Affidavit Of Service Of Notice To Withhold Income For Child Support
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Affidavit Of Service Of Notice To Withhold Income For Child Support Form. This is a Illinois form and can be use in Jackson Local County.
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Tags: Affidavit Of Service Of Notice To Withhold Income For Child Support, Illinois Local County, Jackson
STATE OF ILLINOIS
IN THE CIRCUIT COURT OF THE _______________ JUDICIAL CIRCUIT
________________ COUNTY
_________________________,
Plaintiff,
vs.
_________________________,
Defendant.
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No. ___________
AFFIDAVIT OF SERVICE OF
NOTICE TO WITHHOLD INCOME FOR CHILD SUPPORT
I, _________________________ state the following:
1. That a copy of the Notice To Withhold Income For Child Support entered in
the has been delivered to:_______________________________________________
by mailing it by certified mail, return receipt requested, with postage prepaid at
________________________, Illinois.
2. That service was made on _______________________ by certified mailing.
Served by: _________________________________
This form must be filed with the Clerk of the Court following service of a
Notice To Withhold Income For Child Support. Attach the green receipt card to
this form and file with the Clerk of the Court.
Under penalties as provided by law pursuant to Section 5/1-109 of the Illinois
Code of Civil Procedure, the undersigned certifies that the statements set forth in this
instrument are true and correct.
_________________,Plaintiff
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