Alimony Payment Discharge Form
Please fill out this form to confirm the discharge of alimony payments.
Full Name of Payer
*
First Name
Last Name
Full Name of Payee
*
First Name
Last Name
Date of Agreement
*
-
Month
-
Day
Year
Date
Amount Paid
*
Payment Period (From - To)
*
From Date
To Date
Period 1
Additional Comments
*
Signature of Payee
*
Submit
Should be Empty: