State of Alabama Unified Judicial System CS-44 Rev. 8/2016 AFFIDAVIT FOR TERMINATION OF WITHHOLDING ORDER FOR SUPPORT Court Case Number IN THE ________________________________________COURT OF _______________________________COUNTY, ALABAMA (Circuit or District) (Name of County) _______________________________________________________ v. ___________________________________________________________ Plaintiff Defendant Home or Business Address:__________________________ Home or Business Address:____________________________ ________________________________________________ __________________________________________________ City/State/Zip Code: _______________________________ City/State/Zip Code: _________________________________ Home or Business Telephone #: ______________________ Home or Business Telephone #: _______________________ Social Security Number: ____________________________ Social Security Number: _______________________________ The affiant, _________________________________________________, being duly sworn, states as follows: (1) That an order for withholding for support was issued by the ______________________________ Court of ___________________________________________________________________ County, Alabama, on ____________________________ (date), a copy of which is attached(Affiant may obtain a copy of the order from the Clerk of Court); (2) That the affiant is the obligor for payment of support as provided in the Order for Withholding for support; (3) That all the children subject to the order for withholding for support have or will reach the age of majority as of ____________________________ (date) or are no longer subject to withholding because of death, marriage, or otherwise becoming emancipated, as follows: (Attach copies of the children's birth certificates, if available) _________________________________________________________________ ____________________________________________________________________________________; (4) That no arrearage is owed on the support order. (5) Other:_______________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ I make this statement for the purpose of requesting that the withholding order for support applicable to me be terminated based on foregoing reasons pursuant to § 30-3-62(i),Code of Alabama 1975. I understand that if any of the above statements are untrue, I am subject to be punished under penalties of perjury or the contempt power of the Court. Sworn to and subscribed before me this ___________________________ day of __________________________, 20______. ______________________________________ Clerk/Notary ____________________________________ Affiant(Obligor) NOTICE TO CLERK OF COURT This affidavit is to be served by first class mail upon the obligee and, when the case is a Title IV-D case, upon the Department of Human Resources. NOTICE TO OBLIGEE OR DHR The obligee, or in cases under Title IV-D of the Social Security Act, Department of Human Resources, may object to the termination of the withholding order for support. They must request a hearing within 20 days of being served with a copy of this Affidavit. American LegalNet, Inc. www.FormsWorkFlow.com