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Verified Motion To Modify Child Support Pursuant To Section 14-10-122, C.R.S. JDF 1403 - Colorado
| Verified Motion To Modify Child Support Pursuant To Section 14-10-122, C.R.S. Form. This is a Colorado form and can be used in Domestic Relations Statewide . |
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District Court Denver Juvenile Court _________________________________ County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address): Case Number: COURT USE ONLY Phone Number: FAX Number: E-mail: Atty. Reg.#: Division Courtroom VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S. Note to Responding Party: If you disagree with this Motion, the Colorado Rules of Civil Procedure allow you to file a written response with the Court which must be filed within 21 days of the date this Motion was served on you or mailed to you. The Petitioner Co-Petitioner/Respondent states the following for the purpose of modifying child support. 1. Information about Petitioner: Date of Birth: __________________________ Current Mailing Address: __________________________________________________________________ City & Zip: ______________________________________________________________________________ Home Phone #: ___________________ Work Phone #: __________________ Cell #: __________________ 2. Information about Co-Petitioner/Respondent: Date of Birth: __________________________ Current mailing address: ___________________________________________________________________ City & Zip: ______________________________________________________________________________ Home Phone #: ___________________ Work Phone #: ___________________ Cell #: _________________ 3. The parties have ______ minor child(ren): Full Name of Child Present Address Sex Date of Birth 4. Under the current Support Order, the Petitioner has________ overnights per year with the children and the Co-Petitioner/Respondent has ________ overnights per year with the children. 5. Under the current child support order, the Petitioner's Co-Petitioner's/Respondent's child support obligation is $ _________and is paid weekly bi-weekly twice a month monthly Other: ________. JDF 1403 R1-12 VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S. Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 6. (Check only if applicable.) The current support order does not contain a provision regarding medical insurance (medial, dental, and/or vision) coverage. 7. A change in the current Support Order is appropriate because of the following change(s) in circumstance(s). Day Care costs Change in Income Please check the appropriate box. Change in Residence Emancipation of a Child Change in Parenting Time Medical insurance coverage Other: ______________________________________________________ Describe why you are requesting the modification. 8. The new child support obligation that I am requesting is is not more than a 10% change from the current child support order. The proposed child support obligation should be $____________ to be paid weekly bi-weekly twice a month monthly other: ________. 9. I/We have completed a child support worksheet that shows what the new child support obligation should be. The child support worksheet is is not attached to this Motion. 10. I/We have attached current Sworn Financial Statements to this Motion. 11. Is either party currently receiving public assistance? Name of Person Receiving Benefit Yes No If you checked Yes, answer the following: Name of County or State 12. Is either party receiving child support enforcement services. Yes ____________________________ (County) ______________________ (State). No If Yes, identify 13. Does either parent live in another state? Yes No If Yes, identify __________________________ (name of person) and ___________________________________ (City and State) they are currently living in. 14. (Check only if applicable.) I request a change in the current tax exemption because of the reallocation of the costs of raising the dependent children, pursuant to §14-10-115(12), C.R.S. Petitioner's Co-Petitioner's/Respondent's I respectfully request that this Court enter an Order modifying the child support obligation as described above. JDF 1403 R1-12 VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S. Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com VERIFICATION AND ACKNOWLEDGMENT I swear/affirm under oath that I have read the foregoing Motion and that the statements set forth therein are true and correct to the best of my knowledge. _____________________________________ Signature of Attorney, if applicable Date ____________________________________________ Petitioner or Co-Petitioner/Respondent ____________________________________________ Address ____________________________________________ City, State, Zip Code ____________________________________________ (Area Code) Telephone Number (home) ____________________________________________ (Area Code) Telephone Number (work) Subscribed and affirmed, or sworn to before me in the County of ______________________, State of __________________, this ___________ day of _______________, 20______. My Commission Expires: ___________________ ____________________________________________ Notary Public/Deputy Clerk CERTIFICATE OF SERVICE I certify that on ________________________ (date) a true and accurate copy of the Verified Motion to Modify Child Support was served on the other party by: Hand Delivery, E-filed, Faxed to this number: _______________________, or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: _______________________________________ _______________________________________ _______________________________________ ______________________________________ Your signature If the Child Support Enforcement Unit is involved in the case; you must provide them a copy of this Motion. JDF 1403 R1-12 VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S. Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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