Request to Modify a Child Support Order - Iowa
Request to Modify a Child Support Order (Page 3)
470-2749 (Rev. 3/01)
Please explain how and why the financial circumstances have changed.
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YOU MU ST ATTACH PROOF of the income that was used to det ermine the child support obligation and
the present income of the parent with the 50% change in net income. FAILURE TO DO SO MAY
RESULT IN DENIAL OF YOUR REQUEST.
3. !
!!
! Additional Child(ren) to be Added to the Current Order: (If more than two, attach another sheet.)
Last First M. Birth Date Social Security No .
Place of Birth Does Child Live in your Home?
❑
YES
❑
NO
Has Pa ter nity Be en Established?
❑
YES
❑
NO
Method U se d to Es tablis h Legal Resp onsibility ( You mus t attach verification)
❑
Court Order
❑
In Cou rt Statement & Consent
❑
Paternity Affidavit
❑
Child Born During Marriage
❑
Court Ordered Support
Obligation
Last First M. Birth Date Social Security No .
Place of Birth Does Child Live in your Home?
❑
YES
❑
NO
Has Pa ter nity Be en Established?
❑
YES
❑
NO
Method U se d to Es tablis h Legal Resp onsibility ( You mus t attach verification)
❑
Court Order
❑
In Cou rt Statement & Consent
❑
Paternity Affidavit
❑
Child Born During Marriage
❑
Court Ordered Support
Obligation
4. ❑
Other Circumstances:
My order set child support at zero or reserved setting a dollar-amount of support. This should be changed because:
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There is an error in the child support amount and/or medical support provisions of the order that was made when it
was prepared or filed. The error is:
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The non-custodial parent was a minor, so child support was reduced or waived. The non-custodial parent is no
longer a minor, is no l onger i n school or has not attended parent i ng classes. Please explain:
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You may attach a separate sheet to provide additional information.
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