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Fill and Sign the Form 132 Affidavit in Forma Pauperis

Fill and Sign the Form 132 Affidavit in Forma Pauperis

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OCCAOnline Rules of the Court of Criminal Appeals Form 13.2 Affidavit in Forma PauperisThe A ffid avit in F orm a P auperis m ust b e in t h e f o llo w in g f o rm :STA TE O F O KLA H O M ACO UNTY O F _ __________)))___ ___ ______________, b ein g fir s t s w orn , d epose a nd s ta te th at I a m a p oor p ers o n w it h out fu nds o r pro perty o r re la tiv e s w illin g to a ssis t m e in p ayin g fo r filin g th e w it h in in str u m ent. I u nders ta nd a ny fa ls e sta te m ent o f a m ate ria l f a ct m ay s e rv e a s a b asis f o r p ro se cu tio n f o r p erju ry . _ __ ___ ____________________________________(S ig natu re o f A ffia nt)S ub scrib ed a nd s w orn t o b efo re m e t h is _ ___ d ay o f _ _________, 2 0_ ___. _ __ ___ ____________________________________(N ota ry P ublic )M y C om mis sio n e xp ir e s: _ _________ STATEMENT OF PRISON ACCOUNT IF INCARCERATED The a bove in m ate h as o n d eposit in h is /h er In m ate T ru st F und A cco unt p ers o nal fu nds in th e a m ount o f $_ _ ___ ___ a s o f th is d ate , _ ___________, 2 0_ ___, a nd th e a tta ch ed s ta te m ent s e ts o ut th e d eposit s a nd wit h dra w als f o r t h e la st s ix m on th s. B y _ _ __ __________________________________(D epartm ent o f C orre ctio ns O ffic ia l)

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Adhere to these comprehensive directions:

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