Petition To Proceed In Forma Pauperis Instruction Sheet Page 4
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10LINE 3d.
This section deals with additional income that may be contributed to the home by a spouse,
parent, child or other source.
LINE 3e.
Fill in any amounts related to the type of property indicated. If the amount is zero (0), indicate
that.
LINE 3f.
List any outstanding financial obligations that you owe.
LINE 3g.
List the name of any person(s) relying upon you for financial support. Include the ages of your
children and the relationship to you of any adult to whom you provide support.
LINE 4.
Stays the same
LINE 5.
DATE AND SIGN THE VERIFICATION THAT THE STATEMENTS YOU HAVE MADE
ARE TRUE AND CORRECT.
SIGN AND DATE THE POVERTY AFFIDAVIT.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Petition For Leave To Proceed In Forma Pauperis - Court Of Common Pleas Of Erie County, Pennsylvania
Legal
Affidavit And Application Form To Proceed In Forma Pauperis ) (request To Proceed Without Payment Of Fees)
Legal
Related Categories
Parent category: Legal