Rule 17.300--Form 327: Request for Relief in a Child Support Modification Use this form only if you have filed or answered an Application to Modify Child Support (301) and: � The other party did not file an Answer (315), or � The other party will not work with you to prepare a Settlement Agreement (328). Caution: This form may require you to provide protected or sensitive information. If filing electronically and you include protected information on this form, fill out or update the Protected Information Disclosure (311) if you have not already done so. If filing in paper, you may use form 311 to provide any protected information in full if you have not already done so. If you do not understand how to use this form, or if you should use this form, talk to an attorney. In the Iowa District Court for Upon the Petition of Petitioner County where Application is filed County Equity case no. Full name of Petitioner as it is in the Application Request for Relief in a Child Support Modification and concerning Respondent Full name of Respondent as it is in the Application 1. Personal Information Fill in all information that you know. If you have been assaulted by your spouse and you fear for your safety, you may leave your street address, phone number, and email blank. A. I am Check each that applies (1) Petitioner (2) (3) Respondent Applicant Birth year City State ZIP code B. Your information: Your present street address County ( Phone number ) Email address C. Other parent's information: Birth year City State ZIP code Other parent's present street address ( February 2014 ) Rule 17.300--Form 327 Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.300--Form 327: Request for Relief in a Child Support Modification, continued D. Other person (non-parent) who receives child support: Birth year Full name: first, middle, last Present street address County City State ZIP code ( Phone number ) Email address 2. Request for Relief A. Child support Check each that is true, and fill in the blanks for the items you check. (1) Child support should be raised from $ per month, beginning First, middle, & last initials of each child a. b. c. per month to $ Day Month Birth year , 20 Year for: Birth year First, middle, & last initials of each child d. e. f. Check this box if you have attached a separate sheet listing additional children. (2) Child support should be lowered from $ per month beginning First, middle, & last initials of each child a. b. c. per month to $ Day Month Birth year , 20 Year for: Birth year First, middle, & last initials of each child d. e. f. Check this box if you have attached a separate sheet listing additional children. (3) Check here if you want child support to be higher or lower than the Child Support Guidelines amount. If you check this, write the amount you want and explain why below. a. Amount requested: $ per month February 2014 Rule 17.300--Form 327 Page 2 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.300--Form 327: Request for Relief in a Child Support Modification, continued b. Child support should be different than the Guidelines amount because: Show Lines Hide Lines (4) Child support should be stopped beginning on the Day day of Month , 20 Year Birth year for: First, middle, & last initials of each child d. e. f. Birth year First, middle, & last initials of each child a. b. c. Check this box if you have attached a separate sheet listing additional children. B. Tax deduction for the children Check (1) or (2) (1) (2) There is no court order at this time on tax deductions. There is a court order at this time on tax deductions. If you check (2), check a or b: a. b. A court order currently says who gets the tax deduction for the child or children and it should stay the same. A court order currently says who gets the tax deduction for the child or children and it should be changed as set forth in the table below. Explain Show Lines Hide Lines First, middle, & last initials of each child i. ii. iii. iv. v. Birth year Person who should now claim child for tax deduction Check this box if you have attached a separate sheet listing additional children. February 2014 Rule 17.300--Form 327 Page 3 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.300--Form 327: Request for Relief in a Child Support Modification, continued C. Health insurance or cash medical support Check (1) or (2) (1) (2) There is no court order at this time on who pays health insurance or cash medical support. There is a court order at this time on who pays health insurance or cash medical support. If you check (2), check a or b a. b. A court order currently says who pays for health care expenses for the child or children and it should stay the same. A court order currently says who pays for health care expenses and it should be changed as set forth in the table below. Explain Show Lines Hide Lines First, middle, & last initials of each child i. ii. iii. iv. v. Birth year Parent who should now provide health insurance or cash medical support Check this box if you are attaching a separate sheet listing additional children. (3) I should pay % (4) The other parent should pay % expenses. (5) I should pay % (6) The other parent should pay % of the out-of-pocket health care expenses. of the out-of-pocket health care in cash medical support. in cash medical support. D. Court Fees Check one (1) (2) (3) (4) All court fees should be paid by me. All court fees should be paid by the other parent. The other parent and I should pay one-half of the remaining court fees. The other parent and I should pay one-half of the total court fees. February 2014 Rule 17.300--Form 327 Page 4 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.300--Form 327: Request for Relief in a Child Support Modification, continued E. Attorney's Fees Check one (1) My attorney's fees a. b. c. I have no attorney's fees. I will pay my own attorney's fees. I ask that the other party pay $ for my attorney's fees. 3. Necessary Documents I ask that the court require each of us to sign and deliver to each other any papers that may be needed to carry out the terms of the Decree Modifying Child Support. 4. Other Request for Relief Attach additional sheets if necessary Show Lines Hide Lines 5. Statements of Understanding and Fact Check each that applies a. b. c. I have made a full disclosure of my income to the court. This Request for Relief addresses all issues in the Application to Modify Child Support. I want the co