q District Court _________________________________________ County, Colorado Court Address: In Re: Petitioner: Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: E-mail: FAX Number: Atty. Reg.#: Division Courtroom MOTION TO TERMINATE CHILD SUPPORT ON THE BASIS OF EMANCIPATION The q Petitioner q Respondent/Co-Petitioner (check one) moves this court to terminate the child support obligations on behalf of ,whose date of birth is and whose Social Security number is 1. , (the Child), and as grounds for this motion states: This court ordered the obligor to pay child support in the amount of $ to the Child on 2. per month as . The Child is no longer subordinate to the parental governance and discipline of his/her parents as is established by the following (check as appropriate): q The Child has established a residence away from the family domicile q The Child is self-supporting. q Other 3. There are no arrearages as to the Child. THEREFORE, the obligor requests that this court terminate the obligation to pay child support as to the Child. Date: q Petitioner OR q Respondent/Co-Petitioner Address City, State, Zip Code (Area Code) Telephone Number (home and work) JDF 1410 R7/00 MOTION TO TERMINATE CHILD SUPPORT ON THE BASIS OF EMANCIPATION PAGE 1 OF 2 2002 © American LegalNet, Inc. CERTIFICATE OF SERVICE I certify that on (date) the original and one copy of this document were filed with the court; and, a true and accurate copy of the MOTION TO TERMINATE CHILD SUPPORT ON THE BASIS OF EMANCIPATION was served on the other party by q Hand Delivery OR q Faxed to this number OR q by placing it in the United States mail, postage pre-paid, and addressed to the following: TO: (Your signature) JDF 1410 R7/00 MOTION TO TERMINATE CHILD SUPPORT ON THE BASIS OF EMANCIPATION PAGE 2 OF 2 2002 © American LegalNet, Inc.