Form B Arrearage Worksheet For Spousal Support Or Child Support
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1ARREARAGE WORKSHEET FOR
Form B
SPOUSAL SUPPORT OR CHILD SUPPORT
__________________________________
NO: __________________ DIV. ______
(
)
PETITIONER
THE FAMILY COURT
VERSUS
PARISH OF _____________________
__________________________________
STATE OF LOUISIANA
(
)
DEFENDANT
A support order was rendered on___________________ for a monthly award of $______________,
which became effective on ___________________.
The payor was previously found in contempt ______ times.
Arrears were previously set in the amount of $______________ on ___________________.
The payor has a balance due in the amount of $______________ on the prior arrearages set.
Due
Amount
Date
Amount
Accrued
No.
Date
Due
Paid
Paid
Arrears
1
$
$
$
2
$
$
$
3
$
$
$
4
$
$
$
5
$
$
$
6
$
$
$
7
$
$
$
8
$
$
$
9
$
$
$
10
$
$
$
11
$
$
$
12
$
$
$
13
$
$
$
14
$
$
$
15
$
$
$
16
$
$
$
17
$
$
$
18
$
$
$
19
$
$
$
20
$
$
$
21
$
$
$
22
$
$
$
23
$
$
$
24
$
$
$
25
$
$
$
26
$
$
$
27
$
$
$
28
$
$
$
29
$
$
$
30
$
$
$
31
$
$
$
32
$
$
$
33
$
$
$
34
$
$
$
35
$
$
$
TOTALS
$
-
$
$
THE FAMILY COURT
FORM B
REVISED: NOV 2013
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