Illinois > Local County > Dupage > Domestic Relations
Affidavit Of Monthly Living Expenses (Evening Domestic Court) 4005 - Illinois
| Affidavit Of Monthly Living Expenses (Evening Domestic Court) Form. This is a Illinois form and can be used in Domestic Relations Dupage Local County . |
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AFFIDAVIT OF MONTHLY LIVING EXPENSES - EVENING DOMESTIC COURT 4005 (Rev. 01/07) STATE OF ILLINOIS UNITED STATES OF AMERICA IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE PLAINTIFF CASE NUMBER vs DEFENDANT File Stamp Here AFFIDAVIT OF MONTHLY LIVING EXPENSES 1. I am not employed or twice a month or 2. I own or rent. per month for child support. $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Signed and sworn to before me employed. I bring home $ monthly. I have deductions, or weekly, every two weeks. no deductions taken out of my pay. 3 . I currently receive $ 4. I spend the following per month for myself and my child(ren). Rent, mortgage(s), real estate taxes and insurance Utilities, including gas, electric, sewer, water, other Cable/internet Food Day-care, before/after school care Car: payment, insurance, repairs and license plates Train ticket, tolls, etc. Clothing, shoes for me Clothing, shoes for children Medical insurance (not deducted from pay) Medical,dental and optical expenses (after insurance) for me Medical,dental and optical expenses (after insurance) for children Life insurance Subscriptions, club memberships, activity fees for the children School fees Other TOTAL PER MONTH Date Circuit Clerk or Notary Public $ Signature of Petitioner American LegalNet, Inc. www.FormsWorkflow.com CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60189-0707
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