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Agreed Entry To Terminate Child Support Due To Emancipation Of Minor Children Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
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Tags: Agreed Entry To Terminate Child Support Due To Emancipation Of Minor Children, Indiana Statewide, Family Law (Pro-Se)
STATE OF INDIANA
)
IN THE
) SS:
)
CASE NO.
COUNTY OF
IN RE THE
SUPERIOR/CIRCUIT COURT
OF:
Petitioner,
V.
Respondent.
AGREED ENTRY TO TERMINATE CHILD SUPPORT
DUE TO EMANCIPATION OF MINOR CHILD(REN)
COMES NOW ______________________________, pro se, and
______________________________, and submit the following terms as evidence of their agreement in
this matter:
1.
That the parties have __________ minor child (ren), namely:
Name
Date of birth
______________________________
_________________
______________________________
_________________
______________________________
_________________
______________________________
_________________
2. That on _________________, this Court ordered that ______________________________
pay child support to ______________________________ in the weekly amount of ________________
for the above named child(ren) effective on _________________.
3.
That since that time, our child(ren) has/have become emancipated.
4.
Child support should be terminated to reflect the emancipation of my child(ren)
_________________________________________________________________.
5.
______________________________ will no longer pay child support to
______________________________.
Page 1 of 2
Form PS-31166-8
Approved by State Court Administration 07/09
American LegalNet, Inc.
www.FormsWorkFlow.com
ARREARAGE INFORMATION (select only one option)
_____ There is not an arrearage on this account and the arrearage is set at zero and the account shall
be closed.
_____ There is an arrearage on this account of $______________. __________________________
is ordered to pay $_____________ per week on the arrearage until such time as the arrearage is paid
in full.
______________________________
Your Signature
STATE OF INDIANA
COUNTY OF _____________
______________________________
Date
)
) SS:
)
Before me, ______________________________, a notary public in and for ________________ County, State of
Indiana, personally appeared ______________________________, and he/she being first duly sworn upon his/her
oath, says that the facts alleged in the foregoing instrument are true.
Date ________________
__________________________________
Notary Public
My Commission Expires: ______________________
______________________________
Other Party’s Signature
STATE OF INDIANA
COUNTY OF ______________
______________________________
Date
)
) SS:
)
Before me, ______________________________, a notary public in and for ________________ County, State of
Indiana, personally appeared ______________________________, and he/she being first duly sworn upon his/her
oath, says that the facts alleged in the foregoing instrument are true.
Date ________________
__________________________________
Notary Public
My Commission Expires: ______________________
IT IS THEREFORE ORDERED by the Court that the terms of the parties’ agreement as set
out above shall be incorporated into this Order.
So ordered this_____ day of _______________, 20____.
Distribution:
Page 2 of 2
_______________________________________
Judge
Form PS-31166-8
Approved by State Court Administration 07/09
American LegalNet, Inc.
www.FormsWorkFlow.com
