Form #App. R. 40-1 (Sample Affidavit in Support of Motion ...
(Yes ( No. a. If the answer is yes, describe each source of income, and state the amount received from each during the past twelve months. 3. Do you own any cash or checking or savings account? (Yes ( No. a. If the answer is yes, state the total value of the items owned. 4. ................
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