IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI ______________________________ Petitioner, and Case No. ________________________ ______________________________ Respondent. The Court is in receipt of your request for an abatement to your child support and/or maintenance obligation amount as determined by the case file referenced above. In order to receive an abatement, you must complete the following: AFFIDAVIT OF ABATEMENT Pursuant to the Court’s Order dated __________________________ I, ___________________________________ (Name of Parent) request an abatement in the child support obligation amount owed on this case for the month(s) of _____________ _________________________________________ in the amount of $____________________________________. The Affiant under oath swears that the facts stated in the above affidavit are true according to his/her best knowledge and belief. Any false statement of a material fact may serve as the basis for prosecution and conviction for perjury and/or denial of your abatement. ________________________________ (Date) ________________________________________________ Parent’s Signature Subscribed and sworn to before me on ______________________________________________ (Seal) ________________________________ My commission expires ________________________________________________ Notary Public *This signature must be notarized in order to obtain an abatement to your child support obligation. Send all completed forms to: Department of Civil Records Child Support Section 415 E. 12th Street - Room 305 Kansas City, Missouri 64106-2706 Thank you for your cooperation. If you require further information, please contact our office at (816) 881-3920. CIRCT 1426B – 03-08