FL-401 - Application for Disbursement and Order for Disbursement From Child Support Security Deposit

Summary

Application for Disbursement and Order for Disbursement From Child Support Security Deposit

Text

Form ID: FL-401
Title: Application for Disbursement and Order for Disbursement From Child Support Security Deposit
Effective Date: 2003-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-401
Primary Download URL: https://www.courts.ca.gov/documents/fl401.pdf
Form Detail Page:
Application for Disbursement and Order for Disbursement From Child Support Security Deposit
(FL-401)
Ask the judge to give you money put in the bank as security for future child support by the other parent. It also tells the bank to give the money to you.
Get form FL-401
Effective: January 1, 2003
PDF Text:
TELEPHONE NO.: FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name and address):
ATTORNEY FOR (Name):
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
APPLICATION FOR DISBURSEMENT AND ORDER FOR DISBURSEMENT
FROM CHILD SUPPORT SECURITY DEPOSIT
APPLICATION FOR DISBURSEMENT FROM CHILD SUPPORT SECURITY DEPOSIT
1. The undersigned is entitled to receive child support payments. A deposit has been established to secure payment of the child support.
The support is more than 10 days late, as follows:
Amount dueAmount paidDate dueAmount due as child support
Total amount due:
2. I request that the court order disbursement of the amount due from the child support security deposit.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
A copy of this application must be served on the obligor and proof of its service attached to the original that is filed with the court.
ORDER FOR DISBURSEMENT FROM CHILD SUPPORT SECURITY DEPOSIT AND ORDER TO REPLENISH FUNDS
3. The following financial institution (name):
to the following person who is entitled to receive payment of childmust pay the following amount: $
support (name):
                     must replenish the child support security deposit 
not later than (date):
4. The obligor (name):
by depositing the following amount: $
The original evidence of replenishment must be filed with the court. A copy of the evidence of replenishment must be served on the 
person entitled to receive payment of the child support.
Date:
JUDGE OF THE SUPERIOR COURT
5. I certify that the foregoing order is a copy of the original on file with the court.
Clerk, byDate: , Deputy
APPLICATION FOR DISBURSEMENT AND ORDER FOR
DISBURSEMENT FROM CHILD SUPPORT SECURITY DEPOSIT
Family Code, §§ 4570–4573Form Adopted for Mandatory Use
Judicial Council of California
FL-401 [Rev. January 1, 2003]
(SIGNATURE)(TYPE OR PRINT NAME)
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
CITY AND ZIP CODE:
BRANCH NAME:
STREET ADDRESS:
MAILING ADDRESS:
FL-401
Page 1 of 1
www.courtinfo.ca.gov

Retrieval chunks

• #1

  Form ID: FL-401 Title: Application for Disbursement and Order for Disbursement From Child Support Security Deposit Effective Date: 2003-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-401 Primary Download URL: https://www.courts.ca.gov/documents/fl401.pdf Form Detail Page: Applic…

• #2

  Judicial Council of California FL-401 [Rev. January 1, 2003] (SIGNATURE)(TYPE OR PRINT NAME) SUPERIOR COURT OF CALIFORNIA, COUNTY OF CITY AND ZIP CODE: BRANCH NAME: STREET ADDRESS: MAILING ADDRESS: FL-401 Page 1 of 1 www.courtinfo.ca.gov