Uniform Domestic Relations Form - Affidavit 2 - Affidavit Of Property Page 7
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7V. BANKRUPTCY
Filed by: Wife,
Date of Filing:
Date of Discharge
Type of Case
Current Monthly
Husband, Both
Case Number
or Relief from Stay
(Ch. 7, 11, 12, 13)
Payments
1.
Husband
Wife
Both
$
2.
Husband
Wife
Both
$
TOTAL SECTION V: BANKRUPTCY
$
OATH
(Do Not Sign Until Notary is Present)
I, (print name)
swear or affirm that I have read
this document and, to the best of my knowledge and belief, the facts and information stated in this document
are true, accurate and complete. I understand that if I do not tell the truth, I may be subject to penalties for
perjury.
Your Signature
Sworn before me and signed in my presence this
day of
,
.
Notary Public
My Commission Expires:
Print Form
Supreme Court of Ohio
Uniform Domestic Relations Form – Affidavit 2
Affidavit of Property
Approved under Ohio Civil Rule 84
Effective Date: July 1, 2010
Page 7 of 7
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