IN THE CIRCUIT COURT IN AND FOR ESCAMBIA COUNTY, FLORIDA FAMILY LAW DIVISION _____________________________, Petitioner Case Number:__________________ Division: ______________________ Vs. _____________________________, Respondent ORDER TERMINATING CHILD SUPPORT AND/OR ALIMONY PAYMENTS THIS CAUSE coming before the Court upon the foregoing Petition to Terminate Child Support and/or Alimony, and the Court being fully advised in the premises, it is hereby ORDERED AND ADJUDGED: 1. That the child support and/or alimony provision of the previous Order dated ___________________________, 20____, is canceled and the payor’s obligation thereunder is terminated as of the ______ day of ________________________, 20____. 2. The Court reserves jurisdiction to reinstate the payor’s obligation if the situation or any of the facts alleged in the petition should change. 3. The Court reserves jurisdiction to establish any arrearage in child support and/or alimony that may have accrued prior to the entry of this Order. DONE AND ORDERED at Pensacola, Escambia County, Florida, this ______ day of _________________________, 20____. ____________________________________ CIRCUIT JUDGE I HEREBY CERTIFY that copies of the foregoing Order were furnished to the Petitioners at the addresses stated in the petition this ______ day of _____________________, 20____. ERNIE LEE MAGAHA, CLERK cc: Domestic Relations BY: ________________________________ Deputy Clerk American LegalNet, Inc. www.FormsWorkflow.com