New Child Support Payments Evidence
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Received Date
Absent Parent Child Support Details
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Child Name
[Value]
Absent Parent Name
[field-value]
Household Member
[Value]
Payment Amount
Payment Frequency
[Daily]
Start Date
End Date
Payment Method
[code-table-value]
Payment Due Date
Last Payment Amount
Last Payment Date
Obligated/Court Ordered Amount
Child Support Type
[code-table-value]
Court Order Number
Court Order Date
Comments
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