Affidavit For Uncontested Trial Page 3
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5Form 23C:
Affidavit for Uncontested Trial
(page 3)
Court File Number
CHILD SUPPORT
Fill out this section if you are claiming child support.
8. I am claiming support for
(number)
child(ren).
9. To the best of my knowledge, the source(s) of the respondent’s income is
(Check one or more boxes as circumstances require.)
employment income at
(employer’s name and address)
commissions, tips, overtime, bonuses, etc.
self-employment as
(name or nature of respondent’s business)
other
(Specify.)
10. I believe that the respondent’s current annual income from all income sources is $
for the
following reasons:
(Give your reasons for believing the dollar amount set out.)
SPOUSAL SUPPORT
Fill out this section if you are claiming support for yourself.
11. I need spousal support for the following reasons:
(Give details of your financial needs.)
FLR-23C-E (2009/09)
Page 3 of 5
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