To: Obligor
The law requires the Domestic Relations Office to periodically provide approved consumer reporting agencies with your name and the amount of overdue arrearages that you owe. According to our records, you owe $_______, and this amount will be reported unless you contest the accuracy of the information within the next twenty days by filing a written objection with this office. Your objection should specifically state the amount of money that you dispute is owed.
Upon timely receipt of an objection, this office will schedule a conference to resolve the dispute.
Dated_________
/s/ Domestic Relations Section Representative
Adm. Cnty. Pa. 1910.20