Agreed Entry To Terminate Child Support Due To Emancipation Of Minor Children

STATE OF INDIANA COUNTY OF IN RE THE OF: ) IN THE ) SS: ) CASE NO. SUPERIOR/CIRCUIT COURT Petitioner, V. Respondent. AGREED ENTRY TO TERMINATE CHILD SUPPORT DUE TO EMANCIPATION OF MINOR CHILD(REN) COMES NOW ______________________________, pro se, and ______________________________, and submit the following terms as evidence of their agreement in this matter: 1. That the parties have __________ minor child (ren), namely: Name ______________________________ ______________________________ ______________________________ ______________________________ Date of birth _________________ _________________ _________________ _________________ 2. That on _________________, this Court ordered that ______________________________ pay child support to ______________________________ in the weekly amount of ________________ for the above named child(ren) effective on _________________. 3. That since that time, our child(ren) has/have become emancipated. 4. Child support should be terminated to reflect the emancipation of my child(ren) _________________________________________________________________. 5. ______________________________ will no longer pay child support to ______________________________. Page 1 of 2 Form PS-31166-8 Approved by State Court Administration 07/09 American LegalNet, Inc. www.FormsWorkFlow.com ARREARAGE INFORMATION (select only one option) _____ There is not an arrearage on this account and the arrearage is set at zero and the account shall be closed. _____ There is an arrearage on this account of $______________. __________________________ is ordered to pay $_____________ per week on the arrearage until such time as the arrearage is paid in full. ______________________________ Your Signature ______________________________ Date STATE OF INDIANA COUNTY OF _____________ ) ) SS: ) Before me, ______________________________, a notary public in and for ________________ County, State of Indiana, personally appeared ______________________________, and he/she being first duly sworn upon his/her oath, says that the facts alleged in the foregoing instrument are true. Date ________________ __________________________________ Notary Public My Commission Expires: ______________________ ______________________________ Other Party's Signature STATE OF INDIANA COUNTY OF ______________ ) ) SS: ) ______________________________ Date Before me, ______________________________, a notary public in and for ________________ County, State of Indiana, personally appeared ______________________________, and he/she being first duly sworn upon his/her oath, says that the facts alleged in the foregoing instrument are true. Date ________________ __________________________________ Notary Public My Commission Expires: ______________________ IT IS THEREFORE ORDERED by the Court that the terms of the parties' agreement as set out above shall be incorporated into this Order. So ordered this_____ day of _______________, 20____. _______________________________________ Judge Distribution: Page 2 of 2 Form PS-31166-8 Approved by State Court Administration 07/09 American LegalNet, Inc. www.FormsWorkFlow.com