*Order 'instantly' on line:
Order your documents 3 ways
with this one form:
1. Online instant ordering
with credit card payment;
2. Faxing
the form with your choice of payment options; or
3. Point, Click & Print the form
for 'snail' mailing or faxing to our office.
Documents are return e-mailed
to you as attachments within 72 hours [Most
within*48 hours] of receipt of order and verification of payment.
Your information will be held in the strictest confidence. We do not 'sell' our customer's names or information to 'mailing lists' or 'marketers', and do not release any information to anyone other than the customer without prior written consent from the customer.
What is your
(Petitioner's full legal name?
What is your social security
number?
What is the
state and number of your driver's license?
What is your date of
birth?
How old are you?
What is your
address?
Street Address
City
County, State, Zip
Your E-mail address
Your Telephonenumber [include area code]
Are you in the Military?
No
Yes
Name of Employer:
Information About The Biological Parent (Father/Mother) **Fill in as much information as you have for the 'other' parent ***
What is the biological parent's full legal
name?
Parent's date of birth?
Parent's
Age?
Parent's social security number?
State and number
of driver's license?
What is the Parent's address?
Street Address
City
County, State, Zip
Telephone number [include area code]
Name of Employer (if known)
Is the Parent in the Military?
No Yes
Yes
No
Are the whereabouts of the biological
parent unknown (missing)?
Yes
No
Were the natural parents ever
married?
Yes
No
What date were you married to the natural father?
What City were you married in?
What State were you married in?
What date where you divorced?
HOW DO YOU WANT THE BIOLOGICAL FATHER
"SERVED" (NOTIFIED)?
He is agreeing to the modification (no service required)
Service By Sheriff
Service By
Certified Mail
Service By Publication (Identity Unknown or Whereabouts Unknown (Missing))
CHILD(REN)'S INFORMATION:
Child's Name
Date of Birth Child's Age
Male Female
Place of Birth?
(City/State)
Social Security Number
Child's Name
Date of Birth
Child's Age
Male
Female
Place of Birth?
(City/State)
Social
Security Number
Child's Name
Date of Birth
Child's Age
Male
Female
Place of Birth?
(City/State)
Social Security Number
PROVIDE THE FOLLOWING:
Title of Order (i.e.Agreed Final Decree of Divorce)
County and State where order was issued
Court that issued the order
(i.e. 810th District, County Court etc.)
Case/Order Number
Date order was issued
Does the mother have joint or sole physical
custody?
No court orders for custody
Mother is Joint Managing Conservator
Mother is Sole
Managing Conservator
Where the father's parental rights terminated
by the court?
Yes
No
Is the father court ordered to pay child
support?
Yes
No
If Court ordered; child support is:
None: There
is no court order for child support
Current (paid as ordered)
Delinquent in
the amount of
Never paid any
child support even though court ordered
Does
the biological parent have court ordered
visitation?:
No: There is no court ordered visitation
Yes: has
visitation
Yes: has only supervised visitation
INFORMATION ABOUT REASON FOR MODIFICATION:
[SELECT ANY
OR ALL OF THE APPLICABLE GROUNDS (from the Texas Statutes):
that the parent has:
(A) change in residence( modifiy custody);
lower child support(change in income);
raise child support (increase in income);
lower child support ( child reached age of 18 years);
add additional
information for your case?
Why do you want to
modify?
Please type where indicated, the address you want your
completed forms return mailed via US Postal.
Name
Mailing Address
City
State
Zip Code
E-mail Address #1
E-mail Address #2
Daytime
Telephone Number
Evening Telephone
Number
Completed forms are available for fastest delivery by return e-mail attachment in their original Word Perfect format or Adobe (.pdf) [portable document format.] MS Word 'claims' to convert word perfect files, however, legal documents often have a complex format that does not convert correctly resulting in formatting errors. (See Important Note to Non-Word Perfect Users Below):
**Important Note to non-Word Perfect users: Due to the infinite number of possible problems with file conversions, (from the originating word perfect format), i.e. required state form formatting requirements etc., and subsequent file transfer problems beyond our control, WE CANNOT GUARANTEE the formatting accuracy, integrity of files, or the DELIVERY VIA FILE TRANSFER IN ANY FORMAT OTHER THAN THE ORIGINATING WORD PERFECT (for use in Word Perfect), OR ADOBE . (We'll certainly do our best - but we cannot guarantee the integrity of MS Word (.doc) or (.rtf) format conversions). If you should have problems with a file transfer , just let us know and we'll be glad to send out a hard copy ASAP !
Select the format for file transfer below.
Payment Method:
I will pay for
my paperwork by:
Credit Card (information below)
Mailing In My Check, Money Order or Cashier's
Check
Return mail my signature ready
paperwork by:
e-mail attachment to the following e-mail
address:
Overnight
Express Shipping (Charged to your credit card directly by Fed Ex - no
surcharge)
Priority US
Postal Shipping [2-3 day delivery] ($5 surcharge)
1st Class U.S. Postal to the above mailing address. [no
additional surcharge]
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/3 digit
code on back
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
$200.00 plus $50.00 for each
additonal child [*includes
delivery by e-mail or 1st Class US Postal]
TEXAS
RESIDENTS: [Includes TX state sales tax of $12.29 included
below]
$212.29 plus $50.00 for each additonal child
[*includes delivery by e-mail or 1st Class US
Postal]
If you wish to use pay pal for your payment,:
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)
337-4129