Notice Regarding Payment

Notice Regarding Payment of Support

SUPERIOR COURT OF CALIFORNIA, COUNTY OF FOR COURT USE ONLY

STREET ADDRESS:

MAILING ADDRESS: CITY AND ZIP CODE:

BRANCH NAME:

PETITIONER/PLAINTIFF:

RESPONDENT/DEFENDANT:

OTHER PARENT:

NOTICE REGARDING PAYMENT OF SUPPORT

CASE NUMBER:

1. The obligor (the judgment debtor) in this proceeding is (name and last known address):

2. The local child support agency is providing services in this proceeding under title IV-D of the Social Security Act.

3. The local child support agency is no longer providing services as follows:

a. No longer enforcing current support only—arrears will continue to be paid to the local child support agency

b. No longer providing any services

4. The local child support agency gives notice that

a. the governmental agency specified in the top left box is substituted as payee.

b. the judgment debtor must make all current support payments in this proceeding to (specify):

c. the judgment debtor must make all payments on arrearages in this proceeding to:

(1) the payee named in item 4b.

(2) other (specify):

d. an abstract of support judgment or support judgment was originally recorded in the county of (specify):

on (date): at (Recorder’s identification number):

5. NOTICE OF ASSIGNMENT: An assignment of support rights by operation of law has been made to the county named above under Welfare and Institutions Code section 11477(a).

THE SUBSTITUTED PAYEE MUST BE CONTACTED WHEN NOTICE TO A LIENHOLDER MAY OR MUST BE GIVEN.

6. NOTICE OF SUPPORT COLLECTION: For purposes of collection only, the governmental agency identified in the top left box is assignee of record of all support obligations as specified below and that agency will appear in this case to enforce a.

a. all support obligations.

b. support arrears only.

c. medical obligations as required by federal law.

Each parent must notify the local child support agency in writing within 10 days of any change in residence or employment.

Each parent must complete a Child Support Case Registry Form (FL-191) and file it with the court within 10 days of any change in residence or employment.

ACKNOWLEDGMENT

(To be completed only when this form is recorded)

STATE OF CALIFORNIA

COUNTY OF

On , before me, Notary Public, personally appeared:

personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

WITNESS my hand and official seal.