Form 15a - Change Information Form Page 6
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9Form 15A:
Change Information Form
(page 6)
Court file number
SPOUSAL SUPPORT
(Complete only if you are asking for a change in spousal support.)
20. I am asking to change the spousal support in the order/agreement because:
The following change in circumstances has taken place:
(give details of change in circumstances.)
Spousal support should no longer be paid as of
for the following reasons:
(date)
(give details)
The parties consent to the termination of the spousal support order/agreement, dated
,
as of
.
(date)
Other
(give details):
21. I ask that the spousal support be changed as follows:
The order/agreement for spousal support, dated
, be terminated
effective
.
(date)
pay spousal support to
(Name of party)
in the amount of $
per month,
(name of party)
effective on
.
(date)
Other
(give details of the order you want the court to make)
22. I ask that the outstanding spousal support owed be paid as follows:
The spousal support owed to
(name of recipient)
be fixed at $
as of
.
(date)
pay to
(Name of payor)
(name of recipient)
$
per month, with payments
to begin on
until the full amount owing is paid.
(date)
The spousal support owed to
(name of agency or other person)
be fixed at $
as of
.
(date)
pay to
(Name of payor)
(name of agency or other person)
$
per month, with payments
to begin on
until the full amount owing is paid.
(date)
FLR-15A-E (2016/04)
Page 6 of 9
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