4004 (Rev. 01/07) PETITION TO MODIFY CHILD SUPPORT - EVENING DOMESTIC COURT STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT PLAINTIFF COUNTY OF DU PAGE CASE NUMBER vs DEFENDANT PETITION TO File Stamp Here INCREASE OR REDUCE OR TERMINATE CHILD SUPPORT 1. My name is 2. On 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 Mother has, or Father has 5. The Order for child support sole custody or has been changed Age Birthdate 4. Age Age joint custody with primary residential possession of the children. has not been changed since the original Judgment was entered. 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 current per week bi-weekly twice per month or monthly. not current and the arrearage is $ 8. Since the entry of the last order for support, there has been a substantial change in the circumstances of the parties in that: the mother's income has increased the father's income has decreased. increased decreased. 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 PRO SE Address: City/State/Zip: Circuit Clerk or Notary Public Telephone Number: CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707 American LegalNet, Inc. www.FormsWorkflow.com