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Pinellas County Indigent Transcript Request Form
Shall not be charged for Dependency or Chapter 39 Termination of Parental Rights actions.
1. I have ______dependents. (Include only those persons you list on your U.S. Income tax return.)
Are you Married?...Yes….No Does your Spouse Work?...Yes….No
Annual Spouse Income? $_____________
2. I have a net income of $____________ paid ( ) weekly ( ) every two weeks ( ) semi-monthly ( ) monthly ( ) yearly ( ) other _________.
(Net income is your total income including salary, wages, bonuses,...
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