You are on page 1of 1

September 22, 2011 CHILD SUPPORT BUREAU, CEU INDIANA GOVERNMENT SOUTH 402 WEST WASHINGTON STREET, MS 11 INDIANAPOLIS,

INDIANA 46204 RE: Cause #49C010403JP0599 ISETS #0004696751 According to your letter dated September 10,2011, which was a NOTICE TO OF INTENT TO SUSPEND LICENSE . You stated that I had an arrearage of $15,344.00. Pursuant to IC 31-25-4-33, I am requesting a hearing to contest the Title IV-D agency s action against my license. I am disputing the action because, according to my records, I don t owe any child support or have an arrearage over $2,000 nor am I 3 months past due. Pursuant to IC 31-25-4-33 (c), you have 25 days from the date of this application to notice me AND hold a hearing on the matter. Please be advised that my correct address is P.O. BOX 88045 INDIANAPOLIS, IN 46208. Please make the proper adjustments to your records. WENDELL L BROWN P.O. BOX 88045 INDIANAPOLIS, INDIANA 46208