JDF 1408 R 5 - 1 8 MOTION TO TERMINATE CHILD SUPPORT P URSUANT TO 247 14 - 10 - 122 , C.R.S. District Court Denver Juvenile Court County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: Petiti oner: and Co - 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 MOTION TO TERMINATE CHILD SUPPORT PURSUANT TO 247 14 - 10 - 122, C.R.S. Note to Responding Party : If you disagree with this M otion, the Colorado Civil Rules of Procedure allow you to file a written response with the Court which must be filed wi thin 21 days of the date this Motion was served on you or mailed to you. 1. The Petitioner Co - Petitioner /Respondent Bo th parties request ( s ) this Court to enter an Order to t erminate child support obligations on behalf of (full name of child) , born on ( date of birth ) . 2. This Court ordered the obligor to pay child support in the amount of $ per month for this C hild on (date of Order). 3. I /We state the following for the purpose of terminating child support. The Child has attained the age of 19 years . Other: The Child is self - supporting and has established a residence away from the family domicile. 4. The obligor has arrearages as to child support . No Yes , in the amount of $ . By che cking 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. SIGNATURE Petitioner or Co - Petitioner/Respondent Date Petitioner or Co - Petitioner /Respondent Date Address Address City, State and Zip Code City, State and Zip Code Phone Number Phone Numbe r CERTIFICATE OF SERVICE I certify that on (date) the original was filed with the C ourt and a true and accurate copy of the MOTION TO TERMINATE CHILD SUPPORT was served on the other party by: Hand Delivery , E - Filed, Faxed to th is number , or by placing it in the United States mail, postage pre - paid, and addressed to the following: To: Signature American LegalNet, Inc. www.FormsWorkFlow.com