Petitioners Respondent Preliminary Or Final Declaration Of Disclosure Of Assets Debts Income And Expenses Page 8

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Description of Expense
Amount per Month
Other Expenses (describe):
DATED this ____ day of _______________________, 20___.
Signature
Print Name
[ ]Petitioner/ [ ]Respondent Pro Se
STATE OF MONTANA
)
) ss.
COUNTY OF
)
SUBSCRIBED AND SWORN TO before me this _____ day of ____________________,
20____.
Name (printed): _______________________
(Seal)
Notary Public for the State of Montana
Residing at
My commission expires
Declaration of Disclosure, Page 8 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02

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