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Ca Statement Support Form
NUMBER:
Order for Earnings Assignment
The local child support agency's statement to register
is as follows:
1. The Obligor (the parent ordered to pay support) is
a California support order
Petitioner/Plaintiff
Other parent
a California order for earnings assignment
Respondent/Defendant
2. An endorsed filed copy of the most recent support order or earnings assignment (or a copy) is attached.
3. a.
b
c.
An affidavit or declaration of Obligor's payment history is attached.
A Declaration of...
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