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Affidavit Verifying Income (Divorce With Children) Form. This is a Idaho form and can be use in 3rd Judicial District Local District Court.
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Tags: Affidavit Verifying Income (Divorce With Children), Idaho Local District Court, 3rd Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
___________________________________, Pro Se
:
Plaintiff’s Name
Index No.
:
___________________________________
Address
Plaintiff(s)
___________________________________
-againstZip
_______________________
Phone
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
IN THE DISTRICT COURT OF THE THIRD JUDICIAL DISTRICT OF
Defendant(s)
:
THE . STATE. .OF .IDAHO,. . . . .AND . FOR. . . . . .COUNTY . OF. ._________________
. . . . . . . . . . . . . . IN . . . . . . THE . . . . . . . . . . . . . . .
_______________________________________
)
)
CASE NO. CV-__________________
__________________________________,
)
THE PEOPLE OF THE STATE OF NEW YORK
Plaintiff,
)
AFFIDAVIT VERIFYING INCOME
-vs)
TO
)
)
__________________________________,
)
Defendant.
)
_______________________________________)
GREETINGS:
Comes now the plaintiff who states under oath the following
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
information is true:
located at
County of
FATHER
MOTHER
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
1. GROSS INCOME (PER YEAR)
a. or adjourned date, to commissions,evidence as a etc. in this action on the part of the
Wages, salary, testify and give bonuses, witness __________ __________
b.
Rent, royalties, trade, or business
income, etc. (Net of ordinary & necessary
Your
expenses) failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
__________ __________
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
c. result of your failure to comply.
Interest, dividends, pensions, annuities,
etc.
d.
e.
f.
__________
Witness, Honorable
Social security, worker’s compensation,
Court in
County,
, 20
unemployment, disability, day of
veteran’s
benefits, etc.
__________
__________
, one of the Justices of the
__________
Public assistance, welfare for self
(NOT children)
__________
__________
Alimony
__________
__________
(Attorney must sign above and type name below)
Attorney(s) for
g.
Grants, distributions from trusts, etc.
h.
Other
__________
__________
+__________ +__________
Office and P.O. Address
GROSS INCOME SUBTOTAL
AFFIDAVIT VERIFYING INCOME
__________
__________
Page 1 of 2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
2. ADJUSTMENTS TO GROSS INCOME (Idaho Child Support Guidelines sections 6
:
Calendar No.
& 7)
a. Straight line depreciation on assets
__________ __________
Plaintiff(s)
b.
c.
d.
One-half of self-employment Social
-againstSecurity tax
JUDICIAL SUBPOENA
:
__________
__________
:
Child support/alimony from other
relationship
__________
:
__________
Support for child of another relationship
Defendant(s)
:
. . living. .in . the . home. . . . . . . . . . . . . . . . . . . . . . . . . . .+__________ +__________
...... .. ... ....
......
ADJUSTMENTS SUBTOTAL
3.
:
__________
__________
GROSS INCOME, AS ADJUSTED
THE PEOPLE OF THE STATE OF NEW YORK
(GROSS INCOME SUBTOTAL minus ADJUSTMENTS
SUBTOTAL)
TO
__________
__________
4.
IN-KIND BENEFITS (Idaho Child Support Guidelines section 6(b))
(Housing, food, transportation, recreation)
__________ __________
5.
POTENTIAL INCOME (Idaho Child Support Guidelines section 6(c))
(Potential earned & potential UNearned income) +__________ +__________
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
GUIDELINES INCOME
__________ __________
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
MONTHLY I.C.S.G. INCOME
(GUIDELINES INCOME divided by 12)
__________
__________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
__________________________________
result of your failure to comply.
Plaintiff
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
__________________________________
Defendant’s social security number
, 20
__________________________________
Plaintiff’s social security number
(Attorney must sign above and type name below)
SUBSCRIBED AND SWORN TO before me this ____ day of ________________, ______
Attorney(s) for
_________________________________
NOTARY PUBLIC FOR IDAHO
Residing at:
My commission Office and P.O. Address
expires:
AFFIDAVIT VERIFYING INCOME
Page 2 of 2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com