HISTORICAL CHILD SUPPORT PAYMENT RECORD REQUEST MARILYN BURGESS HARRIS

1 VERBATIM TRANSCRIPT 2 HISTORICAL BLACK COLLEGES AND UNIVERSITY
12 WORKSHOP “CONTAMINATED LANDS IN ACCESSION COUNTRIES BENCHMARKING HISTORICAL
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18 PEASANTS LABOURERS AND MERCHANTS UNDERSTANDING HISTORICAL OCCUPATIONS FROM
4 RPWRHS COLLECTIONS POLICY DRAFT ROGERS PARKWEST RIDGE HISTORICAL
55 HISTORICAL NARRATIVE LORD DURHAM HISTORY RECORDS ENCOUNTERS BETWEEN

REQUEST FOR NOTICE TO EMPLOYER

Historical Child Support Payment Record Request

Marilyn Burgess, Harris County District Clerk


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This request is for payments received by the Harris County Child Support Registry prior to the redirection of all child support payments to the State Disbursement Unit (SDU). The payment record reflects non-custodial parent payments received by the Harris County Child Support Registry. Payments received by the Office of the Attorney General can be obtained directly through their office.

overnment agencies do not use this form.

Submit request on agency letterhead.


HARRIS COUNTY CAUSE NO_________________ IN THE ________ DISTRICT COURT

(If cause number not provided, $5 search fee is applied) (51.318(b)(3) Gov’t Code)


STYLE: ______________________________ VS. ______________________________


EMAIL: [email protected]


FAX: 832-927-0135


MAIL: MARILYN BURGESS, DISTRICT CLERK

ATTENTION: CHILD SUPPORT PAYMENT RECORD

POST OFFICE BOX 4651 HOUSTON, TEXAS 77210



HARRIS COUNTY CHILD SUPPORT PAYMENT HISTORY $1/page (51.318(b)(11) Gov’t Code)


How many copies? ___ (Certified at no additional charge)


Select one:


___ Email: _________________________________@______________


___ Fax Number: ________________________________________


___ Mail: Applicable postage will be charged. Request will be sent to address provided.




CUSTOMER NAME: ___________________________________________________________

CUSTOMER ADDRESS: ________________________________________________________

CITY: ______________________________ _____ STATE: _____ ZIP: ________

PHONE NUMBER: _____________________________________________________


WHEN PAYING BY DEBIT/CREDIT CARD, YOU WILL BE CONTACTED WITH FURTHER INSTRUCTIONS TO COMPLETE THE PAYMENT PROCESS.



FOR DISTRICT CLERK OFFICE USE ONLY


TRANSACTION NO: _____________________ RECIEPT NO: ________________

HCCSPH181201


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