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2
3
4
5
6
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I am not sure
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Has a demand for child support been made?:
Yes, on this date:
No
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Marital status:
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Occupation:
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The other parent or spouse's gross annual income is:
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$25,001-$50,000
$25,001-$50,000
$75,001-$100,000
$100,001-$125,000
$125,000+
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Gross annual income:
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$25,001-$50,000
$25,001-$50,000
$75,001-$100,000
$100,001-$125,000
$125,000+
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