I, Elizabeth Salazar Campos, do not have a child support agreement with ex husband for our children.

We do not have any legal or court ordered child support documentation. We have a verbal agreement
between the two of us that he helps with financial things when it comes to the children when I am
needing assistance, but that is all.
 DocMagic eSign Certificate
eSign Id: 72201971 Reference Id: From: TAYLER JANSSEN Status: Signed
Documents Type: CUSTOM REQUEST Loan Id: Custom_Request Documents: 1 Signatures: Y

List of Signers
Name/Email Signature Created Date Started Date Consented Date Viewed Date Completed Date
ELIZABETH SALAZAR
03/02/21 03/02/21 03/02/21 03/02/21 03/02/21
CAMPOS 10:12:40 AM 10:13:36 AM 10:13:42 AM 10:14:40 AM 10:14:43 AM
morenita986@gmail.com

Audit Log
Date/Time
03/02/21 10:12:39 AM
03/02/21 10:13:05 AM
03/02/21 10:13:36 AM
03/02/21 10:13:42 AM
03/02/21 10:14:39 AM
03/02/21 10:14:40 AM
03/02/21 10:14:43 AM
03/02/21 10:14:43 AM
03/02/21 10:14:44 AM
03/02/21 10:14:46 AM
Person IP Address Action
SYSTEM USER eSign event created
ELIZABETH SALAZAR CAMPOS 74.84.119.114 Invitation sent to morenita986@gmail.com
ELIZABETH SALAZAR CAMPOS 174.243.80.207 eSign event started
ELIZABETH SALAZAR CAMPOS 174.243.80.207 Consented to DocMagic eSign
Approved electronic representation of signature - "Elizabeth
ELIZABETH SALAZAR CAMPOS 174.243.80.207
Salazar Campos"
Disclosure version 1 prepared on March 2, 2021, 10:12 am
ELIZABETH SALAZAR CAMPOS 174.243.80.207
PST displayed
ELIZABETH SALAZAR CAMPOS 174.243.80.207 eSign event signing complete
ELIZABETH SALAZAR CAMPOS 174.243.80.207 LOX on child support signed by Elizabeth Salazar Campos
SYSTEM USER eSign event completed
SYSTEM USER eSign Documents delivered

List of Documents
Document Name Page(s) Mark(s) Signer(s)
LOX ON CHILD SUPPORT 1 1 1

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