modify child support without an

agreement on all issues

INSTRUCTIONS
STATE OF INDIANA
COUNTY OF _______________

)
IN THE _______________ SUPERIOR/CIRCUIT COURT
) SS:
)
CASE NO. ______________________________

IN RE THE ________________ OF:
______________________________
Petitioner,
V.

FOR the section above the dotted line, LOOK AT THE
COURT PAPERS YOU HAVE FROM THIS CASE AND COPY THE
INFORMATION HERE AS IT APPEARS ON THOSE COURT PAPERS.

______________________________
Respondent.
APPEARANCE BY SELF-REPRESENTED PERSON IN CIVIL CASE
This Appearance Form must be filed on behalf of every party in a civil case.
1. My Name is: ___________________________________
and I am
PRINT YOUR FULL NAME

}

Initiating (filing)______;
Responding (answering or defending)_____; or
Intervening ____;
in this case and am representing myself.

IF YOU ARE THE PETITIONER, CHECK
“INITIATING”; IF YOU ARE THE RESPONDENT,
CHECK “RESPONDING”

2. Contact information for receiving legal service of documents and case information is required by
Court Rules: (NOTE: If you are the Initiating party and this case, or a related case, involves a
protection from abuse order, a workplace violence restraining order, or a no-contact order, you must
provide an address for the purpose of legal service of documents but that address should not be one that
exposes the whereabouts of a petitioner)
PRINT YOUR full ADDRESS
Address: _____________________________________
_____________________________________________
Email Address: pRINT
________________________________
YOUR email ADDRESS
PRINT YOUR phone number
Phone: _______________________________________
PRINT YOUR fax number
FAX: ________________________________________

OR, if in the related case, you have used the Attorney General Confidential address, you may check the
box below:
IF YOU USE A
CONFIDENTIAL
ADDRESS
THROUGH THE
OFFICE of the
ATTORNEY
GENERAL,
CHECK HERE

{

____ Attorney General confidential address (contact the Attorney General at 1-800-321-1907 or
e-mail address is confidential@atg.state.in.us).

3. This is a __________
LEAVE BLANK case type as defined in administrative Rule 8(B)(3).
(Clerk will supply this information.)
IF YOU HAVE A FAX NUMBER WHERE YOU WANT

4. I will accept service by FAX at the following number _________________________
TO RECEIVE COURT PAPERS, PRINT IT HERE
Page 1 of 2

Form TCM-TR3.1-2 Approved by
State Court Administration 07/09

CHECK “YES”. delinquency. SKIP.INSTRUCTIONS modify child support without an agreement on all issues 5. guardianship. THE OTHER PARTY. This case is a domestic relations matter. involves Uniform Reciprocal Enforcement of support (URESA). PRINT ADDITIONAL INFORMATION REQUIRED BY YOUR COUNTY’S LOCAL RULES ____________________________________ SIGN YOUR NAME Self-Represented Party Page 2 of 2 Form TCM-TR3. paternity. or any other proceedings in which support may be an issue.1-4) filed as confidential information on light green paper. IF YOU CHECKED “YES” FOR #6.) Caption and case number of related cases: iF THERE ARE OTHER COURT CASES INVOLVING YOURSELF. Child in Need of Services (CHINS). ______ Yes CHECK HERE ______ No } 6.1-2 Approved by State Court Administration 07/09 . Additional information required by local rule: _________________________________________________________________________ IF NECESSARY. OTHERWISE. PRINT THE CAPTION Caption:____________________________ AND CASE NUMBER FOR EACH RELATED CASE Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ 7. please indicate below. There are related cases: Yes____ No ____ (If yes. AND/OR YOUR CHILD(REN). and social security numbers of all family members are supplied on a separately attached document (Form TCM-TR3. CHECK “NO” IF YOU CHECKED “NO” FOR #6.

