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Affidavit (Of Spouse Regarding Payment Of Bills) Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Affidavit (Of Spouse Regarding Payment Of Bills), 550-D, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
:
JUDICIAL SUBPOENA
Plaintiff(s)
PROBATE DIVISION
-against:
No.__________________
:
Matter of _______________________________________, deceased.
:
Defendant(s) AFFIDAVIT
:
......................................................
Having been duly sworn, I hereby state that I am the surviving spouse of
, and that the decedent’s debts including the funeral bill
and any doctor and/or hospital bills, have already been paid or will be paid in full.
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
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
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.
Spouse’s signature
Witness, Honorable
Court in
County,
day of
, this
Subscribed and sworn to before me 20
, one of the Justices of the
day of
(Attorney must sign above and type name below)
Notary
Attorney(s) for
, 20__.
Clerk
Deputy Clerk
Commission expires:
Office and P.O. Address
Form 550-D
Revised 3/17/2003
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile
Page 1 of 1 Tel. No.:
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