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Get Bankruptcy Court Proof Of Claim Child Support Creditor Form 281

Form 281 08/06 United States Bankruptcy Court District Of In re Debtor s Case No. APPEARANCE OF CHILD SUPPORT CREDITOR OR REPRESENTATIVE I certify under penalty of perjury that I am a child support creditor of the above-named debtor or the authorized representative of such child support creditor with respect to the child support obligation which is set out below. Name Organization Address Telephone Number Date Child Support Creditor or Authorized Representative Summary of Child Support Obligation Amount in arrears If Child Support has been assigned Amount of Support which is owed under assignments Amount currently due per week or per month on a continuing basis per week per month Amount owed primary child support creditor balance not assigned Attach an itemized statement of account. Do not disclose the name of a minor child. See 11 U*S*C. 112. If a social security number or a taxpayer identification number is included set out only the last four digits of the number. Judicial Conference Privacy Policy 09/01. as well as any entity to whom such support has been assigned if pursuant to Section 402 a 26 of the Social Security Act or if such debt has been assigned to the Federal Government or to any State or political subdivision of a State. Name Organization Address Telephone Number Date Child Support Creditor or Authorized Representative Summary of Child Support Obligation Amount in arrears If Child Support has been assigned Amount of Support which is owed under assignments Amount currently due per week or per month on a continuing basis per week per month Amount owed primary child support creditor balance not assigned Attach an itemized statement of account. Do not disclose the name of a minor child. See 11 U*S*C. 112. If a social security number or a taxpayer identification number is included set out only the last four digits of the number. Do not disclose the name of a minor child. See 11 U*S*C. 112. If a social security number or a taxpayer identification number is included set out only the last four digits of the number. Judicial Conference Privacy Policy 09/01. as well as any entity to whom such support has been assigned if pursuant to Section 402 a 26 of the Social Security Act or if such debt has been assigned to the Federal Government or to any State or political subdivision of a State. Name Organization Address Telephone Number Date Child Support Creditor or Authorized Representative Summary of Child Support Obligation Amount in arrears If Child Support has been assigned Amount of Support which is owed under assignments Amount currently due per week or per month on a continuing basis per week per month Amount owed primary child support creditor balance not assigned Attach an itemized statement of account. Do not disclose the name of a minor child. See 11 U*S*C. 112. If a social security number or a taxpayer identification number is included set out only the last four digits of the number. Judicial Conference Privacy Policy 09/01. as well as any entity to whom such support has been assigned if pursuant to Section 402 a 26 of the Social Security Act or if such debt has been assigned to the Federal Government or to any State or political subdivision of a State.

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