SEE BOTTOM OF PAGE FOR TEXT OF TRIAL RULE 5 (G) (2) STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. FOR the section above the dotted line. LOOK AT THE COURT PAPERS YOU HAVE FROM THIS CASE AND COPY THE INFORMATION HERE AS IT APPEARS ON THOSE COURT PAPERS. V. TREAT THIS FORM AS IF IT IS PRINTED ON LIGHT GREEN PAPER ATTORNEYS MUST SUBMIT THIS FORM ON LIGHT GREEN PAPER. NOT FOR PUBLIC ACCESS Form TCM-TR3. CIVIL APPEARANCE FORM Item 5 (Social Security numbers of all family members in cases involving support): PRINT THE NAME AND SOCIAL SECURITY NUMBER OF EACH MINOR CHILD YOU HAVE WITH THE OTHER PARTY WITH WHOM YOU ARE PAYING CHILD SUPPORT Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Item 8 (Social Security number of person who is subject to involuntary commitment): Name: _________________________________ SS # _________________________ When only a portion of a document contains information excluded from public access pursuant to Administrative Rule 9(G)(1). said information shall be omitted [or redacted] from the filed document and set forth on a separate accompanying document on light green paper conspicuously marked "Not For Public Access" and clearly designating [or identifying] the caption and number of the case and the document and location within the document to which the redacted material pertains.modify child support without an agreement on all issues INSTRUCTIONS NOT FOR PUBLIC ACCESS IN ACCORDANCE WITH ADMINISTRATIVE RULE 9 ATTENTION CLERK: FOR SELF REPRESENTED LITIGANTS. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. ______________________________ Respondent.1-4 Revised by State Court Administration 07/09 .

and states as follows: 1.modify child support without an agreement on all issues INSTRUCTIONS STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. ______________________________ _________________ ______________________________ _________________ ______________________________ _________________ PRINT THE DATE THE CURRENT CHILD SUPPORT PRINT THE NAME OF THE PARENT WHO On _________________. LOOK AT THE COURT PAPERS YOU HAVE FROM THIS CASE AND COPY THE INFORMATION HERE AS IT APPEARS ON THOSE COURT PAPERS. SUPPORT ORDER STARTED 3. this Court ordered that ______________________________ ORDER WAS ISSUED WAS ORDERED TO PAY CHILD SUPPORT PRINT THE NAME OF THE PARENT PRINT THE AMOUNT OF CHILD pay child support to ______________________________ in the weekly amount of ________________ WHO RECEIVES CHILD SUPPORT SUPPORT ORDERED PER WEEK PRINT THE DATE THE CURRENT CHILD for the above-named child(ren) effective on _________________. FOR the section above the dotted line. and hereby files a Verified Petition for Modification of Child Support. PRINT THE NUMBER OF MINOR CHILDREN THAT YOU AND THE OTHER PARTY HAVE TOGETHER That parties have ________________ minor child(ren). ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. pro se. V. Child support should be modified to reflect the substantial change in circumstances as outlined above. so substantial and continuing as to make the terms of the current support order unreasonable for the following reasons: ___________________________________________________________________________ STATE THE REASON(S) WHY YOU THINK THE AMOUNT OF CHILD SUPPORT ORDERED SHOULD BE CHANGED ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4. Form #PS-31168-2 Approved by State Court Administration 05/09 Page 4 of 7 . namely: Name Date of birth ______________________________ PRINT THE NAME AND DATE OF BIRTH OF EACH MINOR _________________ CHILD 2. Since that time. there has been a change in circumstances. ______________________________ Respondent. VERIFIED PETITION FOR MODIFICATION OF CHILD SUPPORT PRINT YOUR FULL NAME Comes now ______________________________.

modify the existing child support as is appropriate. ______________________________ requests that this Court set this matter for PRINT YOUR FULL NAME hearing. SIGN YOUR NAME ___________________________________ Signature PRINT YOUR FULL NAME ______________________________________ ______________________________________ PRINT YOUR STREET ADDRESS ______________________________________ PRINT YOUR CITY. or THE DATE YOU WILL FILE THE FORMS the opposing party if the opposing party is not represented by an attorney. STATE AND ZIP CODE CERTIFICATE OF SERVICE I hereby certify that I sent a copy of this Petition by first class mail to the opposing attorney. and upon hearing. and order all other further relief that is just and proper in the premises.INSTRUCTIONS 5. WHEREFORE. I affirm under the penalties of perjury that the foregoing representations are true. on PRINT _________________. ___________________________________ SIGN YOUR NAME Signature Form #PS-31168-2 Approved by State Court Administration 05/09 Page 5 of 7 . modify child support without an agreement on all issues A hearing should be set to determine if child support should be changed.

