Financial Declaration
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11My Name
Address
City, State, Zip
Phone
E-mail
I am the
Petitioner
Respondent
Attorney for the
Petitioner
Respondent and my Utah Bar number is
_______
In the District Court of Utah
__________ Judicial District ________________ County
Court Address ______________________________________________________
_____________________________________
Financial Declaration
Petitioner
Case Number ___________________
v.
Judge _________________________
_____________________________________
Commissioner ___________________
Respondent
Instructions: You must attach the following records and forms.
Continuation pages
(If any, completing paragraphs that don’t have enough space. Write the
paragraph number on the continuation page.)
Records supporting every item listed
(Suggested records are listed with each
paragraph. You should delete all but the last 4 digits of account numbers.)
By and through my attorney,
(Attorney, check here if you are appearing on behalf of your
client.)
I say as follows:
(1)
I declare under criminal penalty of Utah Code Section 78B-5-705 that:
Financial Declaration
Approved Board of District Court Judges September 10, 2008
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