Statement Of Payments Received - Commonwealth Of Virginia - Department Of Social Services - Division Of Child Support Enforcement
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3Commonwealth of Virginia
Department of Social Services
Division of Child Support Enforcement
1-800-468-8894
Statement of Payments Received
Virginia Child Support Case Number _____________
Applicant Name __________________________
Other Parent Name ___________________________
The purpose of the Statement of Payments Received (SOP) is to collect information on payments made during time
periods when a case is not open with the Virginia Division of Child Support Enforcement (DCSE). A copy of this
completed form is sent to other party for verification. This form may be used in court proceedings.
I am the:
Applicant (I applied for services)
I receive/should receive support
I pay/should pay support
Other Parent
I receive/should receive support
I pay/should pay support
1. Support Order – The order on this case is a:
Court order for child support
Administrative order for child support
Court order for child and spousal support
I have no current child and/or spousal support order
2. Non-receipt or Non-payment of Support
If you have never received or paid any child and/or spousal support payments through any source, check the box
below, read the certification, sign, date and return to DCSE.
I have never received or paid any child support payments and/or spousal support payments through a child
support agency, a court, or a private child support company. I have never received support directly from the
parent ordered to pay support. I have never paid support directly to the parent ordered to receive support. If you
checked this box you do not need to complete any other section of this form. Read the Certification below, sign,
date and return the form to the Division.
Certification:
I hereby certify under penalty of perjury, as set forth in Va. Code § 63.2-502, that all information I provided in
this document is true and correct to the best of my knowledge and belief.
________________________________________________________ __________________________
Signature
Date
3. Receipt/Payment of Support Through a Child Support Agency, Court or Private Child
Support Company
If you have ever received or paid child support and/or spousal support payments through a child support agency or
a court, you need to indicate the name(s) of the child support agency and/or court(s) through which you received
or made payments. If more than 2 agencies and/or courts, list first the agency or court through which you most
recently received or made payments. If you are still receiving or making payments through a court or agency,
check the box below.
If you have ever received or paid child support through a private child support company, please provide the name
and address of that company in the space provided below. Check options that apply to you
.
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032-35-0094-03-eng rev 02/2017
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