______County, Colorado District Court

District Court Denver Juvenile Court ______County, Colorado Court Address:

In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: ______COURT USE ONLY Case Number: Petitioner: and Division Courtroom Co-Petitioner/Respondent: ORDER TO TERMINATE CHILD SUPPORT This matter comes before the Court on the Motion of the Petitioner Co-Petitioner/Respondent Both parties to terminate child support pursuant to §14-10-122, C.R.S. I. Following review of the Motion and other supporting documents, and Response, if applicable, or hearing on ______(date), the Court finds the following:  That the parties stipulate/agree to the termination of child support. or  That the Child has attained the age of 19 years, and no exceptions under §14-10-115(13)(a), C.R.S. apply to continue paying child support. or  That the Child is no longer subordinate to the parental governance and discipline of his/her parents and is considered emancipated and no exceptions under §14-10-115(13)(a), C.R.S. apply to continue paying child support. or  Other: ______

II. The Court orders the following.  Child support is terminated as of the date of this Order. It is the responsibility of the Obligor to provide copies of this Order to his/her employer to terminate the income assignment, if applicable.  The Petitioner Co-Petitioner/Respondent shall pay for all reasonable attorney fees, costs and expenses associated with this action.  The Obligor owes a total of $______in child support arrearages as of ______(date), and shall pay $ ______per month towards the arrearages.  Other: ______

Date: ______District Court Judge District Court Magistrate CERTIFICATE OF MAILING I certify that on ______(date), I mailed this Order to the following:  Petitioner  Petitioner’s Attorney  Co-Petitioner/Respondent  Co-Petitioner/Respondent’s Attorney