Fill and Sign the California Child Support 497299004 Form

FL-646 GOVERNMENTAL AGENCY (Family Code, §§ 17400, 17406): TELEPHONE NO.: ––––– ––––– ––––– ––––– ––––– ––––– FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ––––– STREET ADDRESS: ––––– MAILING ADDRESS: ––––– CITY AND ZIP CODE: ––––– BRANCH NAME: ––––– PETITIONER/PLAINTIFF: ––––– RESPONDENT/DEFENDANT: ––––– OTHER PARENT: ––––– RESPONSE OF LOCAL CHILD SUPPORT AGENCY TO NOTICE OF INTENT TO TAKE INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER CASE NUMBER: ––––– 1. The local child support agency consents to the taking of the proposed independent enforcement action as follows (specify) : ––––– ––––– ––––– ––––– 2. The local child support agency objects to all or a part of the proposed independent enforcement action for the following reasons: a. The local child support agency is currently using an administrative or judicial method to enforce the support obligation. b. The proposed independent enforcement action would interfere with an investigation being conducted by the local child support agency. c. Other (specify) : ––––– ––––– ––––– ––––– ––––– ––––– ––––– Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF ATTORNEY) 3. DECLARATION OF MAILING I served a copy of this document by enclosing it in a sealed envelope and depositing the envelope directly in the United States mail with postage paid OR at my place of business for same day collection and mailing with the United States mail, following our ordinary business practices with which I am readily familiar. a. Date of deposit: ––––– c. Place of deposit (city and state) : ––––– b. Addressed as follows: ––––– ––––– ––––– I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: ––––– ––––– (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) RESPONSE OF LOCAL CHILD SUPPORT AGENCY TO NOTICE OF INTENT TO TAKE INDEPENDENT ACTION TO ENFORCE SUPPORT ORDER Family Code, §§ 17400, 17406):Form Adopted by for Manditory Use Judicial Council of California FL- [Rev. January 1, 2003] page1 of 1 el ectr onic form ã 2002 WWW.LawCA.co m L a w P u b l i s h e r s (Governmental)