______________________________ Respondent. STATE AND ZIP CODE ______________________________________ PRINT THE OTHER PARTY’S FULL NAME PRINT THE OTHER PARTY’S STREET ADDRESS ______________________________________ ______________________________________ PRINT THE OTHER PARTY’S CITY. ______________________________. LOOK AT THE COURT PAPERS YOU HAVE FROM THIS CASE AND COPY THE INFORMATION HERE AS IT APPEARS ON THOSE COURT PAPERS. NOTICE OF HEARING PRINT YOUR NAME Comes now. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. at the hour of ___________ o’clock _____. 20____. having filed a Verified Petition for Modification of Child Support. IT IS THEREFORE ORDERED that this matter shall be heard on the ________ day of ________________.M IT IS FURTHER ORDERED that the Clerk of the Court shall serve this pleading by certified mail upon ______________________________ at the following address: PRINT THE OTHER PARTY’S NAME ______________________________________________ PRINT THE OTHER PARTY’S STREET ADDRESS ______________________________________________ PRINT THE OTHER PARTY’S CITY. 20_____. pro se. FOR the section above the dotted line. V. STATE AND ZIP CODE ______________________________________________ So ordered this_____ day of _______________. STATE AND ZIP CODE Form #PS-31168-2 Approved by State Court Administration 05/09 Page 6 of 7 .modify child support without an agreement on all issues INSTRUCTIONS STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. and the Court finds that the matter should be set for hearing. ______________________________________ Judge Distribution: ______________________________________ PRINT YOUR FULL NAME ______________________________________ PRINT YOUR STREET ADDRESS ______________________________________ PRINT YOUR CITY.

FOR the section above the dotted line. STATE AND ZIP CODE Form #PS-31168-2 Approved by State Court Administration 05/09 Page 7 of 7 . ORDER GRANTING MODIFICATION OF CHILD SUPPORT PRINT YOUR FULL NAME Comes now. having read said pleading and held a hearing on the matter. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. IT IS THEREFORE ORDERED that ______________________________ is to pay child support to the Clerk of the Court in the amount of $__________________ per week effective on _________________. pro se. ______________________________ Respondent. and that the child support order should be modified to reflect the substantial change in circumstances. ______________________________.modify child support without an agreement on all issues INSTRUCTIONS STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. 20__. LOOK AT THE COURT PAPERS YOU HAVE FROM THIS CASE AND COPY THE INFORMATION HERE AS IT APPEARS ON THOSE COURT PAPERS. STATE AND ZIP CODE ______________________________________ PRINT THE OTHER PARTY’S FULL NAME PRINT THE OTHER PARTY’S STREET ADDRESS ______________________________________ ______________________________________ PRINT THE OTHER PARTY’S CITY. The Court. finds that there has been a change in circumstances so substantial and continuing as to make the terms of the current child support order unreasonable. V. _____________________________________ Judge Distribution: PRINT YOUR FULL NAME ______________________________________ ______________________________________ PRINT YOUR STREET ADDRESS ______________________________________ PRINT YOUR CITY. So ordered this_____ day of _______________. having filed a Verified Petition for Modification of Child Support.

1-2 Approved by State Court Administration 07/09 . V. I will accept service by FAX at the following number _________________________ Page 1 of 2 Form TCM-TR3.us). involves a protection from abuse order. Contact information for receiving legal service of documents and case information is required by Court Rules: (NOTE: If you are the Initiating party and this case. (Clerk will supply this information. in this case and am representing myself. or a no-contact order. This is a __________ case type as defined in administrative Rule 8(B)(3). 3. if in the related case. ______________________________ Respondent. My Name is: ___________________________________ and I am Initiating (filing)______. you may check the box below: ____ Attorney General confidential address (contact the Attorney General at 1-800-321-1907 or e-mail address is confidential@atg.in.STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. you must provide an address for the purpose of legal service of documents but that address should not be one that exposes the whereabouts of a petitioner) Address: _____________________________________ _____________________________________________ Email Address: ________________________________ Phone: _______________________________________ FAX: ________________________________________ OR.state. Responding (answering or defending)_____. or Intervening ____. 2. a workplace violence restraining order.) 4. 1. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. or a related case. you have used the Attorney General Confidential address. APPEARANCE BY SELF-REPRESENTED PERSON IN CIVIL CASE This Appearance Form must be filed on behalf of every party in a civil case.

Child in Need of Services (CHINS). please indicate below. Additional information required by local rule: _________________________________________________________________________ ____________________________________ Self-Represented Party Page 2 of 2 Form TCM-TR3.) Caption and case number of related cases: Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ Caption:____________________________ Case Number: ________________________ 7. This case is a domestic relations matter. or any other proceedings in which support may be an issue. ______ Yes ______ No 6.5. involves Uniform Reciprocal Enforcement of support (URESA). There are related cases: Yes____ No ____ (If yes. and social security numbers of all family members are supplied on a separately attached document (Form TCM-TR3. delinquency. guardianship.1-4) filed as confidential information on light green paper. paternity.1-2 Approved by State Court Administration 07/09 .

