Financial Affidavit For Child Support

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IN THE DISTRICT COURT OF _________________ COUNTY, NEBRASKA
(county where Complaint filed)
____________________________,
)
Case No. CI _____________
)
(your full name)
(case number assigned by Clerk of Court)
Plaintiff,
)
)
FINANCIAL AFFIDAVIT
vs.
)
FOR CHILD SUPPORT
)
____________________________,
)
)
(spouse’s full name)
Defendant.
)
STATE OF NEBRASKA
)
)
ss.
COUNTY OF ____________________ )
(county where signed)
I, __________________________________, am under oath and I state that
(first, middle and last name)
the following information is true:
1. I filed this action for divorce.
Continued on next page …
Financial Affidavit for Child Support, DC 6:5(2), PSC Nebraska.
1

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