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Declaration In Support Of Fee Waiver 1523 - Nevada
| Declaration In Support Of Fee Waiver Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 Code: 1523 2 3 4 IN THE FAMILY DIVISION 5 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 6 IN AND FOR THE COUNTY OF WASHOE 7 8 9 Plaintiff/Petitioner Case No. 10 v s. D ept. No. 11 12 Defendant/Respondent 13 ___________________________________/ 14 DECLARATION IN SUPPORT OF FEE WAIVER 15 The undersigned attorney or staff person of tFamhe ily Court Self-Help Center certifies that the 16 Plaintiff/Petitione r, Defenndta/Rpesondent qualifies to have fees wavi ed pursuan to t NRS 12.015. 17 This Declaration is based on information provided by the litigant as follows: 18 That their huosehold consists of perso andns their total gross incom eis $ per (week, month, 19 year) andh teir income qualifies emth for waiver under the guidelines. 20 That, although their gross inco emxeceeds the guidelines for waiver, there are extenuating circumstances to be 21 considered, which are: 22 23 Dated this day of , 20 . 24 I declare under penalty of perjury that 25 the information provided is true to the best of my knowledge. 26 Signature:_____________________________ 27 Attorney and Bar #/Family Court Self-Help Center Addr ess: 28 American LegalNet, Inc. www.USCourtForms.com
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