A Release For Child Support Lien - Legal Results LLC

Step 1 of 2

NOTE: Please fill out the below fields that has an *

Name and Address of Recorder or Asset Holder
(See below)
Name*
First
Address*
Street Address City State / Province / Region ZIP / Postal Code
Obligor/Debtor
Name*
First Last
Social Security Number*
Date of Birth*
MM slash DD slash YYYY
Address*
Street Address City State / Province / Region ZIP / Postal Code
Obligor/Debtor
Name*
First Last
Child Support Lien described below is release, as provided by the state of*
is released.
(See below)
This lien is implemented by this release that is apparent from a child support order enter on*
by*
on case/cause number*
Date of filing/delivery of lien*
MM slash DD slash YYYY
I am*
- the Obligee/Creditor of the above reference order
- Is there an attorney or any other entity representing the above-named Obligee/Creditor?
A Release for Child Support Lien
I declare under penalty and of perjury that the information contained in this release is true and accurate.
Date*
MM slash DD slash YYYY
Name*
First Last
Print Name
Signature*
Email*
Telephone Number*
Fax Number*
I certify that*
appeared before me and is known to me as the individual whose signature appears above.
Date
MM slash DD slash YYYY
Notary Public*
Notary State:*
County:
Country
A Release for Child Support Lien

Name
First Last
Business Name
Email Address (optional)
Business Address (optional)
Product Name
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name