Fill and Sign the Obligor Form

IN THE ____________ COURT OF _____________ (County), _____________ (State) _______________________ PLAINTIFF (Name of Plaintiff) V. CAUSE NO. ______________ _______________________ DEFENDANT (Name of Defendant) Affidavit of Plaintiff STATE OF ____________________ COUNTY OF _____________________ PERSONALLY appeared before me, the undersigned authority in and for said countyand state, ________________ (Name of Affiant) , who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. I reside at ______________________________________________________________ __________________ (street address, city, state, zip code) , and I am the Plaintiff in the above-entitled action.2. On ________________ (date), a Final Judgment of Divorce, a copy of which is attached hereto as Exhibit A and made a part hereof, was entered in this action containing the following provisions for alimony and support: (statement of terms of decree pertaining to alimony) ____________________________________________________________________________ ____________________________________________________________________________ . 3. Since this order was made, the conditions and circumstances surrounding me and the defendant, and on which the order was based, have materially changed in that: (state changes and circumstances and conditions occurring since prior order which justify modification) ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ . 4. I have fully complied with the above-mentioned order and is not in default under it. 5. No previous application for the relief requested, or similar relief, has been made. ___________________________________ (Printed Name of Affiant) ________________________________ (Signature of Affiant) SWORN to and subscribed before me, this the ____ day of _____________, 20____. _____________________________ NOTARY PUBLIC My Commission Expires: ___________________Certificate of Service This is to certify that I, ___________________ (Name of Affiant), have this date served a true and correct copy of the above and foregoing Affidavit by U.S. Mail, postage fully prepaid, to the following: ____________________________ (Name of Attorney for Defendant) _________________________ (Post Office Box 0000) __________________________________________ (City, State, Zip Code) ______________________________ (Name of Defendant) ____________________________ (Post Office Box 0000) __________________________________________ (City, State, Zip Code) This the _____ day of ________________, 20_____. Respectfully Submitted, ________________________ (Printed Name of Plaintiff) ________________________ (Signature of Plaintiff)