Receipt Paid In Full
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Receipt Paid In Full Form. This is a Nebraska form and can be use in 3rd District Local County.
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Tags: Receipt Paid In Full, Nebraska Local County, 3rd District
IN THE DISTRICT COURT OF LANCASTER COUNTY, NEBRASKA
575 S. 10th Lincoln, NE 68508
RECEIPT PAID IN FULL
CASE NUMBER _________________________
CASE TITLE
_____________________________ vs ______________________________
I hereby receipt All): ____________________________________________________________
(Child Support; Child Care; Spousal Support; Property Settlement)
on this _____ day of ____________________________________, 20_____________________,
(Date to Credit Account)
From:________________________________________
(Payors Name)
Please note: The judgment, referenced above, will credit all current and delinquent, arrears, and
interest resulting in a zero balance as of the date of credit.
I understand that no credit will be given if there is a lien filed by any state agency or if I am
currently receiving ADC from the State.
The CLERK OF THE DISTRICT COURT accepts no responsibility for the content of this
notarized receipt. If you have any questions please contact your attorney.
___________________________________
_________________________________________
(Print Your Name)
(Print Your Address)
____________________________________________________________
City, State, Zip Code
________________________________________
Phone Number
____________________________________________________________________
Signature (Sign in the Presence of a Notary Public)
SUBSCRIBED AND SWORN TO BEFORE ME ON THIS _____DAY OF___________________, 20________
________________________________________________________________
Notary Public
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