National Divorce & Bankruptcy Center

Modification Worksheet - Order Form

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This will be a Mofication of

FILED in the state of

Filed By

 CHILD SUPPORT OR CUSTODY MODIFICATION:

MOST OF THE REQUIRED INFORMATION IS CONTAINED IN YOUR ORIGINAL
CHILD SUPPORT ORDER.

PROVIDE THE FOLLOWING FOR THE ORDER TO BE MODIFIED
Title of Order(i.e.Agreed Final Decree of Divorce)

County, County and State where order was issued
Court that issued the order(i.e. 810th District, County Court etc.)
Court case number.
Date order was issued

Does the mother have joint or sole physical custody?

Where the father's parental rights terminated by the court?
terminated Is the father court ordered to pay child support?

If Court ordered; child support is:

 Current (paid as ordered)

 Never paid any child support even though court ordered

color=#ff0000 >Does the father have court ordered visitation?:


Yes: Father has only supervised visitation

YOUR NAME: (Include former name of the Parent requesting the change

What is your full legal name?

What is yoursocial security number?

What is the state and number of your driver's license?
(required in most states)

What is your date of birth?

How old are you?

What is your address?
Street Address
City, state, zip
County,

_________________________

    What is the other Party's Name full legal name?

    Respondent's date of birth?
    Respondent's Age

    Respondent's social security number?
    Respondent's driver's license? (required in most states)

    What is the Respondent's address?
    Street Address
    City
    County, (NOT country - NOT - U.S.A.) State, Zip
    Telephone number [include area code]

    Name of Employer (if any)

    Address of Employer


    CHILD(REN)'S INFORMATION:

    What are the names, birth dates and sex of the child(ren)?
    Name
    Date of Birth Child's Age Male Female
    Place of Birth? (City/State)
     Social Security Number (not required in all states)

    Name
    Date of Birth Child's Age
    Male Female
    Place of Birth? (City/State)
    Social Security Number (not required in all states)

      CHILD SUPPORT MODIFICATIONS: ___***By Agreement: There will be NO child support ordered to be paid by either party**** Is the modification of child support to be by mutual agreement of the parents? yes no Are you seeking to increase the child support payments? INPUT TYPE="radio" NAME="agreed" VALUE="Yes"> yes no Are you seeking to decrease (lower) the child support payments? INPUT TYPE="radio" NAME="agreed" VALUE="Yes"> yes no Number of children and support as percentage of Obligor's income:(circle one) 1 CHILD = 20%; 2 CHILDREN = 25%; 3 CHILDREN = 30%; 4 CHILDREN = 35% CUSTODY CHANGES: Who is to be the "NEW" Managing Conservator/Custodial parent of the child(ren) . Does the child already live with the "new" managing conservator/Custodial parent? INPUT TYPE="radio" NAME="agreed" VALUE="Yes"> yes no Is the modification (change) in conservatorship to be by mutual agreement of the parties? INPUT TYPE="radio" NAME="agreed" VALUE="Yes"> SUBSTANTIAL AND MATERIAL CHANGE IN CIRCUMSTANCES: (mark and "X" for all that apply to your situation)

    ***RETURN YOUR COMPLETED PAPERWORK
    (including the following "IMPORTANT INFORMATION" STATEMENT) WITH PAYMENT OF $200 plus $50.00 for each additional child Document Processing Fee
    PAYABLE TO:
    National Divorce And Bahruptcy
    3037 F Cunningham Dr.
    Wichita Falls,
    Texas 76308

    You may also'call in' your credit card account information to
    (940)343-8169.

    Select the format for file transfer below.

    If
    In order to process and return mail your paperwork to you in less than 48 hours; Payment is limited to Money Orders or Cashiers Checks
    Your COMPLETED PAPERWORK, - READY TO BE FILED - (as well as all procedural information necessary to complete the modification process) will be processed and mailed to you, via U.S. Postal, WITHIN 48 HOURS of receipt of your order information and payment. Delivery time is noramlly 1-2 days.


    All documents originate in the legal standard Word Perfect 6.0 format. Your completed file can be e-mail 'delivered' to you for faster access in wordperfect format which you can then simply print out.

    E-mail attach my document file to __________________@___________________


    Our net home: http://www.divorcehelp.net/
    e-mail us at: divorcehelp@sw.rr.com | Phone: (940) 343-8169|
    I ACKNOWLEDGE THAT I AM REPRESENTING MYSELF IN THIS ACTION AND THAT I HAVE NOT RECEIVED 'LEGAL ADVICE' FROM NATIONAL DIVORCE & BANKRUPTCY CENTER (a division of PRO SE PUBLICATIONS) AND THAT ALL STATEMENTS AND PHRASES INSERTED ON THESE TYPING INFORMATION FORMS ARE THE WORK AND WORDS OF THE CUSTOMER ALONE.
    I HAVE READ THE ABOVE STATEMENT AND UNDERSTAND ITS TERMS;

    Signature:____________________________________
    Return to main MODIFICATION page

    If you wish to mail your payment,please make check or money order payable to:

    National Divorce & Bankruptcy Center Center
    3037 F Cunningham Drive, Wichita Falls, Texas 76308
    Phone: (940) 343-8169

    E-Mail: doityourselflegalforms@divorcehelp.net

    doityourselflegalforms@divorcehelp.net

    We are not attorneys and can not give legal advice. The information we provide shall not be substituted for legal adivce.