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Embed code for: F-402-1 Declaration of Arrears
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Re: FSOS case number SE-00037-2011
Between: TASHA LYNN GRAY and CHRISTOPHER NEIL GRAYE
DECLARATION OF ARREARS
1. I, TASHA LYNN GRAY, am the beneficiary in this matter.
2. The support order dated March 24, 2015, a copy of which is attached, requires CHRISTOPHER NEIL GRAYE to pay me support as follows:
Support Type Amount Frequency Spousal Support Arrears $21,837.75 Decision dated March 24, 2015 Paragraph 15 & 20 paid direct to Beneficiary by June 30, 2015
3. CHRISTOPHER NEIL GRAYE has failed to make payments as set out in the support order and is in arrears in the amount of $______________ as of _____________ (date). Please refer to the attached Arrears Calculation Form for a detailed account.
4. I request the arrears be enforced by Family Support Orders Service.
I, the undersigned, TASHA LYNN GRAY DO SOLEMNLY DECLARE that all the statements contained herein are complete and true in every respect and I make this solemn declaration conscientiously believing it to be true and knowing that it has the same force and effect as if made under oath and by virtue of the Evidence Act, R.S.N.B. 1973, c. E-11.
DECLARED BEFORE ME, at
The City of____________________
In the Province of_______________
This__ day of __________________
Commissioner of Oaths TASHA LYNN GRAY
Family Support Orders Service (FSOS)
Declaration of Arrears