District Court Denver Juvenile Court ________________________________ County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ COURT USE ONLY Case Number: Petitioner: and Co-Petitioner/Respondent: Division Courtroom ORDER TO TERMINATE CHILD SUPPORT This matter comes before the Court on the Motion of the to terminate child support pursuant to §14-10-122, C.R.S. I. Petitioner Co-Petitioner/Respondent Both parties Following review of the Motion and other supporting documents, and Response, if applicable, or hearing on _______________________________ (date), the Court finds the following: That the parties stipulate/agree to the termination of child support. or That the Child has attained the age of 19 years, and no exceptions under §14-10-115(1.5)(a), C.R.S. apply to continue paying child support. or That the Child is no longer subordinate to the parental governance and discipline of his/her parents and is considered emancipated and no exceptions under §14-10-115(1.5)(a), C.R.S. apply to continue paying child support. or Other: _____________________________________________________________________________ II. The Court orders the following. Child support is terminated as of the date of this Order. It is the responsibility of the Obligor to provide copies of this Order to his/her employer to terminate the income assignment, if applicable. The Petitioner Co-Petitioner/Respondent shall pay for all reasonable attorney fees, costs and expenses associated with this action. The Obligor owes a total of $___________ in child support arrearages as of __________________ (date), and shall pay $ _________ per month towards the arrearages. Other: _______________________________________________________________________________ ____________________________________________________________________________________ Date: ________________________________ ______________________________________ District Court Judge District Court 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 1409 R3/06 ORDER TO TERMINATE CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S. American LegalNet, Inc. www.FormsWorkflow.com