Financial Affidavit
State: Alabama
County: ________
I, the undersigned, do swear and affirm the following facts:
1. My legal name is as follows: ________.
2. My present address is as follows:
________
3. I am currently employed in the following position: ________. I work for the following:
________
4. My gross monthly income comes from the following source:
________
Monthly Income From This Source: $________
5. The deductions made each month from my income are as follows:
________
6. My monthly household expenses are as follows:
________
7. I have no monthly debts.
8. I have no assets.
9. My financial summary is as follows:
Total Net Monthly Income: $________
Total Monthly Expenses And Debts: $________
Total Current Assets: None
10. I provided the following form of identification to the Notary Public to prove my identification:
________
11. This Financial Affidavit is being sworn for the following reason:
________
12. 5 52 58552 2552 522 25882 82225252822 22 2588 282528858 822855882 88 2528855882 22 252 2588282 252222 22 252 858, 52 22 525 828855822 22222552 2822 25 822588222222.
13. 552 82828 88 22 2552 525 8255282 882252552.
I swear under penalty of perjury that I am the party described above and that all statements in this Financial Affidavit are true.
________
Signature: _____________________
Date:_________________________
State of Alabama NOTARIZATION:
State: Alabama
County: ________
On the following date: ________________________ before me personally appeared the above signatory. I am a Notary Public in and for the state of Alabama and the signatory above is personally known to me or proved to me on the basis of satisfactory evidence to be the person(s) whose name is signed herein and acknowledged that he/she/they executed the same.
WITNESS my hand and official seal:
Seal:
Name: __________________________________
Signature: _______________________________
My commission expires: ____________________
Financial Affidavit
State: Alabama
County: ________
I, the undersigned, do swear and affirm the following facts:
1. My legal name is as follows: ________.
2. My present address is as follows:
________
3. I am currently employed in the following position: ________. I work for the following:
________
4. My gross monthly income comes from the following source:
________
Monthly Income From This Source: $________
5. The deductions made each month from my income are as follows:
________
6. My monthly household expenses are as follows:
________
7. I have no monthly debts.
8. I have no assets.
9. My financial summary is as follows:
Total Net Monthly Income: $________
Total Monthly Expenses And Debts: $________
Total Current Assets: None
10. I provided the following form of identification to the Notary Public to prove my identification:
________
11. This Financial Affidavit is being sworn for the following reason:
________
12. 5 52 58552 2552 522 25882 82225252822 22 2588 282528858 822855882 88 2528855882 22 252 2588282 252222 22 252 858, 52 22 525 828855822 22222552 2822 25 822588222222.
13. 552 82828 88 22 2552 525 8255282 882252552.
I swear under penalty of perjury that I am the party described above and that all statements in this Financial Affidavit are true.
________
Signature: _____________________
Date:_________________________
State of Alabama NOTARIZATION:
State: Alabama
County: ________
On the following date: ________________________ before me personally appeared the above signatory. I am a Notary Public in and for the state of Alabama and the signatory above is personally known to me or proved to me on the basis of satisfactory evidence to be the person(s) whose name is signed herein and acknowledged that he/she/they executed the same.
WITNESS my hand and official seal:
Seal:
Name: __________________________________
Signature: _______________________________
My commission expires: ____________________
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