IN THE CIRCUIT COURT OF THE EIGHTH JUDICIAL CIRCUIT IN AND FOR ALACHUA COUNTY, FLORIDA CASE NO. DIVISION Petitioner, and Respondent. MOTION FOR CREDIT FOR DIRECT CHILD SUPPORT PAYMENTS ( ) Petitioner ( ) Respondent requests that the Court enter an order for credit for direct child support payments in favor of the Obligor who is the ( ) Petitioner ( ) Respondent and provides the following reasons as grounds: 1. A final judgment or order titled {title of final judgment or order} in this case was entered on {date} , by {court, city, and state} Check here if the judgment or order is not from this Court and attach a copy. 2. 3. This order of the Court required that child support payments be made directly to the Clerk of Court for disbursement to the Obligee. Pursuant to the attached Affidavit, the Obligor, made payments totaling $ directly to the Obligee. WHEREFORE, the ( ) Petitioner ( ) Respondent respectfully request that the Court enter an order directing the Clerk of Court, Domestic Relations Division to credit the above referenced support record in the amount of $ I certify that a copy of this document was [ one only] ( ) mailed ( ) faxed and mailed ( ) hand delivered to the person(s) listed below on {date}. Other party or his/her attorney: Name: Address: City, State, Zip: Fax Number: American LegalNet, Inc. www.FormsWorkFlow.com I understand that I am swearing or affirming under oath to the truthfulness of the claims made above and that the punishment for knowingly making a false statement includes fines and/or imprisonment. Dated: Signature of Party Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: STATE OF FLORIDA COUNTY OF Sworn to or affirmed and signed before me on produced identification by who is personally known OR NOTARY PUBLIC--STATE OF FLORIDA This form was completed with the assistance of: (Name of Individual) (Name of Business) (Address) (Telephone Number) American LegalNet, Inc. www.FormsWorkFlow.com