Fill and Sign the Dc 614 Form

Nebraska State Court Form COMPLAINT FOR MODIFICATION OF CHILD SUPPORT (DECREASE) DC 6:14.4 Rev. 06/2019 Neb. Rev. Stat. § 42-364, Neb. Ct. R. § 4-217 IN THE DISTRICT COURT OF ___________________COUNTY, NEBRASKA (county where the original action was filed) __________________________, Case No. ____________________ (name of the plaintiff in original action) Plaintiff, vs. __________________________, __________________________, (name of the defendant(s) in original action) (case number in original action) COMPLAINT FOR MODIFICATION OF CHILD SUPPORT (DECREASE) Defendant(s). I, ___________________________, without the assistance of an attorney, state that the (your full name) following is true: 1. On __________________________ the court ordered ___________________________ (date of the most recent order setting child support) (name of payor) to pay child support for the below listed child(ren): _____________________________, born ___________________ (name of child) (child’s year of birth) (name of child) (child’s year of birth) (name of child) (child’s year of birth) (name of child) (child’s year of birth) _____________________________, born ___________________ _____________________________, born ___________________ _____________________________, born ___________________ Additional children are listed on a separate page. Pursuant to the Nebraska Child Support Guidelines, child support payments were to begin on the 1st day of ______________________________________, and continue (month and year the most recent order setting child support became effective) on the first day of each subsequent month thereafter in the amounts set forth: ____________ per month for ________ children (support amount) (number of children) ____________ per month for ________ children (support amount) (number of children) ____________ per month for ________ children (support amount) (number of children) ____________ per month for one child (support amount) Page 1 of 3 Complaint for Modification Child Support (Decrease) DC 6:14.4 Rev. 06/2019 2. There has been a material change in circumstances since the date the Order was entered. 3. ___________________________is eligible for a Modification of the Child Support Order (name of payor) within the meaning of the Nebraska Child Support Guidelines and Nebraska Statutes. 4. Application of the Nebraska Child Support Guidelines to ___________________________ ’s (name of payor) current income would decrease the monthly child support obligation by 10% or more, and by not less than $25 per month. 5. The material change in __________________________’s circumstances since the date of the (name of payor) most recent order setting child support is as follows: ____________________________ ’s (name of payor) Check All That Apply employment income has been substantially reduced. is unemployed. is disabled. only income is Supplemental Security Income (SSI). cannot get a job. other: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ 6. The change in __________________________’s financial circumstances has lasted for (name of payor) three months and can reasonably be expected to last for an additional six months. Page 2 of 3 Complaint for Modification Child Support (Decrease) DC 6:14.4 Rev. 06/2019 WHEREFORE, I ask that this court modify the child support obligation entered on ______________________________, and decrease the monthly child support obligation to an (date of the most recent order setting child support) amount consistent with the Nebraska Child Support Guidelines, and for such other relief as the court deems appropriate. Signature Date Name Street Address/P.O. Box Phone City/State/ZIP Code E-mail Address Page 3 of 3 Complaint for Modification Child Support (Decrease) DC 6:14.4 Rev. 06/2019