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Now comes the Plaintiff in the above-styled case and files this Application for payment. What you get: Instant access to fillable Microsoft Word or PDF forms.APPLICATION FOR DISBURSEMENT. v. OF. Defendant, DEPOSIT AS FULL COMPENSATION. However, Defendant requests that with the disbursement, Plaintiff deem the two (2) monetary judgments as paid in full, satisfied and cancelled. The plaintiff must provide certified mail verification to the court before funds are disbursed to the plaintiff. Complete the motion cover sheet form, per the included instructions. Total amount due: 2. I request that the court order disbursement of the amount due from the child support security deposit. Checks are to be made payable to: Clerk of State Court.