Petition - Family Court Of The State Of New York Page 4
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4Form 4-3a page 4
ON THE DATE THE FIRST PAYMENT IS DUE UNDER THE TERMS OF
THE ORDER OF SUPPORT WHICH WAS REVIEWED AND ADJUSTED
OCCURRING ON OR AFTER THE EFFECTIVE DATE OF THE ADJUSTED
ORDER, REGARDLESS OF WHETHER OR NOT THE PARTY HAS
RECEIVED A COPY OF THE ADJUSTED ORDER.
______________________________________
Petitioner
______________________________________
Print or type name
______________________________________
Signature of Attorney, if any
______________________________________
Attorney’s Name (Print or Type)
______________________________________
______________________________________
______________________________________
Attorney’s Address and Telephone Number
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