Free ______________________County, Colorado District Court - Colorado

District Court Denver Juvenile Court __________________ County, Colorado Court Address:

In re the Marriage of: In the Interest of: in re Parental Responsibilities concerning: ________________________________________________ Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg.#:

Division

Courtroom

VERIFIED MOTION TO MODIFY OR SET ASIDE AN ORDER DETERMINING PARENTAGE PURSUANT TO §14-10-122(6), C.R.S. AND §19-4-107.3, C.R.S.

Note to Responding Party: If you disagree with this Motion, the Colorado Civil Rules of Procedure allow you to file a written response with the Court which must be filed within 15 days of the date this Motion was served on you or mailed to you.

The

Petitioner

Co-Petitioner/Respondent, as the father in this action states the following:

1. Information about Petitioner: Current Mailing Address: City, State & Zip: Home Phone #: Work Phone #:

Date of Birth:

Cell #:

2. Information about Co-Petitioner/Respondent: Current Mailing Address: City, State & Zip: Home Phone #: Work Phone #:

Date of Birth:

Cell #:

3. A child support Order was issued on ____________________ (date).

4. Parentage of the child(ren) named below should be modified. exclusion of my paternity are attached to this Motion. Full Name of Child Present Address

Genetic test results establishing the Sex Date of Birth

JDF 1525 8/08

VERIFIED MOTION TO MODIFY OR SET ASIDE AN ORDER DETERMINING PARENTAGE

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5. I have not acknowledged paternity with the Court or the registrar of Vital Statistics knowing that I was not the father of the child(ren) and the child(ren) was/were not adopted or conceived by means of assisted reproduction.

6. Child support shall be modified as follows: Vacate or satisfy unpaid child support. _____________________ (date). Terminate all future child support. Modify future child support as follows: The proposed child support obligation should be $____________ to be paid: weekly bi-weekly twice a month is monthly Other: ________. I/We have completed a child support worksheet that shows what the new child support obligation should be. The child support worksheet is not attached to this Motion. I/We have attached current Sworn Financial Statements to this Motion. Unpaid child support is $ ____________ as of

I respectfully request that this Court enter an Order modifying or setting aside an Order determining parentage and modifying child support as appropriate.

VERIFICATION AND ACKNOWLEDGMENT
I swear/affirm under oath that I have read the foregoing Motion and that the statements set forth therein are true and correct to the best of my knowledge. _____________________________________ Signature of Attorney, if applicable Date ____________________________________________ Petitioner or Co-Petitioner/Respondent Date Subscribed and affirmed, or sworn to before me in the County of ______________________, State of __________________, this ___________ day of _______________, 20______. My Commission Expires: ___________________ ____________________________________________ Notary Public/Deputy Clerk

CERTIFICATE OF SERVICE
I certify that on ________________________ (date) a true and accurate copy of the Verified Motion to Modify or Set Aside Parentage 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 1525 8/08 VERIFIED MOTION TO MODIFY OR SET ASIDE AN ORDER DETERMINING PARENTAGE Page 2 of 2