Court Trustee Information Form
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Court Trustee Information Form. This is a Kansas form and can be use in 7th Judicial District (Douglas County) Local District Court.
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Tags: Court Trustee Information Form, Kansas Local District Court, 7th Judicial District (Douglas County)
IN THE DISTRICT COURT OF DOUGLAS COUNTY, KANSAS
In the Matter of
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and
Case No. DG
Division
COURT TRUSTEE INFORMATION FORM
NOTICE:
This form is to be filed upon each new or modified order of support. The
Payor/Payee is also responsible for keeping the Court Trustee informed of any
change in the basic information. Failure to do so may be an indirect civil
contempt of court.
Please place an Ax@ where appropriate:
Initial filing (fill out item Nos. 1 through 3)
Subsequent filing:
Address change (fill out item No. 1)
Name change (fill out item No. 1 & please include old name)
Employment change (fill out item Nos. 1, 2 & 3)
The Court has found good cause for keeping this information confidential.
I am the (check one):
1.
2.
Payor/Payee Information:
Name:
Address:
City/State/Zip:
Home phone:
E-Mail address:
Social Security No.:
Payee
Effective Date:
Cell phone:
Date of Birth:
Employment Information:
Employer:
Address:
Phone:
Contact person:
3.
Payor
FAX
Name and address of corporate and/or payroll office if different from above:
Name:
Address:
Phone:
Contact person:
(Date)
FAX:
(Signature)
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