NOT FOR PUBLIC ACCESS Page 2 of 2 Form TCM-TR3. CIVIL APPEARANCE FORM Item 5 (Social Security numbers of all family members in cases involving support): Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Name: _________________________________ SS # _________________________ Item 8 (Social Security number of person who is subject to involuntary commitment): Name: _________________________________ SS # _________________________ When only a portion of a document contains information excluded from public access pursuant to Administrative Rule 9(G)(1).NOT FOR PUBLIC ACCESS IN ACCORDANCE WITH ADMINISTRATIVE RULE 9 ATTENTION CLERK: FOR SELF REPRESENTED LITIGANTS. TREAT THIS FORM AS IF IT IS PRINTED ON LIGHT GREEN PAPER ATTORNEYS MUST SUBMIT THIS FORM ON LIGHT GREEN PAPER. SEE BOTTOM OF PAGE FOR TEXT OF TRIAL RULE 5 (G) (2) STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. ______________________________ Respondent.1-4 Approved by State Court Administration 07/09 . said information shall be omitted [or redacted] from the filed document and set forth on a separate accompanying document on light green paper conspicuously marked "Not For Public Access" and clearly designating [or identifying] the caption and number of the case and the document and location within the document to which the redacted material pertains. V.

and hereby files a Verified Petition for Modification of Child Support. VERIFIED PETITION FOR MODIFICATION OF CHILD SUPPORT Comes now ______________________________. That parties have ________________ minor child(ren). ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. so substantial and continuing as to make the terms of the current support order unreasonable for the following reasons: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4. ______________________________ Respondent. Page 1 of 2 Form PS-31168-3 Approved by State Court Administration 07/09 . 2. there has been a change in circumstances. Child support should be modified to reflect the substantial change in circumstances as outlined above. namely: Name Date of birth ______________________________ _________________ ______________________________ _________________ ______________________________ _________________ ______________________________ _________________ On _________________. 3. pro se. Since that time.STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. V. this Court ordered that ______________________________ pay child support to ______________________________ in the weekly amount of ________________ for the above-named child(ren) effective on _________________. and states as follows: 1.

5. ______________________________ requests that this Court set this matter for hearing. WHEREFORE. modify the existing child support as is appropriate. and upon hearing. ___________________________________ Signature Page 2 of 2 Form PS-31168-3 Approved by State Court Administration 07/09 . ___________________________________ Signature ______________________________________ ______________________________________ ______________________________________ CERTIFICATE OF SERVICE I hereby certify that I sent a copy of this Petition by first class mail to the opposing attorney. and order all other further relief that is just and proper in the premises. A hearing should be set to determine if child support should be changed. or the opposing party if the opposing party is not represented by an attorney. I affirm under the penalties of perjury that the foregoing representations are true. on _________________.

20_____. ______________________________________ Judge Distribution: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ Page 1 of 1 Form PS-31168-4 Approved by State Court Administration 07/09 . having filed a Verified Petition for Modification of Child Support. NOTICE OF HEARING Comes now. IT IS THEREFORE ORDERED that this matter shall be heard on the ________ day of ________________.M IT IS FURTHER ORDERED that the Clerk of the Court shall serve this pleading by certified mail upon ______________________________ at the following address: ______________________________________________ ______________________________________________ ______________________________________________ So ordered this_____ day of _______________. ______________________________.STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. ______________________________ Respondent. pro se. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner. at the hour of ___________ o’clock _____. 20____. V. and the Court finds that the matter should be set for hearing.

pro se. ______________________________ Respondent. having read said pleading and held a hearing on the matter.STATE OF INDIANA COUNTY OF _______________ ) IN THE _______________ SUPERIOR/CIRCUIT COURT ) SS: ) CASE NO. So ordered this_____ day of _______________. having filed a Verified Petition for Modification of Child Support. and that the child support order should be modified to reflect the substantial change in circumstances. 20__. ORDER GRANTING MODIFICATION OF CHILD SUPPORT Comes now. IT IS THEREFORE ORDERED that ______________________________ is to pay child support to the Clerk of the Court in the amount of $__________________ per week effective on _________________. _____________________________________ Judge Distribution: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ Page 1 of 1 Form PS-31168-5 Approved by State Court Administration 07/09 . ______________________________. finds that there has been a change in circumstances so substantial and continuing as to make the terms of the current child support order unreasonable. The Court. V. ______________________________ IN RE THE ____________________ OF: ______________________________ Petitioner.

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