Form 15b - Response To Motion To Change Page 7
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8Form 15B: Response to Motion to Change
(page 7)
Court file number
PART 2 – INFORMATION FROM SUPPORT PAYOR
DO NOT COMPLETE THIS PART IF THE PARTIES ARE ONLY CONSENTING TO TERMINATE A SUPPORT OBLIGATION
OR IF THE MOTION TO CHANGE DOES NOT INCLUDE A CLAIM TO CHANGE CHILD SUPPORT.
My name is
(full legal name)
I live in
(municipality and province)
and I swear/affirm that the following is true:
25. I am the support payor in this case.
26. I attach the following financial information about myself:
(a) a copy of every personal income tax return that I filed with Canada Revenue Agency for the 3 most recent taxation years;
(b) a copy of every notice of assessment or re-assessment from Canada Revenue Agency of those returns; and
proof of this year’s earnings from my employer as required by clause 21(1) (c) of
(c)
(applies only if you are an employee)
the Child Support Guidelines.
(applies only if you are self-employed, or you are a partner in a partnership or you control a corporation or are a beneficiary under
the documents listed in clauses 21 (1)(d), (e), (f) or (g) of the Child Support Guidelines.
a trust)
27. My total income
will be $
for this year;
was
$
for last year; and
was
$
for the year before that.
28. On the basis of my annual income, the table amount from the Child Support Guidelines for
(number of children)
child(ren) is $
per month.
is attached
is not attached
29. My financial statement
Sworn/Affirmed
before me at
municipality
in
Signature
province, state or country
(This form is to be signed in front of a lawyer,
on
justice of the peace, notary public or
Commissioner for taking affidavits
date
commissioner for taking affidavits.)
(Type or print name below if signature is illegible.)
FLR-15B-E (2016/04)
Page 7 of 8
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