Fl632 2015-2026

FAX NO. optional SUPERIOR COURT OF CALIFORNIA COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME FOR RECORDER S USE ONLY PETITIONER/PLAINTIFF FOR COURT USE ONLY RESPONDENT/DEFENDANT OTHER PARENT NOTICE REGARDING PAYMENT OF SUPPORT NOTICE OF ASSIGNED SUPPORT SUBSTITUTION OF PAYEE 1. FL-632 GOVERNMENTAL AGENCY under Family Code 17400 17406 RECORDING REQUESTED BY AND WHEN RECORDED MAIL TO TEL NO. The obligor the person paying support in this proceeding is name and last known address CASE NUMBER 2. a* b. The local child support agency is providing the following services check all that apply Current support Support arrears Medical support The substituted payee is a* Other specify An abstract or notice of support judgment or support judgment was recorded as follows County Date of recording Instrument number Book number Page number 5. All payments must be made as follows check all that apply a* Income withholding payments must be directed to the State Disbursement Unit at specify address All current support payments other than income withholding payments must be sent to specify c* All arrears payments other than income withholding payments must be sent to specify d. THE SUBSTITUTED PAYEE MUST BE CONTACTED WHEN NOTICE TO A LIENHOLDER MAY OR MUST BE GIVEN* Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California FL-632 Rev* July 1 2015 Governmental Family Code 4200 4201 4204 4350 4351 4506. 3 17400 www. courts. ca*gov An assignment of support rights by operation of law under Welfare and Institutions Code section 11477 a has been made to the county of specify 7. a* Each parent must notify the local child support agency in writing within 10 days of any change in residence or employment. change in residence or employment. Date TYPE OR PRINT NAME SIGNATURE A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached and not the truthfulness accuracy or validity of that document. NOTICE No acknowledgment is required when this form is recorded by a local child support agency. ACKNOWLEDGMENT To be completed when this form is recorded by a person or entity other than a local child support agency. STATE OF CALIFORNIA COUNTY OF On personally appeared here insert name and title of the officer before me who proved to me on the basis of satisfactory evidence to be the person s whose name s is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity ies and that by his/her/their signature s on the instrument the person s or the entity upon behalf of which the person s acted executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal* SIGNATURE OF NOTARY Seal For your protection and privacy please press the Clear This Form button after you have printed the form* Print this form Save this form Clear this form.