Free jdf1811 - Colorado

q District Court
_________________________________________ County, Colorado Court Address: In Re: Petitioner:

Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Case Number:

Phone Number: E-mail: FAX Number: Atty. Reg.#: Division Courtroom OBLIGOR'S REQUEST FOR IMMEDIATE ACTIVATION OF AN INCOME ASSIGNMENT

I,

, have been determined to be the

Obligor and have been ordered to pay child support, maintenance, or maintenance when combined with child support. I request the immediate activation of an income assignment.

Date:

Obligor

Subscribed under oath before me on My commission expires:

Notary Public/Deputy Clerk

JDF 1811

R7/00

OBLIGOR'S REQUEST FOR IMMEDIATE ACTIVATION OF AN INCOME ASSIGNMENT

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