Missouri > Statewide > Circuit Court > Child Support
Acknowledgment Agreeing to Termination of Child Support CS96 - Missouri
| Acknowledgment Agreeing to Termination of Child Support Form. This is a Missouri form and can be used in Child Support Circuit Court Statewide . |
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IN THE CIRCUIT COURT OF Judge or Division: Case Number: MACSS Case ID: Petitioner: Petitioner's Address: COUNTY, MISSOURI SSN: Respondent: vs. Respondent's Address: SSN: (Date File Stamp) Acknowledgment Agreeing to Termination of Child Support NOTE: This form may be used only where a claim is made that no child remains entitled to support. Directions: If you are the person receiving support and you agree to termination of the obligation to pay support for the child, you may, but are not required to, file this Acknowledgm ent with the Court. (See Certificate of Person Receiving Support below.) Upon your filing of this Acknowledgment, a judgment termin ating the obligation to pay support for the child will be entered. Your failure to file this Acknowledgment within 30 days of your receipt of the Affidavit may result in entry by default of a judgment terminating the obligation to pay support for the child. I, , am receiving support for (name) . I acknowledge that the child (hereinafter referred to as the child), whose date of birth is is no longer entitled to support and, therefore, agree to termination of the obligation of (name) to pay support for the child. The facts in this Acknowledgment are true to my best knowledge and belief and are made under penalty of perjury. Signature of Person Receiving Support Date Certificate of Person Receiving Support I certify that on (date), I filed the original of this Acknowledgment with the Circuit Clerk of County, Missouri, at and mailed a copy of this Acknowledgment to (address), (name), the person paying support, at (city), (state). (address) Signature of Person Receiving Support OSCA (8-00) CS96 1 of 1 452.340 RSMo American LegalNet, Inc. www.USCourtForms.com
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