NO. _________________________
PETITIONER:
IN THE DISTRICT COURT
JUDICIAL DISTRICT
DEFENDANT:
{COUNTY, STATE}
PETITION TO MODIFY CHILD SUPPORT
I, the Petitioner/Defendant, petition the court to modify the Order of Support for the child named
who resides at
The current Order of Support stipulates the following conditions:
I move the court to modify the Order of Support in the following ways:
I request these modifications for the following reasons:
Attached is a completed Domestic Relations Affidavit, a Child Support Worksheet, last year’s income tax
return and my most recent pay stub.
PETITIONER SIGNATURE
Subscribed and sworn to before me this
day of
20
(Notary Public),
County.
My commission expires
20