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Superior Court of Washington County of In re Parentage: Petitioner, and Respondent and Respondent. No. Motion for Adjustment of Child Support (MT) I. Motion The undersigned moves the court for an order adjusting the support provisions of the most recent Order of Child Support. This motion is based upon the following declaration and the Child Support Worksheet and Financial Declaration which are filed with this motion. Dated: Signature of Moving Party or Lawyer/WSBA No. Print or Type Name II. Declaration The support provided for in the most recent order of child support should be adjusted for the following reasons. 2.1 Adjustment Based Upon Guidelines not in Effect [ ] Does not apply. M otion for Adjustment of Child Support (MT) - Page 1 of 2 WPF PS 06.0800 (6/200 6) - RCW 26.09.170 [ ] It has been 12 months since the order was entered and the guidelines upon which child support was previously calculated were based upon age and the child is no longer in the age category, as follows: 2.2 More Than 24 Months and Change in Income of Parties [ ] Does not apply. [ ] It is more than 24 months since the order was entered and there has been a change in the incomes of the parties as follows: 2.3 More Than 24 Months and Change in Economic Table/RCW 26.19 [ ] Does not apply. [ ] It is more than 24 months since the decree or the last adjustment or modification and there have been changes in the economic table or standards in RCW 26.19 as follows: 2.4 Periodic Adjustment Required [ ] Does not apply. [ ] It has been 12 months since the order was entered and the order provides for support to be periodically adjusted and the court should compel an adjustment making it effective with the date first specified in the decree. 2.5 Other I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at_____________________________, [City] [State] on _______________ [Date]. Signature of Moving Party Print or Type Name M otion for Adjustment of Child Support (MT) - Page 2 of 2 WPF PS 06.0800 (6/200 6) - RCW 26.09.170

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