On November 30, 2005 a
ACKNOWLEDGE OF COUNSEL
was filed
involving a dispute between
Georgia Department Of Human Resources,
and
Crumbley, Alton,
for CHILD SUPPORT
in the District Court of Fulton County.
Preview
IN THE SUPERIOR COURT OF FULTON COUNTY
STATE OF GEORGIA
GEORGIA DEPARTMENT OF
HUMAN RESOURCES, ex. rel.,
Ales D wiatres
WIL ACTION Cy OTBOCE! MST
Piaintitf(s), CASENO. 150015 793
v.
Otten Cr uml ley
Defendant
ACKNOWLEDGEMENT OF SERVICE AND
WAIVER OF JURISDICTION
Personally appeared before me, Qa toa Cram’) ey , who
deposes and swears as follows: J
ok. have this day received a copy of the within and foregoing:
Complaint for Recovery of Child Support
ok Z Motion for Contempt
____ Genetic Test Stipulation
‘Consent Order for Child Support
te consent Contempt Order
XK Consent Income Deduction Order
Notice of Reset
Other
KL waive any defect in service and | agree to submit to the jurisdiction of the Superior Court of Fulton County. |
f
rther agree to be notified by regular mail of any future lega! proceedings on the above matter. | can be served at the
_ following address:
thi fing Mil Pa Care GA 39¢a%
Ke | have been informed that | have a right to a hearing in the matter of the Contem p+ and to be
rf presented by an attorney if | choose. | am also aware of my right to file an answer to this pleading.
K # Celso acknowledge that a Hearing is scheduled for: {1 Sao- ON
Wyo CONSENT ORDER
aK A ‘am aware of my right to request a hearing within 15 days of the entry of the Income Deduction Order or service of
‘a notice of delinquency, pursuant to 0.C.G.A. $19-6-33 (c) (1). | am fully aware of these rights and do hereby freely and
voluntarily waive them.
GENETIC TEST STIPULATION
I choose to be bound by the results of the genetic test in accordance with the attached CONSENT AGREEMENT
‘AND STIPULATION REGARDING GENETIC TESTS. | understand that if | am excluded, this action will be dismissed and
if | am not excluded | will have the option of signing a Consent Order or having a Hearing on the issue of current support,
arrears, and medical insurance as they apply to my case, but not on the issue of paternity.
{ understand the nature of this action and the legal consequences of my signing this document. No one has applied
coercion, duress or trickery to induce me to sign these documents. | do so freely and voluntarily.
This the <7 /Aday of WL. 2047 7 -
Defendant/Respondert
tt
s
‘ tH" day of _ Hose
ef nS = MY commission expires
C Sig ae a 20u
Lia epee
ne in to and § Subscribed before me
4a
a, Sinz NOTARY i
Document Filed Date
November 28, 2007
Case Filing Date
November 30, 2005
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