Affidavit In Support Of Modification Of Support printable pdf download

Affidavit In Support Of Modification Of Support

F.C.A. §451

Form 4-11b

(Affidavit in Support of

of Modification of Support)

8/2010

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF

In the Matter of a Proceeding for Support under

Article 4 of the Family Court Act

Petitioner,

-against-

AFFIDAVIT IN SUPPORT

OF MODIFICATION OF

SUPPORT

Family File No.:

Docket No.

Respondent.

STATE OF NEW YORK

)

)ss.

COUNTY OF

)

________________________________, being duly sworn, deposes and states the following:

1. I am submitting this affidavit in support of the application for modification of a support

order made in the

Family Court

Supreme Court [specify county]:

dated ___________________. I reside at [specify full address]:

2. The support order sought to be modified is for the support of

child(ren)

spouse

spouse and child(ren).

3 Upon information and belief, I am seeking modification because [check applicable box]:

There have been the following substantial changes in circumstances since the support order

was made:

Increased needs of the children [specify]:

1. Family Court Act §451 provides that “no hearing shall be required unless such application [to modify] shall be

supported by affidavit and other evidentiary material sufficient to establish a prima facie case for the relief

requested.”

2. Unless the Court has ordered the address to be confidential on the ground that disclosure would pose an

unreasonable health or safety risk. See Family Court Act §154-b; Form 21 (available at

Affidavit In Support Of Modification Of Support