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Do it yourself affidavit proce... LUEG:SW SP SWQMP ..... http://www.sandiegocounty.gov/pds/docs/pds659.pdf. ... for Disturbed Areas of 1 Acre or Less Building Division. PDS 659. Available ...

Affidavit of change of denomin... ALASKA UNIFIED CERTIFICATION PROGRAM (AUCP) Disadvantaged Business Enterprise (DBE) Print Form ANNUAL 'NO CHANGE' AFFIDAVIT , owner of I (owner name) (firm name) affirm that there have been

Long form affidavit florida el... Application for Certification of Communications Services Database DR-700012 R. 05/11 Rule 12A-19.100 Florida Administrative Code Please Read Instructions First Check one: Application for certification

Michigan affidavit of parentag... APPLICATION FOR A CERTIFIED COPY MICHIGAN AFFIDAVIT OF PARENTAGE RECORD NOTE: The Michigan Vital Records office has Affidavit of Parentage records that were filed in the Central Paternity Registry

Dr 150 form AS 25. 30. 380 e IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT I CASE NO. CHILD CUSTODY JURISDICTION AFFIDAVIT say on oath or affirm under penalty of perjury that The following children are the subject of the present custody proceedings Child s Name Place of Birth Present Address since Prior Residences for past 5 years dates Birthdate Sex Who Has Custody Person Child Lived With Name Current Address City State Relationship to / Page 1 of 3 DR-150 3/03 cs CHILD CUSTODY AFFIDAVIT AS 25. If you believe that disclosure of some of the information on this form would jeopardize your health safety or liberty or that of your children you are not required to serve a copy of this form on the other party. Instead file this form with the court along with court form DR-151 available at the clerk s office. 30. 380 2. Have you participated as a party a witness or in another capacity in another proceeding concerning the custody of any of the above children or visitation with them Yes No If yes describe the previous child custody determination Name of Court Case Number Court s Decision Date 3. Do you know of a proceeding that could affect the current proceeding including a proceeding relating to domestic violence protective orders termination of parental rights adoption or enforcement of a court order If so describe Name of Court Nature of Proceeding the above children or claims to have the right to physical custody legal custody or visitation If so list each person s name and address and what the person claims I swear or affirm under penalty of perjury that my statements in this affidavit are true to the best of my knowledge and belief* Signature Subscribed and sworn to or affirmed before me at. on Alaska SEAL Clerk of Court Notary Public or other person authorized to administer oaths. My Commission Expires I certify that on a copy of this affidavit was mailed to the other party in this case list name Note Each party has a continuing duty to inform the court of any other court proceeding in this state or any other state concerning any of the children listed above. If you believe that disclosure of some of the information on this form would jeopardize your health safety or liberty or that of your children you are not required to serve a copy of this form on the other party. Instead file this form with the court along with court form DR-151 available at the clerk s office. 30. 380 2. Have you participated as a party a witness or in another capacity in another proceeding concerning the custody of any of the above children or visitation with them Yes No If yes describe the previous child custody determination Name of Court Case Number Court s Decision Date 3. Do you know of a proceeding that could affect the current proceeding including a proceeding relating to domestic violence protective orders termination of parental rights adoption or enforcement of a court order If so describe Name of Court Nature of Proceeding the above children or claims to have the right to physical custody legal custody or visitation If so list each person s name and address and what the person claims I swear or affirm under penalty of perjury that my statements in this affidavit are true to the best of my knowledge and belief* Signature Subscribed and sworn to or affirmed before me at.

Affidavit of best interest for... You must use black ink to fill out this form. Your Name: Mailing Address: Telephone: Message phone: NOTE: If for any reason you do not wish the other party to know your physical address, you must

Copy of affidavit of financial... Name: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: Representing: Self Petitioner Respondent State Bar Number: ARIZONA SUPERIOR COURT, COUNTY OF COCHISE Case

Affidavit of employment verifi... EMPLOYMENT VERIFICATION FORM ******************************************************************* Print Form To be completed by the requesting organization or DHS official recording a verbal request:

Caregiver authorization affida... CAREGIVER AUTHORIZATION AFFIDAVIT Massachusetts General Laws Chapter 201F 1. AUTHORIZING PARTY (Parent/Guardian) I, , residing at am: (circle one) the parent legal guardian legal custodian of the

Junk affidavit missouri form SHP-498A 05/12 MISSOURI STATE HIGHWAY PATROL JUNK SALVAGE OR REBUILDING AFFIDAVIT Year Make Mileage Model Vehicle Identification Number Name of Seller I understand the vehicle listed above which I am buying from the seller has not been inspected and is in an unsafe mechanical condition. The vehicle is being purchased for junk salvage or rebuilding.

Montana financial affidavit fo... Print Reset this will clear all form fields MONTANA CHILD SUPPORT GUIDELINES FINANCIAL AFFIDAVIT INSTRUCTIONS FOR COMPLETING THIS FORM Provide complete information attaching additional pages if needed. If a question or statement does not apply to you DO NOT LEAVE IT BLANK instead mark it as Not Applicable or N/A. Be sure to sign this form and have your signature notarized* A. PERSONAL INFORMATION Full Name Work Phone No* Home Address Home/Cell No* Date of Birth Case Number Mailing Address Driver s License No* What is your tax filing status Single Married joint Married separate Head of Household List the people you claim as tax exemptions If you are married and file taxes jointly please provide your current spouse s annual income so that tax credits may be calculated accurately. Did you finish high school Yes No If no indicate highest grade completed List all schools attended following high school* Include training school college or university trade school* School Name Course of Study Completion Date Degree/Diploma B. CHILDREN 1. List all of your natural and adopted children do not include stepchildren Child s Full Name Month/Day/Year Who does child live with Are you ordered to pay support for this child amount/month ATTACH A COPY OF ANY ORDER REQUIRING CHILD SUPPORT TO BE PAID FOR THESE CHILDREN* CS404. 6A Rev*8/10 2. Complete the table below for all expenses you pay and benefits you receive on behalf of all children shown in the previous table. Attach proof for the items listed below. Do NOT list amounts paid by other parent. Child s First Name Annual Day Care Costs Unreimbursed Medical Expenses How many days does child spend with you per year Dependent s Benefits Received Miles Driven for Long Distance Parenting Other Transportation Costs for Long For example - Social Security Benefits The majority of a 24 hour period the children are in your control Do not include lodging food and entertainment 3. Do you receive reimbursement for day care expenses /month reimbursement If any of the children listed above have ongoing medical expenses please describe. 5. Do you have health insurance available to you through employment or other group If no skip to Section C. If yes to have the cost included in your child support calculation you must do one of the following before the final order is entered A. Prove that you currently have insurance coverage in effect for the children or B. Obtain verification from the insurance carrier that you have paid a premium with the intent to enroll the children* Name everyone who is covered by this policy Regardless of whether your children are covered complete the following Insurance Co. Name Address Policy Number Certificate Number Total cost of health insurance premium per month including your children whether or not you and the children are currently enrolled. Adult s portion of premium* Child ren s portion of premium* Portion of premium to be paid by you each month. C. EMPLOYMENT List your current or most recent employer s first and your past two employers Employer s Name Address and Telephone Number Dates of Employment Average Hours Worked and Current or Ending Pay From hours/week To pay/hour P-Permanent T-Temporary S-Seasonal What kinds of work do you/did you do for your employer s Do you belong to a union If yes name of union local address and amount of monthly dues 4.

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