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Fill and Sign the Correcting E Filing Mistakesunited States District Form

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IN THE DISTRICT COURT OF [Delete text in brackets for blank form] COUNTY STATE OF OKLAHOMA [Add case style] ) Dist. Ct. Case No.       [Add case style] ) ) OAH Case No:       [Add case style] ) ) OK IV-D FGN:       [Add case style] ) ) Obligor:       [Add case style] ) ) Custodial Person:       (Insert Case style above as it is on your original Order.) MOTION TO MODIFY CHILD SUPPORT I,       respectfully show the Court: Your name 1. The mother or father of the minor child(ren) in the above case was ordered to pay $       per month for child support o n       for the child(ren) Date of order listed below: Child's name Date of birth                                                 2. Since that order was entered there has been a substantial and material change in circumstances as follows: (Check boxes that apply to your situation.) A child for whom the order was entered has turned 18 and is no longer regularly enrolled and attending high school. The father's income has changed. OKDHS revised 6-10-2007 03EN013E Page 1 of 4 The mother's income has changed. The living arrangements of the child(ren) have changed. The child care expenses have changed. There has been a change in health insurance or it was not addressed in a previous order. Other:             W HEREFORE       requests this Court modify the Your name child support order. Respectfully submitted, Signature       Printed name       Address       Address       Phone VERIFICATION By signing below, I state under penalty of perjury under the laws of Oklahoma that I have read this Motion to Modify Child Support and I am familiar with its contents and the facts as set forth are true and correct. Date:       Your signature Place:       Page 2 of 4 03EN013E OKDHS revised 6-10-2007 IN THE DISTRICT COURT OF       COUNTY STATE OF OKLAHOMA [Add case style. Refer to instructions] ) Dist. Ct. Case No.       [Add case style. Refer to instructions] ) ) OAH Case No:       [Add case style. Refer to instructions] ) ) OK IV-D FGN:       [Add case style. Refer to instructions] ) ) Obligor:       [Add case style. Refer to instructions] ) ) Custodial Person:       (Insert Case style above as it is on your original Order.) ORDER FOR HEARING ON MOTION TO MODIFY CHILD SUPPORT T he Court sets the Motion to Modify Child Support filed by:       Your name for hearing before Judge       on       , 20       at       o'clock       .m. at the       County Courthouse at:       Address       All parties are ordered to bring: current pay check stubs, any evidence of a disability, copies of W-2 and 1099 forms and income tax returns for the last three years, health insurance costs for children, and proof of any child care costs. Dated:       JUDGE OF THE DISTRICT COURT Prepared by:       Printed name       Address       Address OKDHS revised 6-10-2007 03EN013E Page 3 of 4       Phone Page 4 of 4 03EN013E OKDHS revised 6-10-2007

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