NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
|
See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Release of Child Support Lien
To: [name and address of obligor or attorney]
All child support due, together with costs and reasonable attorney’s fees relating to the child support lien described below [include if applicable: and all title IV-D service fees for which Obligor is responsible], have been paid in full. This release constitutes a complete release of any claim I may have under that child support lien.
Obligor: [name of obligor]
Address:
Birth date:
Driver’s license number:
Social Security number:
Obligee: [name of obligee]
Social Security number:
Date of child support lien being released:
I swear that the above facts are true and correct.
[Name of claimant/preparer]
[Address]
|
An unsworn declaration may be used in place of a written sworn declaration. See form 8-27. |
SIGNED under oath before me on ______________________________.
Notary Public, State of Texas