Financial Affidavit For Child Support Page 5

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9. Check the box [ ] that applies:
[ ] I contribute to a mandatory retirement plan. The minimum
amount required as a contribution is $____________.
(minimum contribution required)
OR
[ ] I do not contribute to a mandatory retirement plan.
OR
[ ] I do not have a mandatory retirement plan, but I contribute to a
voluntary retirement plan. My monthly contribution is
$____________.
(average contribution)
OR
[ ] I do not contribute to a voluntary retirement plan.
10. Check the box [ ] that applies:
[ ] My spouse contributes to a mandatory retirement plan. The
minimum amount required as a contribution is $____________.
(minimum contribution required)
OR
[ ] My spouse does not contribute to a mandatory retirement plan.
OR
[ ] My spouse does not have a mandatory retirement plan, but my
spouse contributes to a voluntary retirement plan. My spouse’s
monthly contribution is $____________.
(average contribution)
OR
[ ] My spouse does not contribute to a voluntary retirement plan.
Continued on next page …
Financial Affidavit for Child Support, DC 6:5(2), PSC Nebraska.
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