AGREEMENT FOR SUSPENSION OF CHILD SUPPORT
____________________________________ (name), referred to as Husband, located at ___________________________________________ (address) and _______________ (name), referred to as Wife, located at ______________________________________ (address), agree:
Husband is obligated to pay child support to Wife for the care of _______ (number) children who are listed as follows:
1). _________________________ _________ _________________ (Name) (Age) (Date of Birth)
2). _________________________ _________ _________________ (Name) (Age) (Date of Birth)
3). _________________________ _________ _________________ (Name) (Age) (Date of Birth)
4). _________________________ _________ _________________ (Name) (Age) (Date of Birth)
The present payment for such child support equals ______________ Dollars ($_________) paid every ________________ (week, month, etc.). Due to _________________________________________________ (Reason for Suspension) the parties agree that payment of support shall be suspended beginning on __________ (month & day), _____ (year), and ending on ____________________ (month & day), __________ (year).
No future repayment of the amount of child support not paid shall be required. This agreement may be entered at the discretion of either party before the ___________
_____________________________________________ (name and location of court) in case number _______________.
This is the entire agreement between the parties and may only be modified in writing executed by the parties hereto.
Dated: ___________________
__________________________________________ (Signature of Wife)
__________________________________________ (Signature of Husband)
Appropriate acknowledgment by Notary Public