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Schedule Of Arrearages Form. This is a Nevada form and can be use in Clark County.
Tags: Schedule Of Arrearages, SCHD, Nevada County, Clark
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SCHD
__________________________________
__________________________________
__________________________________ V
__________________________________
__________________________________
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DISTRICT COURT
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CLARK COUNTY, NEVADA
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_________________________________
_________________________________
_________________________________
Plaintiff(s),
CASE NO.__________
-vs_________________________________
_________________________________
_________________________________
Defendant(s).
DEPT. NO.__________
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SCHEDULE OF ARREARAGES
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STATE OF
COUNTY OF
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)
)
)
ss:
, being first sworn, deposes and says:
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I am owed and entitled to receive certain periodic monthly payments from
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___________________________ pursuant to ____________________________ filed
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with the Court on
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provision of that
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. A copy of the relevant
is attached to this schedule.
__________________________ has failed to make all of those payments when due as
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Schedule_Arrears.doc/5/13/2005
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set forth herein. The following schedule is a true and accurate statement of all payment
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due dates and of any payments received by me during the months noted.
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Further, affiant sayeth naught.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
EXECUTED this
day of
, 20
.
_____________________________________
Affiant
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Schedule_Arrears.doc/5/13/2005
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DUE DATE SET
BY COURT DECREE
AMOUNT DUE THIS
PAYMENT
DATE PAYMENT
RECEIVED THIS MO.
AMOUNT OF
PAYMENT RECEIVED
TOTAL
ARREARAGES
THIS MONTH
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(PLEASE USE ADDITIONAL PAGES FOR ADDITIONAL ENTRIES)
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Schedule_Arrears.doc/5/13/2005
American LegalNet, Inc.
www.FormsWorkflow.com
