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Adoption Affidavit To Establish Financial Ability Form. This is a Tennessee form and can be use in Shelby Local County.
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Tags: Adoption Affidavit To Establish Financial Ability, Tennessee Local County, Shelby
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
IN THE CHANCERY COURT OF TENNESSEE
JUDICIAL SUBPOENA
Plaintiff(s)
FOR THE THIRTIETH JUDICIAL DISTRICT AT MEMPHIS
-against:
IN RE: ADOPTION OF
____________________________________
:
____________________________________ and
NO. ____________________
:
Defendant(s)
:
..................................
____________________________________. ,. . . . . . . . . . . . . . . . . . .
Petitioner(s)
ADOPTION AFFIDAVIT TO
THE PEOPLE OF THE STATE OF NEW YORKESTABLISH FINANCIAL ABILITY
Husband's Monthly Income: Gross: __________________ ;
TO
Source: ________________________________
Net: ________________________
Wife's Monthly Income:
Gross: __________________ ;
Source: ________________________________
GREETINGS:
Net: ________________________
Other: _________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorable
Total County of
Income:
in room
at the
Gross: __________________ ;
located at
, on the
day of
, 20
,
Court
Net: ________________________
, at
o'clock in the
noon, and at any recessed
Bank Accounts: Checkingtestify and give evidenceBalances) : in this action on the part of the
or adjourned date, to and Savings (Present as a witness
___________________________
___________________________
Your
Monthly Expenses: failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party Note:
Rent or House 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.
Utilities/Phone, etc.:
______________
Groceries:
Automobile Note:
Witness, Honorable
Automobile in
Gasoline, Insurance & Maintenance
Court
County,
day of
, 20
Doctor, Dentist, Health Insurance, etc.
Miscellaneous:
Laundry/Dry Cleaning; Haircuts/Beauty Parlor; Lunches;
Enterntainment; etc.
Charge Accounts:
Total Monthly Expenses :
________________
,______________of the
one of the Justices
______________
______________
(Attorney must sign above and type name below)
______________
______________
______________
Attorney(s) for
I/We _______________________ and _______________________ make each oath that the information
provided in this affidavit is true and correct.
_______________________________
Petitioner and P.O. Address
Office
_______________________________
Petitioner
Telephone No.:
Sworn to and subscribed before me this ____ day of ________ , ______ .
Facsimile No.:
_______________________________
Notary Public
E-Mail Address:
My commission expires: No.:
___________________________
Mobile Tel.
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