Affidavit Of Service Of Notice To Withhold Income For Child Support

STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT ________________ COUNTY _________________________, ) ) Plaintiff, ) ) vs. ) No. ___________ ) _________________________, ) ) Defendant. ) AFFIDAVIT OF SERVICE OF NOTICE TO WITHHOLD INCOME FOR CHILD SUPPORT I, _________________________ state the following: 1. That a copy of the Notice To Withhold Income For Child Support entered i n the has been delivered to:______________________________________________ _ by mailing it by certified mail, return receipt requested, with postage prepaid at ________________________, Illinois. 2. That service was made on _______________________ by certified mailing. Served by: _________________________________ This form must be filed with the Clerk of the Court following service of a Notice To Withhold Income For Child Support. Attach the green receipt ca rd to this form and file with the Clerk of the Court. Under penalties as provided by law pursuant to Section 5/1-109 of the Il linois Code of Civil Procedure, the undersigned certifies that the statements s et forth in this instrument are true and correct. _________________,Plaintiff American LegalNet, Inc. www.USCourtForms.com