Domestic Relations Financial Affidavit

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IN THE SUPERIOR COURT FOR THE COUNTY OF
,
Plaintiff,
v.
Civil Action File No.
,
Defendant.
DOMESTIC RELATIONS FINANCIAL AFFIDAVIT
1.
AFFIANT'S NAME
Affiant's 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:
Year of Birth:
Resides with:
Names and birth dates of affiant's other children:
Name:
Year of Birth:
Resides with:
2.
SUMMARY OF AFFIANT'S INCOME AND NEEDS
(a) Gross monthly income (from item 3A)
(b) Net monthly income (from item 3B)
(c) Average monthly expenses (item 5A)
Monthly payments to creditors
+
Total monthly expenses and payments
to creditors (item 5C)
Domestic Relations Financial Affidavit
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