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Child Support in |
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Information for Posting Deadbeat
on CSII Website Application & Group membership is mandatory |
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Custodial Parent Information |
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Name: |
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Address: |
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City: |
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State: |
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Zip Code: |
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Phone #(s): |
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State and County where CS
Order was entered: |
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Date of CS Order: |
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Docket or Case #: |
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CSII
will notify NCP as to intent to place their name on this website with your
permission only. |
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NCP may be contacted by
CSII |
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NCP may NOT be contacted
by CSII |
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Non-Custodial Parent Information |
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Name: |
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Alias (AKA): |
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Last Known Address: |
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City: |
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State: |
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Zip Code: |
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Phone #(s): |
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Email Address: |
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Date of Birth: |
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Race: |
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Sex: |
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Height: |
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Weight: |
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Hair Color: |
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Eye Color: |
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Amount owed past due CS
(arrears): |
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Arrears date: |
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Date last CS payment
received: |
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# of children: |
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Custodial Parent Notes: |
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