District Court Denver Juvenile Court ___________________________ County, Colorado Court Address: In re the Marriage of: In re the Civil Union of: In the Interest of: in re Parental Responsibilities concerning: ________________________________________________ Petitioner: and Co-Petitioner/Respondent: Division COURT USE ONLY Case Number: Courtroom ORDER RE: PARENTAGE PURSUANT TO §14-10-122(6), C.R.S AND §19-4-107.3, C.R.S. This matter comes before the Court on the Motion of the Petitioner Co-Petitioner/Respondent to modify or set aside parentage and a hearing on __________________________ (date). Following review of the Motion, Sworn Financial Statements, Child Support Worksheet, and other supporting documents, and Response, if applicable, the Court finds the following: 1. The Court issued an Order _____________________ (date) ordering child support for the following child(ren): Full Name of Child Present Address Sex Date of Birth 2. The Motion was filed within the appropriate time frames. 3. The genetic testing received from __________________________________________ (name of genetic lab) on ___________________ (date) presents that _________________________ (name) is not the biological father of the child(ren). 4. The child(ren) identified in this Motion was/were not adopted or conceived by means of assisted reproduction. 5. The father has not acknowledged paternity knowing he was not the father of the child(ren). Based on these Findings and in the best interests of the child, the Court orders the following: _____________________________ (name) is not the biological father of the child(ren). JDF 1526 R7/13 ORDER RE: PARENTAGE © 2013 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com  The birth certificate shall be changed to have _____________________________ (name of party) name removed from the Birth Certificate(s). Child support is terminated. Unpaid child support in the amount of $ _____________ is vacated and deemed satisfied. A new Child Support Order is attached based on the modification of child support. The Petitioner Co-Petitioner/Respondent shall pay child support to __________________________________ (name of party) commencing on __________________ (date). Other: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Date: ________________________________ ______________________________________ Judge Magistrate CERTIFICATE OF MAILING I certify that on ___________________ (date), I mailed this Order to the following: Petitioner Petitioner's Attorney Co-Petitioner/Respondent Co-Petitioner/Respondent's Attorney Child Support Enforcement Unit ___________________________________ Clerk JDF 1526 R7/13 ORDER RE: PARENTAGE © 2013 Colorado Judicial Department for use in the Courts of Colorado American LegalNet, Inc. www.FormsWorkFlow.com