Form 15b - Response To Motion To Change Page 3
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8Form 15B: Response to Motion to Change
(page 3)
Court file number
the parties agree to the termination of the support order/agreement, dated
for the following child(ren):
(name(s) and birthdate(s) of child(ren))
as of
.
(date)
Other:
(give details)
15. I ask that the child support be changed as follows:
The order/agreement for child support, dated
, be terminated for the
following child(ren):
(name(s) and birthdate(s) of child(ren))
effective
(date)
.
Based on the payor’s annual income of $
, (name of party)
pay child support to
in the amount of
(name of party)
$
per month for the following child(ren):
(name(s) and birthdate(s) of child(ren))
with payments to start on
(date)
.
This amount is the table amount listed in the Child Support Guidelines.
This amount is more than the table amount listed in the Child Support Guidelines.
This amount is less than the table amount listed in the Child Support Guidelines.
(If this box is checked, you must
complete paragraph 16.)
Starting on
(date)
, (name of party)
pay to
$
(name of party)
for the following special or extraordinary expenses:
Terms of Payment
Total Amount of
Child’s name
Type of expense
Payor’s Share
(frequency of payment,
Expense
date due, etc.)
$
$
$
$
$
$
$
$
$
$
Other:
(give details)
16. I am asking that child support be changed to an amount that is less than the table amount listed in the Child Support
Guidelines The reason(s) for my request is/are that:
The parties agree to a different amount.
I have attached a separate sheet to this form that explains why this is an appropriate amount of child support.
The recipient is getting social assistance payments from a public agency whose consent to this arrangement is
needed. I am attaching the agency’s consent to this form.
FLR-15B-E (2016/04)
Page 3 of 8
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