Colorado > Statewide > Domestic Relations
Affidavit Of Arrears JDF 1807 - Colorado
|Affidavit Of Arrears Form. This is a Colorado form and can be used in Domestic Relations Statewide .||
|Get this form for FREE as a print-only pdf|
q District Court _________________________________________ County, Colorado Court Address: In Re: Petitioner: Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: FAX Number: E-mail: Atty. Reg.#: AFFIDAVIT OF ARREARS Division Courtroom I, ________________________________________________________________, declare under oath that: 1. The type of support ordered is q child support q maintenance q other (specify): 2. 3. The amount of support ordered to be paid each month is $ The support payment has not been timely made and: (check applicable statement) . q a. (if payments were to be made into the court registry or Family Support Registry) The full payment was not received by the registry on or before the due date of ___________________________. q b. (if payments were to be made to the Obligee directly) I did not receive the full payment on or before the due date of _________________________. 4. If any modifications have been made to the Support Order complete the following: a. b. 5. Effective date of any modification: ________________________ Amount of any modification: $____________________________ $__________ $__________ $__________ $__________ + interest at ____% (12% unless otherwise agreed) Total child support due (________ payments due x $_____________) a. b. c. Total amount of child support paid One twenty-fourth of Line 5b Total principal of amount of child support due JDF 1807 R7/00 AFFIDAVIT OF ARREARS PAGE 1 OF 2 2002 © American LegalNet, Inc. 6. Total maintenance due (______ payments due x $______________) a. b. c. Total amount of maintenance paid One twenty-fourth of Line 6b $__________ $__________ $__________ + interest at ____% (8% unless otherwise agreed) Total principal amount of maintenance due Attach a copy of the payment record maintained by the Family Support Registry, if payment is ordered through the Family Support Registry, or detail period(s) on a separate sheet of paper of the time when the arrears accrued for child support and for maintenance. I declare under penalty of perjury that I have read this affidavit and the statements contained are true to the best of my knowledge. Date: Obligee My Commission expires : Notary Public/Deputy Clerk CERTIFICATE OF SERVICE I certify that on _________________________ (date) I sent the original and one copy of this Affidavit of Arrears to the COURT, by United States Mail, first class postage prepaid, addressed as follows: AND I certify that I sent a copy of the Affidavit of Arrears to the Obligor by United States Mail, first class postage prepaid addressed as follows: Signature JDF 1807 R7/00 AFFIDAVIT OF ARREARS PAGE 2 OF 2 2002 © American LegalNet, Inc.