount to that amount set

forth in the proposed Judgment of Modification for the following reason(s):

__________________________________________________________________________

15.

Maintenance:

The

original

judgment

awarded

modifiable

maintenance. A substantial and continuing change of circumstances has

occurred since the entry of the original judgment that makes the prior

maintenance order unreasonable. Maintenance should be modified in one of

the following ways:

Check any of the following that are applicable:

______ Pursuant to the terms of the settlement agreement attached and

marked as Exhibit ____.

______ Both parties are able-bodied and able to support themselves through

appropriate employment without assistance from their ex-spouse and

maintenance previously ordered should be terminated. I acknowledge that if

I do not seek maintenance from my ex-spouse now I will be forever barred

from seeking such an award of maintenance from my ex-spouse in the future

from this or any other court.

________This new maintenance award should be (modifiable/non-modifiable).

Dated this _______ day of ____________. 20__.

___________________________________

Petitioner

STATE OF MISSOURI

)

) ss.

COUNTY OF GREENE

)

Subscribed and sworn before me this ___ day of ________________, 20__.

Family Court Division Page 4