Form Cssd 04-1423 - Information Locate Sheet
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1
2Please Reply To:
Alaska Department of Revenue
CSSD, MS
Child Support Services Division
TH
550 W. 7
Ave., Suite 310
Anchorage, AK 99501-6699
Case No.:
INFORMATION LOCATE SHEET
We are trying to locate the non-custodial parent for your child support case. We need additional
information from you concerning the possible location of this person. Please provide as much
information as you can. Places to look for this information include: tax returns, bank statements,
credit accounts, legal documents, and friends or relatives.
INFORMATION ABOUT THE NON-CUSTODIAL PARENT
1.
Full legal name (no nicknames): ____________________________________________
2.
Any other name(s) used: __________________________________________________
3.
Social Security Number: ___________________________________________________
4.
Date of Birth: _________________ Place of birth: ______________________________
5.
Physical description: ______________________________________________________
6.
Did the absent parent ever live or work in Alaska? Yes _____ No _____ When ________
Is the absent parent a citizen of the United States? Yes _____No _____ If not, what country
is he or she a citizen of? ____________________________________________________
7.
Mailing address: __________________________________________________________
City/State/Zip: ___________________________________________________________
8.
Residence address: ________________________________________________________
City/State/Zip: ____________________________________________________________
Work telephone number: ______________ Home telephone number: _______________
9.
Most Recent Employers:
Addresses of Employers:
Phone #:
______________________
__________________________
_______________
______________________
__________________________
_______________
10.
Unions (name & local number): ______________________________________________
11.
His/her usual occupation: ___________________________________________________
12.
Military Status: (__) Active
(__) Reserved
(__) Guard
(__) Retired
Branch/Unit: _____________________________________________________________
PLEASE COMPLETE AND SIGN THE SECOND PAGE
CSSD 04-1423 (Rev 05/20/04)
MAT-SU: (907) 357-3550
TOLL FREE (In-state, outside Anchorage): (800) 478-3300
SOUTHEAST: (907) 465-5887
ANCHORAGE: (907) 269-6900
FAX: (907) 269-6813 or 6914
FAIRBANKS: (907) 451-2830
TDD machine only: (907) 269-6894 / TDD machine only, toll free (In-state, outside Anchorage): (800) 370-6894
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