Form 254 Rev 5/16 The Family Court of the State of Delaware In and For Movant Name Street Address (including Apt) P.O. Box Number City/State/Zip Code Attorney Name and Phone Number New Castle Respondent Name Kent Sussex County DCSS # D.O.B. File Number NOTICE AND MOTION TO REVOKE CHILD SUPPORT D.O.B. Street Address (including Apt) P.O. Box Number City/State/Zip Code Attorney Name and Phone Number Petition Number(s) Other State Number IV-D Status IV-D Non IV-D $ and that: MOVANT ASSERTS that per all arrears/back support/fees are paid the youngest child on the Order is 19 or is under an order to pay current support in the amount of and/or arrears/back support/fees in the amount of 18 and: $ per stopped attending high school on Documentation attached) on was graduated from or ( all the children on the Order moved from the home of to the home of See custody order of (DOCUMENTATION REQUIRED) Or See Documentation Attached current support WHEREFORE, MOVANT SEEKS an Order terminating the Withholding Order accordingly. Employer: Address arrears/back support obligation and modifying any Income Obligor also wishes payment on arrears/back support to be increased to Other: (Attach add'l pages if necessary) $ per MOVANT AFFIRMS that the above statements are true and that this motion was filed with Family Court and a copy was deposited in the U.S. Mail on with sufficient postage, addressed to of form) AND: a t the Division of Child Support Services (appropriate county address on reverse Date Sworn to subscribed before me: Movant/Attorney Clerk of Court/Notary Public Date NOTICE: RESPONDENT HAS THE RIGHT TO FILE A RESPONSE WITHIN TEN (10) DAYS OF THE SERVICE OF THIS MOTION. IF NO RESPONSE IS TIMELY FILED, THE MOTION MAY BE DECIDED WITHOUT OTHER OPPORTUNITY TO BE HEARD. PURSUANT TO 13 Del. Code §517, UPON CONSIDERATION OF THE MOTION AND No Response DCSS account statement Response IT IS SO ORDERED THAT: Current Support Order is REVOKED effective Back Support/Arrears Order is REVOKED Income Attachment is: Cancelled Modified $ /mo. Continued at $ Medical Support Order and any attachment are REVOKED /mo. all on arrears.. RESPONDENT DCSS REFUND ANY OVERPAYMENT IN ITS POSSESSION DCSS apply any later payments to arrears The Motion is DENIED Other: So Ordered this Date: Judge/Commissioner CC: FILE PARTIES DCSS ATTY DCSS ACCOUNTING DCSS OPERATIONS OS AGENCY Other: American LegalNet, Inc. www.FormsWorkFlow.com Form 254 Rev 09/14 Page 2 PLEASE NOTE: THE ORIGINAL COMPLETED FORM MUST BE FILED WITH FAMILY COURT. FOR ALL CHILD SUPPORT CASES HANDLED THROUGH THE DIVISION OF CHILD SUPPPORT SERVICES (DCSS), A COPY OF THIS NOTICE AND MOTION TO REVOKE CHILD SUPPORT MUST BE SENT TO THE DCSS OFFICE IN THE COUNTY WHERE YOUR CASE IS LOCATED. IF YOUR CASE IS LOCATED IN NEW CASTLE COUNTY, SEND COPY TO: DIVISION OF CHILD SUPPORT SERVICES P.O. BOX 15012 WILMINGTON, DE 19850 IF YOUR CASE IS LOCATED IN KENT COUNTY, SEND COPY TO: DIVISION OF CHILD SUPPORT SERVICES BLUE HEN CORPORATE CENTER 655 S. BAY ROAD SUITE 2J DOVER, DE 19901 IF YOUR CASE IS LOCATED IN SUSSEX COUNTY, SEND COPY TO: DIVISION OF CHILD SUPPORT SERVICES 9 ACADEMY STREET GEORGETOWN, DE 19947 Remember an Original Form Must be Filed With Family Court American LegalNet, Inc. www.FormsWorkFlow.com 2