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Financial Statement Of Proposed Guardian - Missouri

Financial Statement Of Proposed Guardian Form. This is a Missouri form and can be used in Family Probate 21st Circuit (St. Louis County) Local Circuit Courts .
 Fillable pdf Last Modified 2/13/2014
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IN THE CIRCUIT COURT OF ST. LOUIS COUNTY, MISSOURI Probate Division/Family Court In the matter of ______________________________________________ Minor No._________________________________ EXHIBIT K FINANCIAL STATEMENT OF PROPOSED GUARDIAN This required information is necessary so that the court may determine your ability to support the subject child. Please complete all sections, sign, and return to the court. Are you employed: Yes No Please attach a copy of your most recent paycheck stub. Do you have any of the following? If so, give us a total amount for them. Checking/Savings Accounts Other ­ (Any other property that you own worth more than $100.00) ___________________________________________________ ___________________________________________________ ___________________________________________________ $ _____________________________ $ ________________________________ TOTAL MONTHLY INCOME: (Include income of spouse, if married) $ _______________________________ Gross Salary/Wages Social Security Other Income (Interest/Dividends, etc.) $________________________________ $________________________________ $________________________________ $________________________________ AGE PLACE OF RESIDENCE TOTAL MONTHLY INCOME If you have any children, give their names, ages and who they are living with: NAME ____________________________________ ____________________________________ ____________________________________ __________________________ Date For Court's Use Only: CCPR055 10/13 _______ _______ _______ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Signature of Proposed Guardian(s) FINST - Financial Statement KFSPG - Financial Statement Proposed Gdn American LegalNet, Inc. www.FormsWorkFlow.com
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