Idaho > Local District Court > 6th Judicial District > Divorce
Affidavit Verifying Income - Idaho
| Affidavit Verifying Income Form. This is a Idaho form and can be used in Divorce 6th Judicial District Local District Court . |
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IN THE DISTRICT COURT OF THE SIXTH JUDICIAL DISTRICT OF THE STATE OF IDAHO, COUNTY OF _____________________ ____________________________________________________________________ (Name) ) ___________________________________________________________________ (Soc. Sec. No.))Case No. __________________________ ) vs. ) Affidavit Verifying Income ) _____________________________________________________________________ (Name)) _____________________________________________________________________ (5- Sec. N..)) __________________________________) I hereby state under oath that the following information is true: A. ANNUAL GROSS INCOME (ICSG Sec 6) FATHER MOTHER 1. wages, salary, commissions, & bonuses ...............................................$ __________________ $ __________________ 2. Unemployment benefits .........................................................................$ __________________ $ __________________ 3. Workers compensation, disability, Social Security ................................$ __________________ $ __________________ 4. Interest, Dividends, Pensions, & Annuities ............................................$ __________________ $ __________________ 5. Alimony ..................................................................................................$ __________________ $ __________________ 6. Veterans benefits ..................................................................................$ __________________ $ __________________ 7. Education grants and student loans ......................................................$ __________________ $ __________________ 8. Public assistance for self (not children) ................................................$ __________________ $ __________________ 9. Self-employment, business, trade and rent income:$ __________________ Less straight line depreciation $ (_________________) Less one-half self-employment S.S. tax $ (_________________) Less necessary & ordinary expenses $ (_________________) Equals NET self-employment/business income.........................................$ __________________ $ __________________ 10. Value of company paid car, housing, other expenses: .........................$ __________________ $ __________________ 11, Potential Income (if unemployed or underemployed)............................$ __________________ $ __________________ 12. Other ..................................................................................................$ __________________ $ __________________B. SUBTOTAL OF ANNUAL GROSS INCOME ..........................$ __________________ $ __________________C. MONTHLY GROSS INCOME (Line B divided by 12) .........................$ __________________ $ __________________D. ADJUSTMENTS TO MONTHLY GROSS INCOME (ICSG sec 7) 1. Monthly child support paid for other children ..........................................$ __________________ $ __________________ 2. Monthly alimony paid for another relationship.........................................$ __________________ $ __________________ 3. Adjustment for natural or adopted child of another relationship living in the home ........................................................................$ __________________ $ __________________E. ADJUSTMENTS TO MONTHLY GROSS INCOME (TOTAL) ..........$ __________________ $ __________________ F. MONTHLY ICSG INCOME (C minus E) ..................................$ __________________ $ __________________ _________________________________________________________ Signature of Party Submitting Subscribed and sworn to before me on________________________________________ , ____________ ___________________________________________________ (Notary Public for Idaho)
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