Fillable Affidavit Of Arrears (Page 2 of 2) in pdf

Affidavit Of Arrears Page 2

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Total maintenance due (______ payments due x $______________)

Total amount of maintenance paid

$__________

Total principal amount of maintenance due

$__________

One twenty-fourth of Line 6b

$__________ + interest at ____%

(8% unless otherwise agreed)

Attach a copy of the payment record maintained by the Family Support Registry, if payment is ordered

through the Family Support Registry, or detail period(s) on a separate sheet of paper of the time when

the arrears accrued for child support and for maintenance.

I declare under penalty of perjury that I have read this affidavit and the statements contained are true to

the best of my knowledge.

Date:

Obligee

My Commission expires :

Notary Public/Deputy Clerk

CERTIFICATE OF SERVICE

I certify that on _________________________ (date) I sent the original and one copy of this Affidavit of

Arrears to the COURT, by United States Mail, first class postage prepaid, addressed as follows:

AND

I certify that I sent a copy of the Affidavit of Arrears to the Obligor by United States Mail, first

class postage prepaid addressed as follows:

Signature

JDF 1807

R7/00

AFFIDAVIT OF ARREARS

PAGE 2 OF 2

Affidavit Of Arrears Page 2

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