Verified Motion To Modify Form - County Of Henry, Indiana printable pdf download

Verified Motion To Modify Form - County Of Henry, Indiana

STATE OF INDIANA)

IN THE HENRY CIRCUIT COURT

) SS:

COUNTY OF HENRY)

CASE NO. ____________________

___________________________________

Petitioner

________________________________

Respondent

VERIFIED MOTION TO MODIFY

Comes now _______________________________, being duly sworn upon oath,

and states that on _________________________________, this Court entered an order

which provided the following: ______________________________________________

________________________________________________________________________

Since the date of such order, there has been a substantial and continuing change of

circumstances making the order unreasonable in that_____________________________

________________________________________________________________________

WHEREFORE, the undersigned asks that the Court after a hearing to modify the

order regarding (support) (custody) (visitation) as follows: ________________________

________________________________________________________________________

I AFFIRM UNDER PENALTIES FOR PERJURY that the foregoing

representations are true.

Signature: _______________________________

Printed Name: ____________________________

Mailing Address: __________________________

City, State, Zip: ___________________________

Phone Number: ___________________________

Verified Motion To Modify Form - County Of Henry, Indiana