Domestic Relations Financial Affidavit - 2017 Page 5
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5AFFIANT’S OTHER EXPENSES
Dry cleaning and laundry
Clothing
Medical/dental
Prescriptions
Affiant’s gifts (special holidays)
Entertainment
Vacations
Publications
Dues, clubs
Religious and charities
Alimony paid to former spouse
Child support paid to former spouse
TOTAL ABOVE EXPENSES
B. PAYMENTS TO CREDITORS
To Whom
Balance Due
Monthly Payments
Total Monthly Payments to Creditors
C. TOTAL MONTHLY EXPENSES
This
day of
, 2017.
___________________________________
NOTARY PUBLIC
__________________________
(Name)
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