DOMESTIC SUPPORT OBLIGATION QUESTIONNAIRE

(To be completed by individuals in a Chapter 7 bankruptcy case)

CHAPTER 7 CASE NUMBER:

Domestic support obligations are generally defined as debts owed to a spouse, former spouse or child for alimony, maintenance or support, including such debts owed to a governmental collection agency such as the Office of Recovery Services.

The Trustee is required to provide certain notices to the holders of domestic support obligations and to any governmental child support collection agency that may be assisting the individual claim holder.

Please  fill  out  the  form  below  and  bring  the  completed  form  to  the  first  meeting  of  creditors. Failure to do so could ultimately lead to the dismissal of your bankruptcy case.

Check Applicable Statement:

Name of individual or entity to whom domestic support obligation is owed and last known address and telephone number of such person:

Name:   

Address:  

Phone:  

Date: January 23, 2025

If you have any questions as to what is a domestic support obligation, whether you owe a domestic support obligation, or how to answer any of the questions on this form, please talk to your attorney.

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Your legal name

Your email address

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Document name: DSO Questionnaire

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Timestamp	Audit
March 13, 2022 8:04 pm MST	DSO Questionnaire Uploaded by Russell Weekes - rbw@weekes-law.com IP 67.182.241.113

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