Fill and Sign the Child Support Form Application

Final Child Support Payment Notice ________________________________Name of Ex-Wife (Certified Mail – Return Receipt Requested)________________________________Street Address or P. O. Box________________________________City, State, Zip Code Re: ________________________________________________________________ ________________________________________________________________(Style of Divorce Case including Names of Parties, Name of Court, and Cause Number)Dear _____________________________ (Name of Ex-Wife): Enclosed is certified check for $______________ made payable to you for the benefit of _______________________________ (Name of Child). The check is tendered with the understanding and on the condition that it represents full and final settlement of the Child Support Payments that I was ordered to pay by the (describe final order or decree of divorce with names of parties, name of court and cause number) ___________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________. As you know, I continued child support payments one year longer than required by said (e.g., divorce decree or order)________________________________ due to the fact that _________________________________ (Name of Child) is still in high school. However, since he turns 19 next month, these payments need to cease. Sincerely,____________________________________________________ (Printed Name and Signature)