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Get and Sign Hawaii Information Sheet
CARETAKER
Name
Address
_____________________________________________
[ ] M OTHER [ ] FATHER [ ] CARETAKER
[ ] and CHILD SUPPORT ENFORCEMENT AGENCY,
STATE OF HAWAI‘I,
City
State
Zip Code
Telephone Number
DEFENDANT(S).
INCOME: YOU MUST LIST ALL INCOME AMOUNTS AND SOURCES
(Note: The Court may require you to file more detailed financial information.)
1.
2.
GROSS MONTHLY
INCOME
NAME OF PRIMARY EMPLOYER:
Paid: [ ]monthly [ ]2 times per month [ ]every 2 weeks [ ]weekly [ ]other
$
OTHER...
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