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Chapter 43

Form 43-12

This form is used in registering a support order or income-withholding order of another state or a non-Convention foreign support order. For a form for use with registration of a Convention support order, see form 43-27.

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.]

Registration Information

[UIFSA, subch. G]

Personally identifying information below should be included unless subject to Tex. Fam. Code § 159.312. See form 43-15.

Obligor:

Name:

Address:

Social Security number:

Employer:

Obligee:

Name:

Address:

Include the following for each order.

The order to be registered is dated [date] and is entitled [title].

The order is registered in the following states: [specify]

Include the following if more than one order is being regis­tered.

The order alleged to be controlling is dated [date] and is entitled [title].

Continue with the following.

Description and location of any property not exempt from execution: [property descrip­tion]

An unsworn declaration may be used in place of a verification. See form 8-27.

Verification

    I am the party seeking registration.

   I am the custodian of the records for [this order/these orders].

I have personal knowledge that the following is true and correct: The [arrearage due and owing under the order/consolidated arrears under all orders] sought to be registered is $[amount] as of [date].

   
[Name]

SIGNED under oath before me on ______________________________.

   
Notary Public, State of Texas