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Get OR CSF 11 0111 2008-2024

Assistance Petitioner: Name (first, middle, last) Social Security Number Non-IV-D Case: Responding IV-D Case No. Initiating IV-D Case No. Responding Tribunal No. Petitioner is: Obligee Obligor Respondent is: File Stamp Initiating Tribunal No. Caretaker Other than Parent Foster Care Obligee Obligor Caretaker Other than Parent Foster Care being duly sworn, under penalties of perjury, testifies as follows: Name (first, middle, last) I. Personal Infor.

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