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New Child Support Account - Texas

New Child Support Account Form. This is a Texas form and can be used in Galveston Local County .
 Fillable pdf Last Modified 6/19/2012
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TODAY'S DATE: CASE NUMBER: LAST NAME NEW CHILD SUPPORT ACCOUNT COURT NUMBER: FIRST NAME STATE CITY MIDDLE INITIAL STATE INDIVIDUAL RECEIVING SUPPORT: DRIVER'S LICENSE # STREET ADDRESS HOME PHONE # LAST NAME XXX-XX- LAST 4 DIGITS OF SS# INDIVIDUAL PAYING SUPPORT: WORK PHONE # ZIP DRIVER'S LICENSE # STREET ADDRESS HOME PHONE # LAST NAME D.O.B D.O.B LAST NAME FIRST NAME STATE CITY XXX-XXSTATE MIDDLE INITIAL LAST 4 DIGITS OF SS# CHILDREN(S) INFORMATION: WORK PHONE # ZIP FIRST NAME GENDER GENDER FIRST NAME XXX-XX- MIDDLE INITIAL MIDDLE INITIAL LAST 4 DIGITS OF SS# LAST 4 DIGITS OF SS# Is this child to be paid by an employer on a wage withholding order? Comment (if any): YES XXX-XX- NO I verify that the above information was taken from the Decree of Divorce/Order of the Court that was entered on by the Honorable Judge . Attorney at Law ­SB# Revised May 2012 American LegalNet, Inc. www.FormsWorkFlow.com
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