Form SEP003 "Support Enforcement Program (Sep) Affidavit of Arrears" - Newfoundland and Labrador, Canada

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Download Form SEP003 "Support Enforcement Program (Sep) Affidavit of Arrears" - Newfoundland and Labrador, Canada

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SUPPORT ENFORCEMENT
SEP ACCOUNT NO.
PROGRAM (SEP)
___ __ ___ ___ - ___ ___ ___
FOR OFFICE USE ONLY
AFFIDAVIT OF ARREARS
Before Completing This Form – Complete the Attached Worksheet
In The Matter of the Support Orders Enforcement Act, 2006
Print Name
Address and
Creditor
Postal Code
AND
Print Name
Debtor
Address and
Postal Code
CANADA
) I, the Creditor, make Oath and say that:
PROVINCE OF NL )
Original
1. There was a Support Order made on the
day of
Order
, 20
In the
at
(Name of Court)
(Location)
2. The arrears owed by the Debtor which have accumulated under the said Order and any Variation Order are:
From April 1, 1997 to the making of this affadavit:
Amount Owing
From
to
$
Day
Month
Year
Day
Month
Year
3. I make this affidavit for the purpose of proceeding against the Debtor for enforcement of payment of the monies
owing in respect of the said Order.
4. I acknowledge that enforcement by the Director is exclusive pursuant to Section 4 of The Support Orders
Enforcement Act, 2006.
SWORN BEFORE ME THIS
day
of
, A.D. 20
Signature of Creditor
at
, NL
A Commissioner for Oaths in and for the Province of NL
Send this Original with the Completed Worksheet to the Support Enforcement Program.
(SEP003) 14 - 01- 08
SUPPORT ENFORCEMENT
SEP ACCOUNT NO.
PROGRAM (SEP)
___ __ ___ ___ - ___ ___ ___
FOR OFFICE USE ONLY
AFFIDAVIT OF ARREARS
Before Completing This Form – Complete the Attached Worksheet
In The Matter of the Support Orders Enforcement Act, 2006
Print Name
Address and
Creditor
Postal Code
AND
Print Name
Debtor
Address and
Postal Code
CANADA
) I, the Creditor, make Oath and say that:
PROVINCE OF NL )
Original
1. There was a Support Order made on the
day of
Order
, 20
In the
at
(Name of Court)
(Location)
2. The arrears owed by the Debtor which have accumulated under the said Order and any Variation Order are:
From April 1, 1997 to the making of this affadavit:
Amount Owing
From
to
$
Day
Month
Year
Day
Month
Year
3. I make this affidavit for the purpose of proceeding against the Debtor for enforcement of payment of the monies
owing in respect of the said Order.
4. I acknowledge that enforcement by the Director is exclusive pursuant to Section 4 of The Support Orders
Enforcement Act, 2006.
SWORN BEFORE ME THIS
day
of
, A.D. 20
Signature of Creditor
at
, NL
A Commissioner for Oaths in and for the Province of NL
Send this Original with the Completed Worksheet to the Support Enforcement Program.
(SEP003) 14 - 01- 08