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Affidavit Verifying Income CAO GCS 1-11 - Idaho
| Affidavit Verifying Income Form. This is a Idaho form and can be used in Family Law District Court Statewide . |
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Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF , FATHER, vs. , MOTHER. State of Idaho, Department of Health and Welfare Case No. AFFIDAVIT VERIFYING INCOME I hereby state under oath that the following information is true: A. GROSS INCOME 1. Wages, salary, commissions, bonuses, etc. 2. Rent, royalties, trade, or business income, etc. (net of ordinary & necessary expenses) 3. Interest, dividends, pensions, annuities, etc. 4. Social security, worker's compensation, unemployment benefits, disability, veterans' benefits, etc. 5. Public assistance, welfare for self (not children) 6. Alimony 7. Grants, distributions from trusts, etc. 8. Other 9. SUBTOTAL FATHER MOTHER ________ ________ ________ ________ ________ ________ ________ ________ ________ AFFIDAVIT VERIFYING INCOME CAO GCS 1-11 12/9/2009 PAGE 1 American LegalNet, Inc. www.FormsWorkFlow.com B. DEDUCTIONS FROM GROSS INCOME (I.C.S.G. Sections 6 and 7) 1. Straight line depreciation on assets 2. One-half of self-employment Social Security taxes 3. Child support & alimony from another relationship 4. Support for child of another relationship living in the home 5. DEDUCTIONS SUBTOTAL C. GROSS INCOME, AS ADJUSTED (line B5 subtracted from line A9) D. IN-KIND BENEFITS (I.C.S.G. Section 6(b)) (housing, food, transportation, recreation) E. POTENTIAL INCOME (I.C.S.G. Section 6(c)) Potential earned income + Potential unearned income F. GUIDELINES INCOME (C + D + E) G. MONTHLY I.C.S.G. INCOME (F÷12 months) FATHER MOTHER ________ ________ ________ ________ ________ ________ ________ ________ ________ _ ________ Typed/printed Signature STATE of Idaho County of ) ) ss. ) SUBSCRIBED AND SWORN before me on this _____ day of Notary Public for Idaho Residing at Commission expires AFFIDAVIT VERIFYING INCOME CAO GCS 1-11 12/9/2009 PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com
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