Pre-Decree Financial Affidavit - Oklahoma District Court Page 8
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10_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
____
*** Child Care: Projected annual child care costs for the next tw elve (12) months:
MONTHLY PROJECTED CHILDCARE COSTS
JAN $______
FEB $_______
MAR $_______
APR $_______
MAY $_______
JUN $_______
JUL $_______
AUG $______
SEP $_______
OCT $_______
NOV $_______
DEC $_______
$________________ divided by 12 = $____________________
Total Cost
Average Monthly Cost
NAMES OF CHILDREN IN CHILD CARE:
_______________________________________________________________
NAME OF CHILD CARE PROVIDER:
_______________________________________________________________
ADDRESS OF CHILD CARE PROVIDER:
_______________________________________________________________
Street,
City,
State,
Zip Code
VERIFICATION
STATE OF OKLAHOMA
)
) SS.
COUNTY OF ______________
)
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