Fill and Sign the Affidavit Support Form PDF

IN THE ___________COURT OF ___________ (County), ___________ (State) ________________________ PLAINTIFF (Name of Plaintiff) V. CAUSE NO. _____,_____ _________________________ DEFENDANT (Name of Defendant) Affidavit in Support of Slow Pay Motion STATE OF ____________________ COUNTY OF _______________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, __________________ (Name of Affiant), who, having been being first duty sworn by the undersigned Notary Public, deposes and says: 1. Affiant is the Defendant in the above captioned matter. 2. I am unable to pay the Judgment rendered against me in this case, except by the wages or salary earned by me. 3. I am now employed by _____________________ (Name of Employer), whose address is ____________________________________________ ___________________________ (street address, city, state, zip code) . 4. I earn the sum of $ ___________ which is paid (e.g., weekly, monthly) ___________________ . _________________________ (Printed Name of Affiant)_________________________ (Signature of Affiant) SWORN to and subscribed before me, this the ______ day of _______________, 20______. __________________________ NOTARY PUBLIC My Commission Expires: _____________________Certificate of Service This is to certify that I, __________________ (Name of Defendant) , have this date served a true and correct copy of the above and foregoing Motion by U.S. Mail, postage fully prepaid, to the following counsel of record for the Plaintiff: ______________________(Name of Attorney) ____________________________ (Post Office Box No. or Street Address) _____________________________ (City, State, Zip Code) This the ____day of ________________, 20_____. Respectfully submitted, _________________________ (Name of Defendant) By:______________________(Name of Defendant) _______________________ (Signature of Defendant)