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Affidavit Regarding Direct Child Support Payments - Florida
| Affidavit Regarding Direct Child Support Payments Form. This is a Florida form and can be used in Family Law Alachua Local County . |
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IN THE CIRCUIT COURT OF THE EIGHTH JUDICIAL CIRCUIT, IN AND FOR ALACHUA COUNTY, FLORIDA Case No.: Division: , Petitioner, and , Respondent. AFFIDAVIT REGARDING DIRECT CHILD SUPPORT PAYMENTS I, , the Obligor Obligee, under penalty of perjury, do hereby swear and/or affirm that I: received paid direct the following payments on the dates indicated: PAYMENT DATE PAYMENT AMOUNT (you may need to add an attachment if you need more space than provided above) The total amount: received (as evidenced by copies of cancelled checks or receipts) paid (as evidenced by copies of cancelled checks or receipts) through direct payment is $ . American LegalNet, Inc. www.USCourtForms.com I understand that I am swearing or affirming under oath to the truthfulness of the claims made above and that the punishment for knowingly making a false statement includes fines and/or imprisonment. Dated: Signature Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: STATE OF FLORIDA COUNTY OF Sworn to or affirmed and signed before me on who is personally known produced identification by OR NOTARY PUBLIC--STATE OF FLORIDA This form w as completed with the assistan ce of: (Na me o f Individ ual) (Nam e of Business) (Add ress) (Telephone N umber) American LegalNet, Inc. www.USCourtForms.com
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