Declaration Of Support Payments Page 2

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April
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July
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Total
Declaration
I declare under penalty of perjury, under the laws of the state of Washington, that the foregoing is true and correct.
Signed at
Washington.
DATE
YOUR SIGNATURE
Return to:
DIVISION OF CHILD SUPPORT
PO BOX 11520
TACOMA WA 98411-5520
DECLARATION OF SUPPORT PAYMENTS
Page 2
DSHS 18-433 (REV. 03/2012)

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