Poverty Statement Affidavit
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Poverty Statement Affidavit Form. This is a Ohio form and can be use in Court Of Claims.
Tags: Poverty Statement Affidavit, Ohio Court Of Claims,
The Ohio Judicial Center
65 South Front Street, Third Floor
Columbus, OH 43215
614. 387.9800 or 1.800.824.8263
, state under the penalties of perjury
and falsification that I am indigent and that payment of the $25.00 filing fee would
create a financial hardship for me.
*Under R.C. 2921.11,R. .C. 2929.11 and 2929.18 perjury is a felony of the third degree and punishable by imprisonment of one to five
years and a fine up to $10,000.00 Under R.C. 2921.13 and R.C. 2929.21 falsification is a misdemeanor of the first degree and punishable
by imprisonment of six months and a fine not more than $1,000.00.
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