IN THE CIRCUIT COURT IN AND FOR ESCAMBIA COUNTY, FLORIDA FAMILY LAW DIVISION , Petitioner Case Number: Division: Vs. DEP ACCOUNT#: , Respondent PETITION TO TERMINATE CHILD SUPPORT AND/OR ALIMONY The undersigned Petitioners, being under a Court Order to pay and receive ( ) child support and/or ( ) alimony payments through the designated depository, request the Court to terminate that provision of the Order effective the day of , . 1. The reason for this request is as follows: A child has reached the age at which the final judgment says the support will end and petitioner needs an order for the clerk's depository or employer who is deducting the support. One of multiple children has reached the age at which child support shall end and the order provides for a pro rata adjustment at that time. The former wife/husband who is being paid alimony has died. A child has died for which child support is being paid. Former wife/husband has remarried, gained employment or other otherwise attained the circumstances that the final judgment indicates will end alimony payments. Petitioner and Respondent ( ) remarried ( ) are living together, but not married ( ) are married. 2. Petitioners are are not currently receiving Aid to Families with Dependent Children (AFDC) or other public assistance benefits from the State of Florida. 3. Petitioners have have not received AFDC or other public assistance benefits from the State of Florida in the past. PAYOR: PAYEE: (Signature) (Signature) Name - typed or printed Name - typed or printed Address Address Telephone Number Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com The foregoing instrument was acknowledged before me this day of , 20 , who is either personally known to me or who produced as identification, and who did did not take an oath. PAM CHILDERS, CLERK BY: Deputy Clerk or NOTARY PUBLIC - STATE OF FLORIDA (SEAL) The foregoing instrument was acknowledged before me this day of , 20 , who is either personally known to me or who produced as identification, and who did did not take an oath. PAM CHILDERS, CLERK BY: Deputy Clerk or NOTARY PUBLIC - STATE OF FLORIDA (SEAL) American LegalNet, Inc. www.FormsWorkFlow.com