Fill and Sign the Us District Court Northern District of Illinois Form

FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):JUDGMENT CREDITOR ATTORNEY FORPETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT:CASE NUMBER: NOTICE OF SUPPORT ARREARAGE 1. Attached to this notice isa.an Abstract of Support Judgment a certified copy of the judgment or orderb. 2. An Application for Notice of Support Arrearage was filed in this court on (date):No objection to issuance of a Notice of Support Arrearage was received from the judgment debtor. 3. a. — OR —An objection to issuance of a Notice of Support Arrearage was received and a hearing was held. b. 4. The court has ordered this notice to issue.The sum of:is owed as child support arrearage. $The sum of: is owed as spousal or family support arrearage by $ a. (name of judgment debtor): b. (address): c. Social Security No. of debtor: 5. The money shall be mailed to court for the benefit of a. (name of creditor): b. (address):c. Social Security No. of creditor:Clerk, by , Deputy 6. This notice is issued on (date): — INSTRUCTIONS — 7. A copy of this form and a copy of the application with an Abstract of Support Judgment or a certified copy of the judgment or order and a check or money order for $5 made out to the State Treasurer must be served on the State Controller in Sacramento. MAIL TO: State Controller's Office Division of Tax Administration Division of Tax Administration — OR — PERSONALLYState Controller P. O. Box 942004 SERVE AT: 3301 C St., Room 301 Sacramento, CA 94250–2004 Attn: Accounting Supervisor Sacramento, CA 95816 A copy of this form and a copy of the Abstract of Support Judgment or a certified copy of the judgment or order must also be served on the judgment debtor at the last known address. 9. Complete the proof of service on the reverse and file the form with the court.See important information on reverseNOTICE OF SUPPORT ARREARAGE (Support Arrearage)Code of Civil Procedure, section 708.780(c) Form Adopted by Rule 1297.92 Judicial Council of California 1297.92 [Rev. January 1, 1990] SUPERIOR COURT OF CALIFORNIA, COUNTY OF CITY AND ZIP CODE: BRANCH NAME: STREET ADDRESS: MAILING ADDRESS: 8.WEST GROUP Official Publisher