Fill and Sign the Sample Letter Adjustment Form

Instruction: This is a model letter. Adapt to fit your facts and circumstances. Date: Obligor's Name: Address: Re: Notice for Implementation of Cost-of-Living Adjustment In Re the Marriage of: , Petitioner and , Respondent, Court File No. Dear : Please be advised that a cost-of-living adjustment will become effective on , 20 . The adjustment is more fully explained and consistent with the terms of paragraph of the . Prior to the effective date of the adjustment, you have the right to schedule a court hearing on whether the cost-of-living adjustment should take effect and obtain an ex parte stay of the imposition of the cost-of-living adjustment pending the outcome of the hearing. Forms for your use in requesting a hearing are available from the Clerk of Court. The cost-of-living adjustment upon the child support obligation of $ and/or upon the maintenance order obligation of $ ordered by the court will otherwise become automatic, if you fail to schedule such a hearing and obtain an ex parte court order. My calculations as to the amount of the adjustment are enclosed. By such computation, you should be paying $ for your child support obligation starting on , 20 , in equal installments of $ and/or $ for your maintenance obligation starting on , 20 in equal installments of $ . If the calculations are satisfactory, please sign and date this letter in the space below, and, after you make a copy for your records, please mail it back to me. A copy of this notice and the original calculation attached shall be filed with the court. Sincerely, I hereby acknowledge receipt of the foregoing and my consent to the calculations made. Obligor: ______________________________________ Dated: _____________________