Fillable IN THE CIRCUIT COURT, FOURTH JUDICIAL CIRCUIT, IN (Clay County Florida Clerk of Court and Comptroller)

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IN THE CIRCUIT COURT, FOURTH JUDICIAL CIRCUIT, IN (Clay County Florida Clerk of Court and Comptroller)

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IN THE CIRCUIT COURT, FOURTH JUDICIAL CIRCUIT,
IN AND FOR CLAY COUNTY, FLORIDA
,
Petitioner,
vs. CASE NO.:
DIVISION:
,
Respondent.
/
RESPONDENT’S (PERSON MAKING PAYMENTS) CREDIT AFFIDAVIT
TO CONTINUE DIRECT PAYMENTS AND CLOSE DEPOSITORY CASE
This is to advise that payments for child support or alimony for Case No. in
the amount of $ as of , 20 , have been made by me
directly to the petitioner, , rather than through the Central
Governmental Depository. I request that I be allowed to continue making direct payments in the future, plus
any arrearages, to the petitioner rather than pay through the Central Governmental Depository. The
Petitioner will submit to the court an affidavit requesting the same relief as stated herein.
Signature of Respondent (person making payments)
Printed Name
Address
City State Zip Code
Telephone
appeared before me and acknowledged that he/she signed the foregoing this
day of , 20 .
Notary Public, State of Florida
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Check one only:
Personally known
Produced identification
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IN THE CIRCUIT COURT, FOURTH JUDICIAL CIRCUIT, IN (Clay County Florida Clerk of Court and Comptroller)

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Completed 30 July 2021

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