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Income Deduction Order Information Sheet - Georgia

Income Deduction Order Information Sheet Form. This is a Georgia form and can be used in Income Deduction Family Law Superior Court DeKalb Local County .
 Fillable pdf Last Modified 4/2/2013
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INCOME DEDUCTION ORDER INFORMATION SHEET Instructions: Complete this form, and then send it with the Income Deduction Order to the Employer/Payor and to the FSR at the following address: Child Support Enforcement, IDO Registry/FCSU, P.O. Box 1800, Carrollton, GA 30112-1800 DeKalb County Superior Court Case Number: Parent Paying Child Support (Obligor) Name: Address: Telephone: Soc. Sec. No. Date of Birth: Employer: Employer Address: Parent Receiving Child Support (Obligee) Name: Address: Telephone: Soc. Sec. No. Date of Birth: I hereby certify that the amount of past due child support owed as of , 200 , is $ . Employer Telephone: Parent Signature Court Order Information County/State of Order: Date Order Signed: First Due Date: Support Amount: $ Children Covered by Order Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: Name: Date of Birth: per Civil Action No. Total Amount Past Due: $ Past Due Amt. Through (Date): Repayment Amt: $ per IDO Information Sheet -- rev. 3/29/01 Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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