Form Ccfc129-S - Affidavit For Termination Of Child Support - St.louis County, Missouri
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2IN THE FAMILY COURT OF ST. LOUIS COUNTY, MISSOURI
Judge or Division:
Case Number:
MACSS Case ID:
Petitioner:
Petitioner’s Address:
SSN (last four digits)
(DATE FILE STAMP)
or D.O.B.
Respondent:
Respondent’s Address:
Attorney:
Bar #:
Address:
Phone:
Fax:
SSN (last four digits)
Representing:
Petitioner
Respondent
or D.O.B.
NOTE: Party to be served:
Affidavit For Termination of Child Support
Is there a wage withholding in effect
yes
no. If Yes, list employer’s name and address ____________________________
______________________________________________________________________________________________________
I, _______________________________, am
receiving
paying support for __________________________________
(hereinafter referred to as the child), whose age is _______________ and who is no longer entitled to support because:
(Check all which are applicable):
The child died on _____________________________. (Copy of death certificate to be attached by a parent paying support).
The child married on __________________________. (Copy of marriage license to be attached by parent paying support).
The child entered active duty in the military on ___________________. (Verification to be attached by parent paying support).
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 is enrolled in and attending a secondary school program of instruction but has attained the age of 21.
The child has attained the age of 18 and
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 institution, or failed to complete sufficient credit hours in each semester.
The child has failed to submit a transcript or similar official document at the beginning of the semester to the parent paying
support.
The child 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. (Relief based on this fact alone is at the discretion of the Court)
Other
________________________________________________________________________________________
The facts in this Affidavit are true to my best knowledge and belief and are made under penalty of perjury, (and I understand
that if the person receiving support does not file an Answer or Affidavit within 30 days after service, it is my obligation to request
the court to enter a judgment to terminate the support.)*
* Strike if Affidavit is filed by Parent Receiving Support.
_________________________________________
Signature of Parent
Subscribed and sworn to before me on ___________________
_____________________________________
Date
Deputy Clerk/Notary Public
CCFC129-S
Rev. 03/15
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