Rev. 3/2017 251 KSJC Page 1 of 2 IN THE DISTRICT COURT OF COUNTY, KANSAS Case No. (Name of person who filed the Petition) and (Name of person who did not file the Petition) MOTION TO MODIFY CHILD SUPPORT I, (insert your name) request that the Court modify child support paid in this case because: 1. The current child support court order, filed on (date), sets child support to be paid by (insert parent222s name) at $ per month for current support. 2. Child support should change because: the child is in a higher age group having passed the child222s 6th or 12th birthday more than 3 years have passed since the last child support order a change of financial circumstances of the parents or the guidelines would increase or decrease the child support by 10% other reasons: . 3. I am submitting with this Motion a proposed Child Support Worksheet. 4. I am submitting with this Motion a Short Form Domestic Relations Affidavit. 5. To the best of my knowledge, the name, current address and telephone number of the other parent is: . (If you do not know the current address and telephone number, leave this blank.) American LegalNet, Inc. www.FormsWorkFlow.com Rev. 3/2017 251 KSJC Page 2 of 2 6. The other parent is is not on active duty with the United States Military. Unknown. I ask the Court to modify child support as provided by the Kansas Child Support Guidelines. VERIFICATION I verify under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct. Executed on , 20. X Signature Name (Print): Address (1): Address (2): City, ST, Zip: Telephone: CERTIFICATE OF SERVICE AND MAILING I certify that on this day of , 20, I sent a true copy of this Motion by ( depositing it in the United States mail, postage prepaid) ( depositing it in the United States mail, postage prepaid, certified mail, return receipt requested) addressed to: (Name and address of the other parent) and (Name and address of the other parent222s attorney, if any) and (District Court Trustee or DCF Child Support Services 226 if the current child support order is being enforced by one of these entities) X Signature Name (Print): (A Short Form Domestic Relations Affidavit must accompany all Motions for Child Support. Financial information is not required if the request is for termination only.) American LegalNet, Inc. www.FormsWorkFlow.com