FCA I 413(3)(d); Art 5-B [NOTE: Confidential Information Form 4-5/5-1-d, containing social security numbers of parties and dependents, must be filed with this Petition] Form 4-20a (AFFIDAVIT IN SUPPORT OF MOTION TO VACATE ADJUSTED ORDER) 8/2010 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF ............................................................................................................ PETITIONER DOCKET NO. Against AFFIDAVIT IN SUPPORT OF MOTION TO VACATE ADJUSTED ORDER OF SUPPORT RESPONDENT ........................................................................................................... TO THE FAMILY COURT: THE UNDERSIGNED RESPECTFULLY SHOWS THAT: I. Applicant is (Relationship to case) 2. On the County Family Court entered an adjusted order of support in the above- entitled proceeding. Applicant did not object to entry of said adjusted order in that (he) (she) was not served with said order until ( ) and as a result could not timely file an objection. That by reason of this motion I respectfully request that said adjusted order of support be vacated. The Court lacks personal jurisdiction over me in entering said adjusted order because: in the above named case. 3. 4. 5. No previous application has been made to any court or judge for the relief herein requested (except: American LegalNet, Inc. www.FormsWorkFlow.com Form 4-20A page 2 WHEREFORE, your applicant prays that the relief requested be granted in accord with Section 413(3Xd) of the Family Court Act. DATED: APPLICANT VERIFICATION STATE OF NEW YORK COUNTY OF NEW YORK ) ) , above named, being duly sworn. deposes and says: that he/she in the petitioner in the within action; that he/she has read the contents of the foregoing motion; and that the same is true to his/her own knowledge. Sworn to before me , 19 . APPLICANT American LegalNet, Inc. www.FormsWorkFlow.com