Form DC6:2 "Application and Affidavit for Termination of Child Support" - Nebraska

What Is Form DC6:2?

This is a legal form that was released by the United States District Court for the District of Nebraska - a government authority operating within Nebraska. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on October 1, 2016;
  • The latest edition provided by the United States District Court for the District of Nebraska;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DC6:2 by clicking the link below or browse more documents and templates provided by the United States District Court for the District of Nebraska.

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Download Form DC6:2 "Application and Affidavit for Termination of Child Support" - Nebraska

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Nebraska State Court Form
APPLICATION AND AFFIDAVIT
REQUIRED
FOR TERMINATION
OF CHILD SUPPORT
DC 6:2
Rev 10/16
Neb. Rev. Stat. § 42-371.01
IN THE DISTRICT COURT OF ________________________ COUNTY, NEBRASKA
(county where action is filed)
CASE No.
(name of person listed as plaintiff in original action)
Plaintiff
vs.
APPLICATION AND AFFIDAVIT FOR
TERMINATION OF CHILD SUPPORT
(name of person listed as defendant in original action)
Defendant
I, ___________________________________________________________ , swear that the child,
(your full name)
, for whom I am currently ordered
(full name of child)
to pay child support is no longer my obligation for the following reason:
The child is now 19 years old. Certified copy of birth certificate attached.**
The child has married. Certified copy of marriage license and certificate of marriage attached.**
The child has died. Certified copy of death certificate attached. **
The child has been emancipated by court order from
(name of court)
Certified copy of the court order attached
** pursuant to Neb. Ct. R. §6-1521(c), all documentation containing dates of birth or social security
numbers has had that confidential information redacted (removed or hidden) by the applicant. Appendix
3, containing that information, if included, with this application and affidavit shall not be made part of the
court file or provided to the public.
I request that my child support obligation for the above child be terminated on _________________________.
I request that the clerk of court send a copy of this application, not including Appendix 3 if received by
the court, to the last known address of the adult who is receiving child support on behalf of my child, unless
accompanied by waiver:
Name of adult
Street address
City, State, Zip
Page 1 of 2.
Child Support Termination
Application and Affidavit DC 6:2 Rev.
10/16
Nebraska State Court Form
APPLICATION AND AFFIDAVIT
REQUIRED
FOR TERMINATION
OF CHILD SUPPORT
DC 6:2
Rev 10/16
Neb. Rev. Stat. § 42-371.01
IN THE DISTRICT COURT OF ________________________ COUNTY, NEBRASKA
(county where action is filed)
CASE No.
(name of person listed as plaintiff in original action)
Plaintiff
vs.
APPLICATION AND AFFIDAVIT FOR
TERMINATION OF CHILD SUPPORT
(name of person listed as defendant in original action)
Defendant
I, ___________________________________________________________ , swear that the child,
(your full name)
, for whom I am currently ordered
(full name of child)
to pay child support is no longer my obligation for the following reason:
The child is now 19 years old. Certified copy of birth certificate attached.**
The child has married. Certified copy of marriage license and certificate of marriage attached.**
The child has died. Certified copy of death certificate attached. **
The child has been emancipated by court order from
(name of court)
Certified copy of the court order attached
** pursuant to Neb. Ct. R. §6-1521(c), all documentation containing dates of birth or social security
numbers has had that confidential information redacted (removed or hidden) by the applicant. Appendix
3, containing that information, if included, with this application and affidavit shall not be made part of the
court file or provided to the public.
I request that my child support obligation for the above child be terminated on _________________________.
I request that the clerk of court send a copy of this application, not including Appendix 3 if received by
the court, to the last known address of the adult who is receiving child support on behalf of my child, unless
accompanied by waiver:
Name of adult
Street address
City, State, Zip
Page 1 of 2.
Child Support Termination
Application and Affidavit DC 6:2 Rev.
10/16
I understand that if there is any unpaid child support or interest owed prior to the requested date of
termination, that amount is still owed. In the event the adult receiving support for the child does not file
an objection within thirty days after the clerk’s notice to him/her was mailed, I hereby request that the
child support for the above child be terminated by court order as requested.
SIGN IN FRONT OF NOTARY PUBLIC
I hereby swear, or affirm, under penalty of perjury, that the above information is true.
Date
Signature
Your Full Name (person paying support)
Your Full Street Address/P.O. Box
City/State/ZIP Code
Phone
E-mail Address
State of ____________________ )
) ss.
County of __________________ )
The foregoing instrument was acknowledged before me by ___________________________, this
(name of person certifying above)
day of _____________ , 20___ .
day
month
year
Notary Public (signature of person taking acknowledgment)
My commission expires:
(title or rank)
(serial number, if any)
CLERK'S SERVICE OF NOTICE ON RECEIVER AND ASSIGNEE
A true and accurate copy of this application and affidavit to obtain termination of child support was sent by
the clerk of the district court to:
1.
The person receiving child support at the above address, and
2.
The Department of Health and Human Services if there is an active assignment of support, by
depositing copies thereof in the U.S. mail, postage prepaid on this _______ day of_______________,
20
.
Clerk of Court:
NOTICE TO RECEIVER OF CHILD SUPPORT
The court shall terminate child support if no written objection has been filed within thirty days after the date
the clerk's notice to the receiver was mailed, the forms and procedures have been complied with, and the
court believes that a hearing on the matter is not required. As receiver of child support, if you do not
file a written objection within thirty days after the date the notice was mailed, child support for this
child may be terminated without further notice to you.
Page 2 of 2
Child Support Termination Application and Affidavit
DC 6:2 Rev. 10/16
Page of 2