Defendants Financial Affidavit Page 2
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316. TOTAL monthly income from all sources...
......... $_________
17. Average TOTAL income of spouse (if married)................
$_________
18. List any and all other sources of income not considered in.
$_________
questions 16 and 17.
19. Total of cash on hand, checking accounts,.................................. $_________
savings accounts, certificates of deposit, stocks, mutual
funds, life insurance policies, etc. of defendant and spouse
20. Value of real estate owned less amount owed (including spouse) $_________
21. Value of automobiles less amount owed...................................
$_________
.TOTAL VALUE OF 16 thru 21
$_________
22. Monthly rent or house payment..
$_________
23. Total monthly utilities
$_________
24. Total monthly vehicle payments
$_________
25. List all other monthly expenses:
Type of Debt
_________________________________________________
$_________
_________________________________________________
$_________
_________________________________________________
$_________
_________________________________________________
$_________
TOTAL MONTHLY DEBTS AND EXPENSES $_________
___________________________________________________________________
26. I am currently (check one)
In Jail
On Bond.
26a Type of bond: (check one)
Cash
Personal
Pretrial
Surety
I
have
have not attempted to hire an attorney in this case. The names of the
attorneys I have contacted
are:_________________________________________________________________________
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