Financial Affidavit Page 4
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43.
ANTICIPATED INCOME (money or property you are expecting)
a. Total monies or income from sale of house or land, gifts, inheritance, allotments,
trust funds, lease money, etc………………………………………………………………$______________
When is the money/income expected? ______________________
Dated:
Signature of Person Filling out this Affidavit
(Sign only in front of notary public or clerk of courts.)
Sworn/affirmed before me this
day of
,
.
If notary, My Commission Expires ________________________
Notary Public Clerk of Courts
(SEAL)
Form UJS-304A
Rev. 11/2014
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