Fillable Saint Regis Mohawk Tribe Child Support Enforcement Unit (St Regis Mohawk Tribe)

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Saint Regis Mohawk Tribe Child Support Enforcement Unit (St Regis Mohawk Tribe)

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Saint Regis Mohawk Tribe
Child Support Enforcement Unit
412 State Route 37
Akwesasne, NY 13655
Phone: (518) 358-2272
Date:
Franklin County Child Support Agency
355 West Main St, Suite 331
Malone, NY 12953
VOLUNTARY REQUEST TO TRANSFER CASE
I, ______________________________________, am requesting the State of New York and the
Franklin County Child Support Agency close my NYS IV-D case and transfer all related
information to the Saint Regis Mohawk Tribe Child Support Enforcement Unit.
NYS File Number
NYS Docket Number
NYS CSMS Number
Custodial Parent
Non-Custodial Parent
Custodial Parent Social Security Number
________________________________________ _____________________
Custodial Parent Signature Date
_________________________________________ ______/_______/________
Notary Signature Date
_________________________________________
Printed Name
_________________________________________
My Commission Expires
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Saint Regis Mohawk Tribe Child Support Enforcement Unit (St Regis Mohawk Tribe)

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Completed 20 July 2020

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