Civil Cover Sheet Page 18
Download a blank fillable Civil Cover Sheet in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Civil Cover Sheet with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
222. I am unable to obtain funds from anyone, including my family and associates, to pay
the costs of litigation.
3. I represent that the information below relating to my ability to pay the fees and costs
is true and correct:
(a) Name: _____________________________________________________________________
Address: __________________________________________________________________
__________________________________________________________________
Social Security #_____________________________________________________________
(b) EMPLOYMENT
If you are presently employed, state:
Employer :
_______________________________________________________________
Address:
_______________________________________________________________
_______________________________________________________________
Salary/wages
Per Month:
______________________________________________________________
Type of Work: ______________________________________________________________
If you are presently unemployed, state:
Date of last Employment:
__________________________________________________
Salary/Wages
Per Month:
______________________________________________________________
Type of Work:______________________________________________________________
(c) OTHER INCOME WITHIN THE PAST TWELVE (12) MONTHS
(state as dollar amounts)
Business or Profession:_______________________________________________________
Other Self-employment: _____________________________________________________
Page 7 of 11
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business