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- JDF 1403 - Motion To Modify Child Support (Colorado Judicial Branch)

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JDF 1403 – Motion to Modify Child Support R: September 3, 2020 Page 1 of 4
_______________________________ County District/Juvenile Court
Court Address:
Court Use
Only
Petitioner: _______________________________________________
and
Respondent: _____________________________________________
(or co-petitioner)
Attorney or Party Without Attorney (My name and address):
Phone Number: E-mail:
FAX Numb
er: Atty. Reg.#:
Case Numbe
r:
Division: Courtroom:
Motion to Modify Child Support
I am the Petitioner Respondent (or Co-Petitioner) and I respectfully request a
change to the child support
obligation. I file this motion pursuant to C.R.S. § 14-10-122.
Note to Responding Party: If you disagree with this Motion you must file a written response (JDF 1315)
with the Court. Your response is due within 21 days of this motion’s service date (found on page 4).
Note to Both Parties: You must provide a Sworn Financial Statement (JDF 1111) and Certificate of
Compliance (JDF 1104) to the Court and other Parties. These forms are due within 42 days of this motion’s
service date. Visit www.courts.state.co.us/Self_Help for forms and more information.
1. Certificate of Conferral
I checked to see if the other parties agree with my request. They:
Agree Disagree Did Not Respond
Other: ____________________________________________________
2. Information about Petitioner: Date of Birth: _______________________
Mailing Address: _____________________________________________________
City & Zip: __________________________________________________________
Cell Phone: _______________________ Email: ___________________________
Home Phone: ______________________ Work Phone: _____________________
JDF 1403 – Motion to Modify Child Support R: September 3, 2020 Page 2 of 4
3. Information about Respondent: Date of Birth: ________________________
Mailing Address: _____________________________________________________
City & Zip: __________________________________________________________
Cell Phone: _______________________ Email: ___________________________
Home Phone: ______________________ Work Phone: _____________________
4. The parties have ________ minor child(ren):
Child’s Name
Present Address
Sex
Date of Birth
5. Under the current support order:
The Petitioner has __________ overnights per year with the child(ren).
The Respondent
(or Co-Petitioner) has ________ overnights per year.
6. Under the current support order:
Who pays child support?
Petitioner Respondent (or Co-Petitioner)
How much is the child support obligation? $ __________________.
This is paid:
weekly bi-weekly
twice a month monthly
Other: _________________________.
7. Does the current support order contain a provision for medical insurance coverage?
Yes* No
*If yes, how much does that coverage cost? $ __________________.
8. Have you attached a current Sworn Financial Statement (JDF 1111) to this Motion?
Yes No*
*If no, you must file one within 42 days.
JDF 1403 – Motion to Modify Child Support R: September 3, 2020 Page 3 of 4
9. Reasons for the Change
I believe the support order should be changed because of the following substantial
and continuing change(s):
day care costs amount of income
parenting time place of residence
child emancipation medical insurance coverage
other: ______________________________________________.
I believe these would cause the child support payment to change by at least 10%.
I am requesting a change to the child support because: ______________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
__________________________________________________________
____________
10. Have you attached a proposed child support worksheet to this Motion?
Yes* No
*If yes, what is the proposed child support payment?
$ _____________ to be paid:
weekly bi-weekly
twice a month monthly
other: __________________________.
11. Does either parent live in another state?
Yes* No
*If yes, which parent? _________________________. In which state? ______.
12. Is either party receiving child support enforcement services?
Yes* No
*If yes, in which county? _______________________. In which state? ______.
JDF 1403 – Motion to Modify Child Support R: September 3, 2020 Page 4 of 4
13. Is either party currently receiving public assistance?
Yes* No
*If yes, answer the following:
Name of Person
Receiving Benefit
Name of County or State
Case Number
14. I request a tax exemption change. (Check only if applicable.)
I request a change in the current tax exemption because of the reallocation of the
costs of raising the dependent child(ren), pursuant to C.R.S. § 14-10-115(12).
q By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.
q By checking this box, I am acknowledging that I have made a change to the original content of this form.
*Your Signa
ture is Required Before Filing with the Court
15. Signature & Date
__________________________ ________________________ ________
Print your name *Your Signature Date
16. Certificate of Service
I certify that on (enter date) ________________________ a true and accurate copy of
this document was served on the other party by:
Hand Delivery E-filed through Colorado Courts E-Filing
Faxed to this number: ____________________________, or
Mail through the United States Postal Service, postage pre-paid, and addressed:
To:
_____________________________________
_____________________________________
_____________________________________
________________________________
*Your signature
Check here if you also sent a copy to the Child Support Enforcement Unit. You must send
them a copy if they are involved in the case.
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- JDF 1403 - Motion To Modify Child Support (Colorado Judicial Branch)

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Completed 6 October 2021

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