Form FL-12905B

SUPPLEMENTAL PETITION FOR MODIFICATION OF CHILD SUPPORT

Petitioner,

and

Respondent,

SUPPLEMENTAL PETITION FOR MODIFICATION OF CHILD SUPPORT

I, being sworn, certify that the following information is true:

1. The parties to this action were granted a final judgment of dissolution of marriage of paternity for support unconnected with a dissolution of marriage Other on

A copy of the final judgment and any modification(s) is attached.

2. Paragraph(s) of the final judgment or most recent modification thereof establishes the present child support at $ every week other month, beginning on

3. Since the final judgment or most recent modification thereof, there has been a substantial change in circumstances, requiring a modification in child support. This change in circumstance is as follows: {explain}

4. I ask the Court to modify child support as follows: {explain}

5. This change is in the best interests of the child(ren) because: {explain}

6. A completed Family Law Financial Affidavit, Florida Family Law Rules of Procedure Form 12.902(b) or (c), is or will be, filed.

7. If not previously filed in this case, a completed Notice of Social Security Number, Florida Supreme Court Approved Family Law Form 12.902(j), is filed.

8. A Child Support Guidelines Worksheet, Florida Family Law Rules of Procedure Form 12.902(e), is, or will be, filed.

9. Other:

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

STATE OF FLORIDA

COUNTY OF

NOTARY PUBLIC or DEPUTY CLERK

Personally known

Produced identification

Type of identification produced

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

[fill in all blanks] This form was prepared for the Petitioner.

This form was completed with the assistance of:

{name of individual}

{name of business}

{address}

{city} , {state} , {zip code} , {telephone number}