In the ______ Court for the Third Judicial District

______Court Case Number CHILD SUPPORT ______County, DECREE TCSES NO. Tennessee ______(Child Support Office assigns number)

______vs. ______Plaintiff Defendant

This case was heard on ______[date]. The Petition is hereby incorporated into this Decree. On the basis of the Petition and the testimony offered in this proceeding, the Court makes the following findings:

FINDINGS OF FACT

The reasons given for the desire to change the name of the Petitioner are sufficient.

CONCLUSIONS OF LAW

The Court has the jurisdiction and the power to grant the relief sought.

THEREFORE, IT IS ORDERED THAT: [Select one or more of the following.]

 Judgment for child support that is in arrears is entered in the amount of $______. It shall be paid at the rate of $______per ______.  Judgment is entered increasing child support from $______to $______, starting ______.  Judgment is entered decreasing child support from $______to $______, starting ______.  Judgment is entered suspending the obligation to pay child support until a later order of this Court.  Judgment is entered terminating the obligation to pay child support, starting ______.  Judgment is entered against  the Plaintiff  the Defendant so as to enforce an existing order for the payment of child support by one or more of the following:  an order to pay $______as a result of the finding of civil contempt  an order to pay $______as a result of the finding of criminal contempt  a jail sentence as follows: ______ Other: ______ Court costs are taxed to  the Plaintiff  the Defendant [other]______.

Enter: Judge or Chancellor

Presented by:

______Party Submitting Order Address: ______Telephone: ______E-Mail: ______

______Other Party [if there is agreement by the parties] Address: ______Telephone: ______E-Mail: ______

CERTIFICATE OF SERVICE OF PROPOSED DECREE

I served a copy of the foregoing upon the following person at the following address:

I did so on or before the date below by personal delivery or by U.S. Mail.

Dated: ______Party Submitting Decree [if no agreement]

CLERK’S CERTIFICATE OF SERVICE OF FINAL DECREE

I certify a copy of this Decree was served upon the following person at the following address:

Dated: ______Deputy Clerk

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