Nebraska > Local County > 3rd District
Receipt Paid In Full - Nebraska
| Receipt Paid In Full Form. This is a Nebraska form and can be used in 3rd District Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
IN THE DISTRICT COURT OF LANCASTER COUNTY, NEBRASKA 575 S. 10th Lincoln, NE 68508 RECEIPT PAID IN FULL CASE NUMBER _________________________ CASE TITLE _____________________________ vs ______________________________ I hereby receipt All): ____________________________________________________________ (Child Support; Child Care; Spousal Support; Property Settlement) on this _____ day of ____________________________________, 20_____________________, (Date to Credit Account) Please note: The judgment, referenced above, will credit all current and delinquent, arrears, and interest resulting in a zero balance as of the date of credit. The State of Nebraska will only accept non-monetary receipts for amounts which are equal-to or less-than the amount owing on the credit date. If no amount is owing, no credit will or may be given. I understand that no credit will be given if there is a lien filed by any state agency or if I am currently receiving ADC from the State. The CLERK OF THE DISTRICT COURT accepts no responsibility for the content of this notarized receipt. If you have any questions please contact your attorney. ___________________________________ (Print Your Name) ____________________________________________________________ City, State, Zip Code _________________________________________ (Print Your Address) ________________________________________ Phone Number ____________________________________________________________________ Signature (Sign in the Presence of a Notary Public) SUBSCRIBED AND SWORN TO BEFORE ME ON THIS _____DAY OF___________________, 20________ American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
