Form Shc-1500 - Motion And Affidavit To Modify Custody, Visitation And/or Child Support Page 8

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You must use black ink to fill out this form.
I swear or affirm that the above facts and statements are true to the best of my knowledge.
Your Signature (In blue ink if possible)
Subscribed and sworn to or affirmed before me at
,
Alaska on
.
Name of City, Town or Village
Date
(SEAL)
Notary Public or other person authorized to administer oaths.
My commission expires on
You must fill out the Certificate of Service on the next page!
NOTE TO OTHER PARENT: You should file a response to this motion, even if you agree to
the modification. The case will go much more quickly if you respond. You may file:
• Response Packet,
DR-720
Call the Family Law Self-Help Center if you need help with the forms: (907) 264-0851or
(866) 279-0851.
MOTION TO MODIFY
Page 8 of 9
Docket: DR705 or DR705UISFA
SHC-1500 (02/18)

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