Illinois > Local County > Dekalb > Child Support
Child Support Data Sheet - Illinois
| Child Support Data Sheet Form. This is a Illinois form and can be used in Child Support Dekalb Local County . |
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____________________________ CASE NO._____________ COUNTY______________ PLAINTIFF/PETITIONER Vs. __________________________ DEFENDANT/RESPONDENT OBLIGOR INFORMATION Last Name: First Name: Complete Residential Address: Middle In.: CHILD SUPPORT DATA SHEET DATE_________________ OBLIGEE INFORMATION Last Name: First Name: Complete Residential Address: Middle In.: Complete Mailing Address (If other than above): Complete Mailing Address (If other than above): Date of Birth: Driver's License No.: *Social Security No.: Home Phone Number: ( ) Employer(s) Name/Company: Date of Birth: Driver's License No.: Social Security No.: Home Phone Number: ( ) Employer(s) Name/Company: Employer(s) Address: Employer(s) Address: Employer(s) ID Number: Work Phone Number: ( ) Employer(s) ID Number: Work Phone Number: ( CHILD/CHILDREN INFORMATION ) LAST 1. 2. 3. 4. 5. FIRST MIDDLE INITIAL DATE OF BIRTH SOCIAL SECURITY NUMBER (If more space is needed, attach an additional sheet.) *If obligor is not a U.S. citizen, so indicate and provide the obligor's alien registration number, passport number and home country's social security or national health number. Form approved by Conference of Chief Circuit Judges Exhibit 1 Revised 1/20/06 American LegalNet, Inc. www.FormsWorkflow.com
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