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.

B>What is your full legal name? 

Are you the Husband or the Wife?
Husband Wife

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
County,(NOT country - NOT - USA)
Your E-mail address
Your Telephone number [include area code]

Are you in the Military?
No Yes

Name of Employer (if any)

Address of Employer

Information About other parent
**Fill in as much information as you have ***

What is the other parents full legal name?

other parents's date of birth?
other parents's Age

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

What is the other parent's address? If you live at the same address, just type "same"
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 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"> yes no SUBSTANTIAL AND MATERIAL CHANGE IN CIRCUMSTANCES: (mark and "X" for all that apply to your situation)

Credit Card Account Information

For payment by credit card, please complete the information below. This will enable us to begin processing your paperwork immediately.

Checking Account Debit Card (MasterCard & Visa only)
*You may use your MasterCard or Visa checking Account Debit Card by completing the following credit card information. This will allow your checking account to be debited and processing to be done immediately.

Which Credit Card Will You Be Using?
MasterCard
VISA

Credit Card Number
Expiration Date

Card Holder's Name (as it appears on the card)

Street Address (As it appears on the card)

City/State (As it appears on the card)
Zip code [As it appears on the card]

Charge my credit card in the amount of:

NON-TEXAS RESIDENTS

$200 [*includes delivery by e-mail or 1st Class US Postal]
$200 [*includes delivery by e-mail or 1st Class US Postal]
$200 [*includes delivery by e-mail or 1st Class US Postal]
$205.00.00 Priority Mail USP Shipping [2-3 day delivery]($205.00 $5 surcharge)
$200.00 Overnight FedExpress Shipping (Fed Ex Charges billed by Fed Ex - no surcharge)


TEXAS RESIDENTS: [Includes TX state sales tax of $12.29 included below]

 $200.00 [*includes delivery by e-mail or 1st Class US Postal]

***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
2831 Roanoke
Wichita Falls,
Texas 76306
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) 851-0762 |

. IMPORTANT INFORMATION:(This signed form must accompany all orders)
AS WITH ANY LEGAL MATTER, COMMON SENSE SHOULD DETERMINE WHETHER YOU NEED THE ASSISTANCE OF AN ATTORNEY. WE URGE YOU TO CONSULT WITH AN ATTORNEY WHENEVER SUBSTANTIAL AMOUNTS OF MONEY ARE INVOLVED, OR FOR ANY MATTER WHERE YOU DO NOT UNDERSTAND THE FORMS OR QUESTION THEIR ABILITY TO PROTECT YOU.
IT IS UNDERSTOOD, THAT NATIONAL DIVORCE & BANKRUPTCY CENTER a division of PRO SE PUBLICATIONS PROVIDES ITS SERVICES AT LOW COST BECAUSE WE ARE NOT LAWYERS, AND DO NOT GIVE LEGAL ADVICE. INSTEAD, OUR SERVICE IS LIMITED TO PROVIDING SELF-HELP INFORMATION SO THAT YOU CAN MAKE YOUR OWN DECISIONS, AND QUALITY LEGAL FORM TYPING.
IN SHORT: WE HELP OUR CUSTOMERS SOLVE THEIR OWN LEGAL PROBLEMS BY PROVIDING THE PUBLIC EASY AND INEXPENSIVE ACCESS TO THE COURTS BY HELPING YOU PREPARE YOUR OWN LEGAL DOCUMENTS - WITHOUT A LAWYER.
I, THE CUSTOMER, DIRECT NATIONAL DIVORCE & BANKRUPTCY CENTER, a division of PRO SE PUBLICATIONS, TO TYPE VARIOUS Modification PAPERS - WITH THE INFORMATION, AND ONLY THE INFORMATION, THAT I PROVIDE - AND TO TYPE SUCH PAPERS AS ARE NECESSARY ACCORDING TO THE INFORMATION AVAILABLE FROM THE PUBLICATIONS ON THE WWW OF PRO SE PUBLICATIONS INCLUDING ANY OF ITS SUBSEQUENT ASSOCIATED PAGES, WHICH INFORMATION & REQUIRED DOCUMENT INFORMATION I DIRECT NATIONAL DIVORCE & BANKRUPTCY CENTER, a division of PRO SE PUBLICATIONS, TO FOLLOW IN TYPING MODIFICAITON PAPERS AND FORMS.
I SUPPLY IT AS MY DIRECTIVE TO NATIONAL DIVORCE & BANKRUPTCY CENTER (a division of PRO SE PUBLICATIONS) ON HOW, WHEN, AND WHAT TO TYPE FOR ME WITH THE UNDERSTANDING THAT THIS DIRECTIVE IS LIMITED BY THE ABOVE AND THE FOLLOWING WHICH I HAVE READ and SIGNED.
THIS WILL BE A MODIFICATION IN WHICH THE DEFENDANT (spouse) WILL: (circle one)

  • A. SIGN A WAIVER OF SERVICE AND APPEARANCE
  • B. BE SERVED A SUMMONS & CITATION

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:____________________________________
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