Fill and Sign the Motion to Modify Custody Form

File No. Name Of Plaintiff Name Of Defendant Date of Original Custody Order Date(s) Of Order(s) Modifying Original Order In The General Court Of Justice District Court Division MOTION TO MODIFY CUSTODY G.S. 50-13.1, -13.7 Pursuant to G.S. 50-13.7, Plaintiff Defendant moves the court to modify the custody order originally en\ tered on the date shown above. and modified on the subsequent date(s) shown above. In support of this motion, Plaintiff Defendant states that since the entry of the current order, circums\ tances have changed as follows: . VERSUS MOTION STATE OF NORTH CAROLINA County Date Date Of Service Signature Signature Of Person Who Served Motion Address I certify that I served the above Motion by: NOTE TO MOVING PARTY: Complete the Certificate of Service and file the original with the Clerk. Plaintiff Plaintiff’s Attorney Defendant Defendant’s Attorney CERTIFICATE OF SERVICE delivering a copy personally to: depositing a copy in the United States mail in an envelope bearing prope\ r postage and addressed as follows: leaving a copy at the office of the attorney named below, with a partner or employee Name Of Person With Whom Copy Left Name Of Person With Whom Copy Left Name And Address Name And Address Name Of Person With Whom Copy Left Name Of Person With Whom Copy Left Name Of Attorney Party Represented Party Represented Name Of Attorney AOC-CV-634, Rev. 4/15