Financial Affidavit (Short Form)
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Financial Affidavit (Short Form) Form. This is a Georgia form and can be use in Chatham Local County.
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Tags: Financial Affidavit (Short Form), Georgia Local County, Chatham
American LegalNet, Inc.www.FormsWorkflow.com o }a100 Financial Affidavit for the State Court of Chatham County, GeorgiaName:DateOriginalAmountCurrentAddress:IncurredDebtPaidBalanceFOR OFFICIAL USE ONLYDebt 1Debt 2MONTHLY OBLIGATIONS Debt 3CONTINUEDDebt 4Rent / MortgageEmployment Information TOTALSTrailer Lot RentalPlease print the name of your employer and pay. If paid weekly MULTIPLY by4for total earnings per month.TelephoneMonthly Pay CableMONTHLY I N C O M E O T H E R A S S E T S Other UtilitiesAFDC Cash in Savings AccountsFoodAlimony (Receiving)Boat(s) and Other Vehicles Car Payments Unemployment InheritancesCar MaintenanceFood Stamps Legal/Insurance SettlementCar InsuranceTrust FundReal Estate Gasoline / FuelInvestment Dividends Other Assets Not ListedChild SupportClaims / SettlementsTotal Other AssetsBeeper / PagerDisabilityMedical ExpensesChild Support GETMONTHLY OBLIGATIONSMedical InsuranceWorker's CompHousehold ExpensesAlimony PaymentsSocial SecuritySchoolLoan PaymentsPension Water, Sewage & Garbage Pickup ClothingOther IncomeGasInternet Connection Wages + AssistanceElectricCell PhoneTOTAL INCOME:Other PaymentTOTAL EXPENSES: Prepared By:Other PaymentOther PaymentNETINCOME:Date: Total Expenses Real Estate - FMValueStocks & BondsI certify this to be trueand correct. Less Amt Owed Retirement Account(s)Automobile(s) Cash, Other than savings Less Amt Owed Checking Account(s) Other Assets Not Shown Total All AssetsNet Real EstateNet Automobile CLEAR FORM14. Financial Affidavit (SF) (Static)09-05 Employer'sName&Phone: Who,ifanyone,assistedincompletingthisform? -1.0 0 0 0 -1 0.00 DATE NETASSETS(LessDebts)
