Form A-4 – Salary Affidavit, Justice of the Supreme Court



Salary Affidavit, District Judge of District Court

STATE OF IDAHO

Salary Affidavit of _______________________________________

For the month of ______________________, 20_____

(In compliance with Article V, Section 17, Idaho Constitution

and section 59-502, Idaho Code.)

I being first duly sworn, depose and say that I was during the period mentioned above a District Judge of the District Court of the State of Idaho, and that there is not in my hands any matter in controversy not decided by me which has been finally submitted for my consideration and determination thirty days prior to taking and subscribing of said oath.

_____________________________________________

District Judge of the State of Idaho

Subscribed and sworn to before me this _____________day of __________________________, 20____.

Witnessed by: _________________________________

Please EMAIL to:

hr@

(Not necessary to mail original)

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