ABC County Clerk
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ABC County Clerk
Child Support Printout
Case#
Agency Name
Time Period From
(mm-dd-yyyy)
To
(mm-dd-yyyy)
Payor Name
DOB
(mm-dd-yyyy)
SSN
Govt. Agency Request
No
Yes
Person Requesting
Submitter Name
Address
City
State
ZIP
Primary Phone
Secondary Phone
Fax#
Email Address
Best Time and way to contact you
Comments
Mode of Delivery
Address
Email
Pickup
Once your record is located, we will contact you to determine how you would like to obtain it and provide payment. Thank you.
Fees
Certified Record-$2/Certification
Faxed Document-$2/Page
Mailed Document-$2/Page
Court Record-$1/Page
Child Support Printout-$1/Page
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)
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Thank you
