Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > General
Affidavit In Support Of Application For Permission To Proceed Without Deposit On Costs 235 - Missouri
| Affidavit In Support Of Application For Permission To Proceed Without Deposit On Costs Form. This is a Missouri form and can be used in General Probate 7th Circuit (Clay County) Local Circuit Courts . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION Case No. Matter of AFFIDAVIT IN SUPPORT OF APPLICATION FOR PERMISSION TO PROCEED WITHOUT A DEPOSIT ON COSTS Being first duly sworn to tell the truth, I make the following statements in support of my application to proceed without a deposit on costs: 1. Address: 2. Employment: Wages: $ 3. Spouses employment: Wages: $ 4. Dependents (names & age): 5. Real Property (land & buildings): Net Value: $ 6. Household goods, furniture, clothes, and jewelry: 7. Motor vehicles (cars, trucks, motorcycles, motor homes): 8. Cash on hand: $ , Deposit in banks, savings & loans, credit unions etc. $ ______ 9. Stocks & Bonds: $ 10. All other property of value: 11. All other sources of income 12. Debts: I UNDERSTAND THAT ANY INTENTIONALLY FALSE STATEMENT ON THIS AFFIDAVIT MAY SUBJECT ME TO THE PENALTIES OF THE CRIME OF PERJURY. Signature of applicant Subscribed and sworn to before me this ____________ day of _____________________________________, 20______. Clerk Deputy Clerk Form 235 Page 1 of 1 Revised 3/14/2003
|
|||||||
