Domestic Relations Financial Affidavit Page 12
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13I AM AWARE THAT ANY FALSE STATEMENT KNOWINGLY MADE WITH THE
INTENT TO DEFRAUD OR MISLEAD SHALL SUBJECT ME TO THE PENALTY FOR
PERJURY AND MAY BE CONSIDERED A FRAUD UPON THE COURT.
I DECLARE THAT THE ABOVE INFORMATION IS TRUE AND THAT THE
INFORMATION CONTAINED IN THIS FORM CONSTITUES A COMPLETE AND FULL
DISCLOSURE OF MY FINANCIAL CONDITION.
__________________________________________
Printed Name
__________________________________________
Address
__________________________________________
City
State Zip
__________________________________________
Telephone (area code and number)
__________________________________________
Facsimile (area code and number)
STATE OF GEORGIA
COUNTY OF __________________
Sworn to and subscribed before me
on this ____ day of ________, 20___.
__________________________________________
NOTARY PUBLIC
(Print, type or stamp commissioned name of notary)
Domestic Relations Financial Affidavit
Fulton County Family Division
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