Petition For Credit For Direct Payment Of Child Support/alimony
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1
2IN THE CIRCUIT COURT IN AND FOR ESCAMBIA COUNTY, FLORIDA
FAMILY LAW DIVISION
_____________________________, Petitioner
Case Number: __________________
Division: ______________________
Vs.
DEP ACCOUNT#:______________
_____________________________, Respondent
PETITION FOR CREDIT FOR DIRECT PAYMENT OF CHILD SUPPORT/ALIMONY
The undersigned Petitioners, under Court Order dated _____________________ to pay and
receive child support/alimony payments through the designated depository, request the Court give credit
for the total amount of $_____________________ for support payments made directly between the
Payee _____ waives,
_____ does
parties. Proof of those payments are filed with this petition.
not waive interest due in the amount of $_________ as to Judgment/Certificate of Delinquency
recorded in the Official Records Book _______, page _______ of the Public Records of
Escambia County, Florida.
1. Petitioners (
) are (
) are not currently receiving Aid to Families with Dependent
Children (AFDC) or other public assistance benefits from the State of Florida.
2. Petitioners (
) have (
) have not received AFDC or other public assistance benefits
from the State of Florida in the past.
3. Petitioners (
) do (
) do not have an case with the Department of Revenue Child
Support Enforcement Office.
4. Petitioners understand that credit will not be given for future payments made directly
between the parties instead of through the central depository.
STATE OF FLORIDA, COUNTY OF ESCAMBIA
__________________________________
SWORN to and subscribed before me this
PAYEE'S Signature
_______ day of ____________________, 20_____
___________________________________
(
) Personally known to me
Name - typed or printed
(
) Produced Identification:___________________
___________________________________
Street Address
___________________________________(SEAL)
___________________________________
NOTARY PUBLIC - STATE OF FL
City, State, Zip Code
___________________________________
or
PAM CHILDERS
Telephone Number
Clerk of the Circuit Court
BY:________________________________(SEAL)
Deputy Clerk
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