Affidavit Verifying Income (Child Support)
Affidavit Verifying Income (Child Support) Form. This is a Idaho form and can be use in District Court Statewide.
Tags: Affidavit Verifying Income (Child Support), CAO 1-11, Idaho Statewide, District Court
Full Name of Party Filing This Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Number IN THE DISTRICT COURT OF THE JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF _____________________________________, Plaintiff, vs. _____________________________________, Defendant. STATE of Idaho County of Case No.: ___________________ AFFIDAVIT VERIFYING INCOME ) ) ss. ) I hereby state under oath that the following information is true: A. B. GROSS INCOME FATHER 1. Wages, salary, commissions, bonuses, etc. 2. Rent, royalties, trade, or business income, etc. (Net of ordinary & necessary expenses) 3. Interest, dividends, pensions, annuities, etc. 4. Social security, worker's compensation, unemployment benefits, disability, veterans' benefits, etc. 5. Public assistance, welfare for self (not children) 6. Alimony 7. Grants, distributions from trusts, etc. 8. Other 9. SUBTOTAL DEDUCTIONS FROM GROSS INCOME (I.C.S.G. Sections 6 and 7) 1. Straight line depreciation on assets 2. One-half of self-employment Social Security taxes 3. Child support & alimony from another relationship 4. Support for child of another relationship living in the home 5. DEDUCTIONS SUBTOTAL AFFIDAVIT VERIFYING INCOME MOTHER ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ PAGE 1 CAO 1-11 2/25/2005 American LegalNet, Inc. www.USCourtForms.com FATHER MOTHER ________ C. GROSS INCOME, AS ADJUSTED (line B5 subtracted from line A9) D. IN-KIND BENEFITS (I.C.S.G. Section 6(b)) (Housing, food, transportation, recreation) ________ E. POTENTIAL INCOME (I.C.S.G. Section 6(c)) Potential earned income + Potential unearned income ________ F. GUIDELINES INCOME (C + D + E) ________ G. MONTHLY I.C.S.G. INCOME (F÷12 months) ________ ___________________________________ Typed/Printed Name of Person Signing __________________________________ Signature Subscribed and sworn to before me on , 20______. __________________________________________ Notary Public for Idaho Residing at:_____________________________ My commission expires: ___________________ AFFIDAVIT VERIFYING INCOME PAGE 2 CAO 1-11 2/25/2005 American LegalNet, Inc. www.USCourtForms.com