Ohio > Court Of Appeals > 1st Appellate District
Affidavit Of Indigency - Ohio
| Affidavit Of Indigency Form. This is a Ohio form and can be used in 1st Appellate District Court Of Appeals . |
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Affidavit of Indigency Page 1 of 1 IN THE COURT OF APPEALS FIRST APPELLATE DISTRICT OF OHIO HAMILTON COUNTY, OHIO STATE OF OHIO : APPEAL NO.__________________ Plaintiff/Appellee -vs____________________________________ Defendant/Appellant : TRIAL NO. ____________________ : AFFIDAVIT OF INDIGENCY COUNTY OF HAMILTON SS STATE OF OHIO : ________________________________________, the undersigned, being first duly sworn and cautioned, deposes and states as follows: 1. That he is the defendant in the above styled case; 2. That he is a citizen of the State of Ohio; 3. That he is indigent and unable to pay the costs and charges involved in the within matter. 4. That he is entitled to the redress that is sought in the above styled action to the best of his knowledge and belief. FURTHER AFFIANT SAYETH NAUGHT. ________________________________ Defendant/Appellant-Indigent SWORN TO AND SUBSCRIBED BEFORE ME, A NOTARY PUBLIC IN AND FOR THE COUNTY AND STATE THIS ________DAY OF ________, _______. _______________________________________ NOTARY PUBLIC 2000 © American LegalNet, Inc.
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