This form is used in registering a Convention support order. For a form for use with a support order or income-withholding order of another state or a non-Convention foreign support order, see form 43-12.
Additional information may be required to be included within this registration information form if the Convention order to be registered does not contain all the information required under Tex. Fam. Code § 159.706. The support order and other relevant information must be attached to the notice of registration that is served on the nonregistering party; see form 43-28.
NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA
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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.]
[UIFSA, subch. H]
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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:
The order to be registered is dated [date] and is entitled [title].
The order is registered in the following states: [specify]
Description and location of any property not exempt from execution: [property description]
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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