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Expungement Financial Data Sheet Re Ability To Pay Costs Of Services VN188 - California
| Expungement Financial Data Sheet Re Ability To Pay Costs Of Services Form. This is a California form and can be used in Civil Ventura Local County . |
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VN188 ATTORNEY OF PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY E-MAIL ADDRESS ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 800 SOUTH VICTORIA AVE. VENTURA, CA 93009 3855 F ALAMO ST. SIMI VALLEY, CA 93063-2110 PLAINTIFF/PETITIONER DEFENDANT/RESPONDENT EXPUNGEMENT FINANCIAL DATA SHEET RE: ABILITY TO PAY COSTS OF SERVICES CURRENT MONTHLY INCOME Client CASE NUMBER: MONTHLY EXPENSES Other (spouse) $ $ $ $ $ $ $ Rent or house payment Monthly take home pay $ $ Water & Trash Social Security, pension, $ $ Electricity retirement AFDC, Food stamps, WIC $ $ Gas Unemployment and/or Disability $ $ Telephone Other Income $ $ Cable TV Total $ $ MONTHLY EXPENSES CONTINUED ( i.e car payments, credit cards, medical payments, other loans etc.) Who do you owe? Balance Owed Monthly Payment $ $ $ $ $ $ $ $ $ $ Net difference (Income minus Expenses): $ I certify that the foregoing is a complete and accurate statement of my financial situation and that I have no other additional income or assets whatsoever. You have my express permission to verify the information furnished. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Signature ____________________________________ Date _____________________ ORDER The $60 cost for services rendered is imposed. The Court finds the defendant does not have the ability to pay for services rendered. Date: _________________ _____________________________________________ Judge VN188 rev 7/07 EXPUNGEMENT FINANCIAL DATA SHEET RE: ABILITY TO PAY COSTS OF SERVICES American LegalNet, Inc. www.FormsWorkflow.com
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