Free jdf1812 - 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 STIPULATION FOR IMMEDIATE ACTIVATION OF AN INCOME ASSIGNMENT

The parties stipulate and agree to the immediate activation of an income assignment. Date:
Obligor

Subscribed under oath before me on My commission expires:

Notary Public/Deputy Clerk of Court

AND Date:
Obligee

Subscribed under oath before me on My commission expires:

Notary Public/Deputy Clerk of Court

OR Date:
Signature of Attorney for Obligee (Type name, address, and telephone number below.)

JDF 1812

R7/00

STIPULATION FOR IMMEDIATE ACTIVATION OF AN INCOME ASSIGNMENT

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