Domestic Relations Financial Affidavit Page 6
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7CHILDREN'S EXPENSES
Child care
School expenses
School uniforms
Private lessons/tutoring
Lunch money/allowance
Allowances
Clothing
Medical/dental
Psychiatric/psychological/counseling
Prescriptions
Grooming
Gifts
Entertainment
Toys
Books/Publications
Summer camps
Sports and extracurricular activities
Other (attach sheet)
INSURANCE
Health
Dental
Life
Disability
Other (specify)
TOTAL MONTHLY EXPENSES
(5) (B)
Payments To Creditors
To Whom
Name on Account
Balance Due
Monthly Payment
TOTAL PAYMENTS TO CREDITORS
______
Initials
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Parent category: Legal