Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Verifying Income (Child Support) Form. This is a Idaho form and can be use in District Court Statewide.
Loading PDF...
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
