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This form must be signed by the parent reporting child support paid in 2014. Father s/Step-Father s Signature Date WARNING If you purposely give false or misleading information on this worksheet you may be fined be sentenced to jail or both. COMPLETE WITH THE AMOUNTS PAID IN CALENDAR YEAR 2014 LEAVE NOTHING BLANK-If a question does not apply put zero or DNA. XCSPD6 E Student ID Last Name First Name 2015-2016 Child Support Paid in 2014 For Dependent Student Failure to complete this form will...
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