Form JDF1403 "Motion to Modify Child Support Pursuant to 14-10-122, C.r.s." - Colorado

What Is Form JDF1403?

This is a legal form that was released by the Colorado Judicial Branch - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2019;
  • The latest edition provided by the Colorado Judicial Branch;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form JDF1403 by clicking the link below or browse more documents and templates provided by the Colorado Judicial Branch.

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Download Form JDF1403 "Motion to Modify Child Support Pursuant to 14-10-122, C.r.s." - Colorado

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District Court
Denver Juvenile Court
_________________________________ County, Colorado
Court Address:
In re:
The Marriage of:
The Civil Union of:
Parental Responsibilities concerning:
______________________________________________________
Petitioner:
COURT USE ONLY
and
Co-Petitioner/Respondent:
Attorney or Party Without Attorney
:
Case Number:
(Name and Address)
Phone Number:
E-mail:
Division
Courtroom
FAX Number:
Atty. Reg.#:
MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S.
Note to Responding Party:
If you disagree with this Motion, the Colorado Rules of Civil Procedure allow
you to file a written response with the Court which must be filed within 21 days of the date this Motion was
served on you or mailed to you.
The
Petitioner
Co-Petitioner/Respondent states the following for the purpose of modifying child support.
1. Information about Petitioner:
Date of Birth: __________________________
Current Mailing Address: __________________________________________________________________
City & Zip: ______________________________________________________________________________
Home Phone #: ___________________ Work Phone #: __________________ Cell #: __________________
2. Information about Co-Petitioner/Respondent:
Date of Birth: __________________________
Current mailing address: ___________________________________________________________________
City & Zip: ______________________________________________________________________________
Home Phone #: ___________________ Work Phone #: ___________________ Cell #: _________________
3. The parties have ______ minor child(ren):
Full Name of Child
Present Address
Sex Date of Birth
4. Under the current Support Order, the Petitioner has________ overnights per year with the children and the Co-
Petitioner/Respondent has ________ overnights per year with the children.
JDF 1403
R12/19
VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S.
Page 1 of 3
District Court
Denver Juvenile Court
_________________________________ County, Colorado
Court Address:
In re:
The Marriage of:
The Civil Union of:
Parental Responsibilities concerning:
______________________________________________________
Petitioner:
COURT USE ONLY
and
Co-Petitioner/Respondent:
Attorney or Party Without Attorney
:
Case Number:
(Name and Address)
Phone Number:
E-mail:
Division
Courtroom
FAX Number:
Atty. Reg.#:
MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S.
Note to Responding Party:
If you disagree with this Motion, the Colorado Rules of Civil Procedure allow
you to file a written response with the Court which must be filed within 21 days of the date this Motion was
served on you or mailed to you.
The
Petitioner
Co-Petitioner/Respondent states the following for the purpose of modifying child support.
1. Information about Petitioner:
Date of Birth: __________________________
Current Mailing Address: __________________________________________________________________
City & Zip: ______________________________________________________________________________
Home Phone #: ___________________ Work Phone #: __________________ Cell #: __________________
2. Information about Co-Petitioner/Respondent:
Date of Birth: __________________________
Current mailing address: ___________________________________________________________________
City & Zip: ______________________________________________________________________________
Home Phone #: ___________________ Work Phone #: ___________________ Cell #: _________________
3. The parties have ______ minor child(ren):
Full Name of Child
Present Address
Sex Date of Birth
4. Under the current Support Order, the Petitioner has________ overnights per year with the children and the Co-
Petitioner/Respondent has ________ overnights per year with the children.
JDF 1403
R12/19
VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S.
Page 1 of 3
Petitioner’s
Co-Petitioner’s/Respondent’s child support
5. Under the current child support order, the
obligation is $ _________and is paid
weekly
bi-weekly
twice a month
monthly
Other: ________.
6.
(Check only if applicable.) The current support order does not contain a provision regarding medical
insurance (medical, dental, and/or vision) coverage.
7. A change in the current Support Order is appropriate because of the following change(s) in circumstance(s).
Please check the appropriate box.
Day Care costs
Change in Income
Change in Parenting Time
Change in Residence
Emancipation of a Child
Medical insurance coverage
Other: ______________________________________________________
Describe why you are requesting the modification.
8. The new child support obligation that I am requesting
is
is not more than a 10% change from the current
child support order. The proposed child support obligation should be $____________ to be paid
weekly
bi-weekly
twice a month
monthly
other: ________.
9. I/We have completed a child support worksheet that shows what the new child support obligation should be.
The child support worksheet
is
is not attached to this Motion.
10. I/We have attached current Sworn Financial Statements to this Motion.
11. Is either party currently receiving public assistance?
Yes
No If you checked Yes, answer the following:
Name of Person Receiving Benefit
Name of County or State
12. Is
either
party
receiving
child
support
enforcement
services.
Yes
No
If
Yes,
identify
____________________________ (County) ______________________ (State).
13. Does either parent live in another state?
Yes
No If Yes, identify __________________________ (name
of person) and ___________________________________ (City and State) they are currently living in.
14.
(Check only if applicable.) I request a change in the current tax exemption because of the reallocation of the
costs of raising the dependent children, pursuant to §14-10-115(12), C.R.S.
JDF 1403
R12/19
VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S.
Page 2 of 3
Petitioner’s
I respectfully request that this Court enter an Order modifying the
Co-Petitioner’s/Respondent’s
child support obligation as described above.
By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the
form.
By checking this box, I am acknowledging that I have made a change to the original content of this form.
*SIGNATURE IS REQUIRED ON THIS FORM BEFORE FILING WITH THE COURT
SIGNATURE
_____________________________________ ____________________________________________
(Print name of Petitioner or Co-Petitioner/Respondent
*Signature of Petitioner or Co-Petitioner/Respondent
Date
____________________________________________________________________________________________________
City
State
Zip Code
____________________________________________________________________________________________________
(Area Code) Telephone Number (home)
(Area Code) Telephone Number (work)
*SIGNATURE IS REQUIRED ON THIS FORM BEFORE FILING WITH THE COURT
CERTIFICATE OF SERVICE
I certify that on ________________________ (date) a true and accurate copy of the Verified Motion to Modify
Child Support was served on the other party by:
Hand Delivery,
E-filed,
Faxed to this number: _______________________, or
by placing it in the United States mail, postage pre-paid, and addressed to the following:
To: _______________________________________
_______________________________________
_______________________________________
______________________________________
*
Your signature
If the Child Support Enforcement Unit is involved in the case; you must provide them a copy of this Motion.
JDF 1403
R12/19
VERIFIED MOTION TO MODIFY CHILD SUPPORT PURSUANT TO §14-10-122, C.R.S.
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