IN THE CIRCUIT COURT, EIGHTEENTH JUDICIAL CIRCUIT, BREVARD COUNTY, FLORIDA DIVISION: CHILD SUPPORT CASE NUMBER: 05 - DR -XXXX-XX OBLIGOR (name/address/city/state/zip/phone number) _______________________________ CLOCK IN OBLIGEE (name/address/city/state/zip/phone number) _______________________________ MOTION FOR CREDIT FOR DIRECT PAYMENTS Obligor Obligee, COMES NOW, the above named _______________________________, and hereby moves for credit for payments made directly to Obligee, _______________________________, and as grounds therefore alleges as follows: 1. That by an Order of this Court dated ____________________, Obligor was directed to pay $____________, per _____________, to the Clerk of Court for disbursement to Obligee, _______________________________. 2. That, pursuant to the attached Affidavit, the Obligor, made payments totaling $_____________ directly to Obligee. WHEREFORE, Obligor Obligee requests this Court enter an Order directing the Clerk of Court to credit the above referenced support record in the amount of $___________. _____________________________________ Obligor/Obligee Signature ________________________ Date Law 421 / Rev. 02-24-2016 1 American LegalNet, Inc. www.FormsWorkFlow.com