PETITION TO MODIFY CHILD SUPPORT - EVENING DOMESTIC COURT 4004 (Rev. 01/07) STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE PLAINTIFF CASE NUMBER vs DEFENDANT File Stamp Here PETITION TO 1. My name is 2. On INCREASE OR REDUCE OR TERMINATE CHILD SUPPORT a Judgment for Dissolution of Marriage or a Judgment for Parentage was entered. (Attach a copy of the Judgment provisions regarding support. 3. The Judgment provided for the custody and support of the following child(ren): Birthdate Birthdate Birthdate 4. Mother has, or Father has sole custody or 5. The Order for child support has been changed Age Age Age joint custody with primary residential possession of the children. has not been changed since the original Judgment was entered. per week bi-weekly twice per month or monthly. If you selected "has been changed" box, when was it changed? 6 The current order for support is for $ 7. The ordered child support is the mother's income has the father's income has current increased increased not current and the arrearage is $ decreased. decreased. 8. Since the entry of the last order for support, there has been a substantial change in the circumstances of the parties in that: a child has become emancipated; if so, when? the need of the remaining minor child(ren) have increased, including but not limited to: clothing, food activities, school expenses, etc. (See affidavit of Monthly Living Expenses) WHEREFORE, I ask that the Court: A. Modify the Judgment provisions and increase reduce terminate child support. B. For such other and further relief as in equity may be just. Signed and sworn to before me Name: Date Circuit Clerk or Notary Public Address: City/State/Zip: Telephone Number: American LegalNet, Inc. www.FormsWorkflow.com PRO SE CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707