STATE OF INDIANA )
) SS:
COUNTY OF DELAWARE )
IN THE DELAWARE CIRCUIT COURT NO.
PETITIONER
vs.
RESPONDENT
CAUSE NO:
REQUEST FOR HEARING TO MODIFY SUPPORT
Comes now, the Non-Custodial Parent, in support of this files a Request for Hearing on Modifying Child Support, states:
1.
That the Non-Custodial Parent in the above matter, and by the current Order issued on
is Ordered to pay child support as follows:
A.
Current support of $ per week;
B.
Support arrearage of $ per week;
C.
Other:
2.
Child(ren)'s name(s) and age(s):
3.
That the Non-Custodial Parent is requesting a modification of such current Order for child support for the following reasons (fully explain);
A.
B.
I swear or affirm, under the pains and penalties of perjury, that the forgoing representations are true as I verily believe.