Form I - Financial Information Page 9
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9NOTE: Support payments to others (list only persons who are not included in this application):
Name
Date of Birth
(First Middle Last)
(YYYY/MM/DD)
1.
2.
3.
4.
5.
6.
7.
8.
Additional page(s) attached
Indicate whether payments are made:
Voluntarily
Due to a court order, or written agreement (attach)
Indicate whether you deduct payments on your income tax return:
Yes
No
This document is attached to and forms part of the evidence in my support application/support variation application
or response.
(Signature of the person completing this Form)
Form I
Financial Statement
Page 9
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