County of wake in the general court of justice district court division
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- ________________________________________
- CERTIFICATE OF SERVICE
Employer: ______________________________ Employer telephone: ______________________________ Employer Address: _________________________________________________________________________ I am paid: weekly, every other week, twice monthly, monthly, other _______________
Part 1 Regular Recurring Monthly Expenses
Part 2 Individual Monthly Expenses
PART 2 CONTINUED
Part 3 Debts
VERIFICATION ___________________________, being first duly sworn, deposes and says that he/she is the ____________________ in the above-entitled action, that he/she has read the foregoing document and knows the contents thereof, that the same are true of his/her own knowledge, except as to those matters and things stated upon belief, and as to those matters and things, he/she believes them to be true. ________________________________________________________ I certify that the following person personally appeared before me this day, and I have personal knowledge of the identity of the principal I have seen satisfactory evidence of the principal’s identity, by a current state or federal identification with the principal’s photograph in the form of a __________________________ a credible witness has sworn to the identity of the principal; acknowledging to me that he/she voluntarily signed the foregoing document for the purpose stated therein, and in the capacity indicated: __________________________ Date: _____________ __________________________________________________(SEAL) ____________________________________________, Notary Public (Official Seal) My commission expires: ____________________________________ CERTIFICATE OF SERVICEI hereby certify that a copy of this Financial Affidavit has been served on the opposing party/counsel in the following manner: By depositing a copy in the US Mail in a properly addressed, postpaid envelope to: ___________ _________________________________________________________________________________ _________________________________________________________________________________ By hand delivery to: _____________________________________________________________ _________________________________________________________________________________ By facsimile to: _________________________________ Fax No.: _______________________ Other: ________________________________________________________________________ _________________________________________________________________________________ Date: _____________ ________________________________________________________ Plaintiff Defendant Attorney for Plaintiff Attorney for Defendant 1 Pursuant to the Tenth Judicial District Family Court Rules for Domestic Court, this Affidavit shall be filed with the Court and a copy served on the opposing attorney/party along with copies of the required initial disclosures. WAKE-DOM-10 Page of (Rev. 02/10) Directory: wp-content -> uploads -> 2012 2012 -> The Case Against the nypd’s Quota-Driven ‘Broken Windows’ Policing What Is It? 2012 -> Aa and na members Dying from Tobacco 2012 -> [Baby Crying] 01: 04 [Ching 2012 -> Unit Name / Nom de l’unité uic / ciu dates 2012 -> What We Owe Jehovah’s Witnesses 2012 -> Oceans Challenge Badge 2012 -> Canadian cycling olympians 2012 -> Greg landry, june olkowski and tom lysiak 2012 -> William goldman 2012 -> Does translocation and restocking confer any benefit to the European eel population? A review Download 148.33 Kb. Share with your friends:
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