Domestic Relations Financial Affidavit

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IN THE SUPERIOR COURT OF __________COUNTY
STATE OF GEORGIA
)
Plaintiff
)
)
Civil Action
v.
)
Case Number
)
Defendant.
)
)
DOMESTIC RELATIONS FINANCIAL AFFIDAVIT
(1) Your Name:
Your Age:
Spouse's Name:
Spouse's Age:
Date of Marriage:
Date of Separation:
Names and birth dates of children for whom support is to be determined in this action:
Name
Date of Birth
Resides with
Names and birth dates of your other children:
Name
Date of Birth
Resides with
(2) SUMMARY OF YOUR INCOME AND NEEDS: (fill out this part after you complete pages 2-5)
(A) Gross monthly income (from Item 3A below)
(B) Net monthly income (from Item 3B below)
(C) Average monthly expenses (from Item 5A below)
______
Initials

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