Exceptional Circumstance Form (Attachment C)
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Exceptional Circumstance Form (Attachment C) Form. This is a Hawaii form and can be use in Family Court Statewide.
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Tags: Exceptional Circumstance Form (Attachment C), Hawaii Statewide, Family Court
STATE OF HAWAI‘I
FAMILY COURT OF THE
____________ CIRCUIT
EXCEPTIONAL CIRCUMSTANCE FORM
for
CHILD SUPPORT GUIDELINES
CASE NUMBER
FC-
NO.
The Court should deviate from the Total Monthly Child Support Obligation as calculated because of the
following exceptional circumstance(s):
I hereby declare, under penalty of perjury, that I have examined the statement regarding exceptional
circumstances and to the best of my knowledge and belief it is true, correct and complete.
Dated: _______________, Hawai‘i, _______________________________.
_____________________________________
(Signature)
ATTACHMENT C
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