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