Fill and Sign the Valentine V Valentine Clerks Record Dckt 44350 Digital Form

JDF 1404 R8/17 STIPULATION REGARDING CHILD SUPPORT MODIFICATION © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 2District Court ___________________________ County, ColoradoCourt Address:In re:The Marriage of:The Civil Union of:Parental Responsibilities concerning:______________________________________________________Petitioner:andCo-Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom STIPULATION REGARDING CHILD SUPPORT MODIFICATION The parties stipulate and agree to the following Stipulation Regarding Child Support Modification:1.The  Petitioner Co-Petitioner/Respondent is currently paying $____________ child support per month pursuant to  an agreement between the parties or prior court order.2. The parties stipulate and agree that the Petitioner Co-Petitioner/Respondent shall pay child support pursuant to the Colorado Child Support Guidelines, §14-10-115, C.R.S. in the amount of $___________, due and payable by_________________________ (date), commencing on __________________________ (date). 3.This amount will continue until further Order of the Court. Payments shall be mailed to:Obligee or Family Support Registry (P.O. Box 2171 Denver, CO 80201-2171).Note: Both parties have entered into a written agreement however; if a payment is missed a wage assignment will be established.4. The Child Support Worksheet and the parties’ Sworn Financial Statements are filed with this Stipulation.5. The parties have ______ minor child(ren). Full Name of ChildPresent AddressSexDate of Birth6. Other Information: JDF 1404 R8/17 STIPULATION REGARDING CHILD SUPPORT MODIFICATION © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 27. If applicable. We have provided a copy of this Stipulation (JDF 1404) to the Office of Child Support Enforcement, as they are involved in our case. The parties request that this Stipulation Regarding Child Support Modification be entered as an Order of this Court. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form.(Checking this box requires you to remove JDF number and copyright at the bottom of the form.) VERIFICATION AND ACKNOWLEDGEMENT I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of ____________, _______, ___________________________________________ (date) (month) (year) (city or other location, and state OR country______________________________________ ______________________________________(Printed name of Petitioner) (printed signature of Co-Petitioner/Respondent)_____________________________________ ______________________________________Petitioner Signature Co-Petitioner Signature ______________________________________ ______________________________________AddressAddress____________________________________________________________________________City State Zip Code City State Zip Code______________________________________ ______________________________________Home Phone # Cell # Home Phone # Cell #______________________________________ ______________________________________Petitioner’s Attorney Signature, if any Co-Petitioner’s Attorney Signature, if any