From 49.84-A 
 
Form of certificate endorsed on extract order for aliment affected by maintenance assessment 
 
A maintenance assessment having been made under the Child Support Act 1991 on (date), this order, in so far as it relates to the making or securing of periodical payments to or for the benefit of (name(es) of child(ren)), ceases to have effect from (date two days after the date on which the maintenance assessment was made).