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Absent Parent Child Support Details
| Child Name | [Full Name] | ||
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| Absent Parent Name | [field-value] | ||
| Household Member | [Full Name] |
| Payment Amount | Payment Frequency | ||||||
|---|---|---|---|---|---|---|---|
| Start Date |
| End Date |
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| Payment Method | Payment Due Date |
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| Last Payment Amount | Last Payment Date |
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| Obligated/Court Ordered Amount | Child Support Type | ||||||
| Court Order Number | Court Order Date |
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