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The underlying order containing a provision authorizing income withholding must be attached. 1 FL-196 COMPLETED BY SENDER: 1g. State/Tribe/Territory. Name of State or Tribe sending this form. This must be a governmental entity of the State or a Tribal organization authorized by a Tribal government to operate a CSE program. If you are a Tribe submitting this form on behalf of another Tribe, complete line 1i. 1h. Remittance Identifier (include w/payment). Identifier that employers must inclu.

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