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Fill and Sign the Affidavit Forma Pauperis 497322909

Fill and Sign the Affidavit Forma Pauperis 497322909

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OCCA Online Rules of the Court of Criminal Appeals Form 13.2 Affidavit in Forma Pauperis The Affidavit in Forma Pauperis must be in the following form: STATE OF OKLAHOMA COUNTY OF ___________ ) ) ) ____________________, being first sworn, depose and state that I am a poor person without funds or property or relatives willing to assist me in paying for filing the within instrument. I understand any false statement of a material fact may serve as a basis for prosecution for perjury. __________________________________________ (Signature of Affiant) Subscribed and sworn to before me this ____ day of __________, 20 ____. __________________________________________ (Notary Public) My Commission expires: __________ STATEMENT OF PRISON ACCOUNT IF INCARCERATED The above inmate has on deposit in his/her Inmate Trust Fund Account personal funds in the amount of $________ as of this date, ____________, 20 ____, and the attached statement sets out the deposits and withdrawals for the last six months. By ______________________________________ (Department of Corrections Official)

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