Form to use if you are entitled to receive child support or domestic maintenance payments but you do not want us to collect payments from the paying parent.

Use this form if you are entitled to receive child support or domestic maintenance and you want us to stop collecting payments and/or penalties from the paying parent for a specified period of time.

This form can only be completed by the person receiving the child support payments and it is not used for cancelling child support/domestic maintenance. Instead use Cancelling your child support (IR107).

You will need to decide the periods that you do not want us to collect money from the paying parent.

You can also decide to not collect any penalties that the paying parent may owe to us.

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After you finish

Please print, fill in all the details, sign and post the completed form to your nearest Inland Revenue office.

You may wish keep a copy of this form for your personal records.