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DECLARATION OF PAYMENT HISTORY (Family Law—Governmental—Uniform Parentage Act) Family Code, §§ 5230.5, 17524(a), 17526(c) Form Adopted for Mandatory Use Judicial Council of California FL-420 [Rev. January 1, 2003] STREET ADDRESS: MAILING ADDRESS: FL-420 Page 1 of 1 E–MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional):
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