Affidavit For Termination Of Child Support And Modification Form
Download a blank fillable Affidavit For Termination Of Child Support And Modification Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Affidavit For Termination Of Child Support And Modification Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2IN THE CIRCUIT COURT OF JACKSON COUNTY MISSOURI
AT KANSAS CITY
AT INDEPENDENCE
___________________________________________________
PETITIONER,
Name, D/O/B, Social Security Number
Address:____________________________________________
___________________________________________________
VS.
CASE NO.___________________________________
___________________________________________________
RESPONDENT.
Name, D/O/B, Social Security Number
Address:____________________________________________
___________________________________________________
AFFIDAVIT FOR TERMINATION OF CHILD SUPPORT AND MODIFICATION
I, _________________________________________, am
receiving support
paying support on this
case for the following child ________________________________, whose date of birth and social security
number is________________________________, and is no longer entitled to support for the following reasons:
[Check all that apply]
The child died on _________________________________ (attach certified copy of death certificate).
The child married on _______________________________ (attach certified copy of marriage license).
The child entered active duty in the military on ____________________________ (attach verification).
The child has become self-supporting, and the custodial parent has relinquished the child from parental
control by express or implied consent.
The child has attained the age of 21.
The child has attained the age of 18 and
is not physically or mentally incapacitated from supporting himself or herself, and the child’s
circumstances do not manifestly dictate that child support should continue.
has not graduated from secondary school or completed a graduation equivalence degree program
and, upon reaching age 18, was not attending and progressing toward completion of a secondary
school program of instruction.
has graduated from secondary school or completed a graduation equivalence degree program but
did not enroll in an institution of vocational or higher education by October 1 following graduation or
completion of the graduation equivalence degree program.
has enrolled in an institution of vocational or higher education by October 1 following graduation
from secondary school or completion of a graduation equivalence degree program, but has
completed his or her education, failed to achieve grades sufficient to re-enroll at such instituion, or
failed to complete twelve credit hours in each semester.
has failed to submit a transcript or similar official document including grades, courses and credit
hours at the beginning of the semester to the non-custodial parent.
has failed to produce the documentation within 30 days of the receipt of grades for the educational
institution, as requested by the non-custodial parent.
the child, when enrolled in at least 12 credit hours of post secondary education, has failing
grades in half or more of the child’s course load in any one semester.
I further request that the total amount of child support to be paid be modified, for the following child or children:
(list date of birth and social security number for each child): ___________________________________________
__________________________________________________________________________________________.
The current non-custodial parent has a wage assignment with________________________________, located at
________________________________________.
The facts in this Affidavit are true to my best knowledge and belief and are made under penalty of perjury
pursuant to Section 509.030, RSMo.
_____________________________________________
_____________________________________
Date
Signature of Parent
SEE REVERSE SIDE FOR IMPORTANT INFORMATION
ADVERTISEMENT
0 votes
