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Gilbert

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Financial Affidavit

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By answering the questions below, you are telling the Court you cannot afford an attorney and to consider your financial circumstances in determining whether you qualify for a court-appointed attorney in this case at a reduced cost or no cost to you. You are answering these questions under penalty of perjury and you may be held in contempt of court if you do not answer truthfully, or if you fail to notify the Court of any material improvement in your financial circumstances while your case is pending.

Details

Do you have income from the following sources?

How much can you afford to contribute to the cost of an attorney to represent you?

I declare under penalty of perjury that I have read the above statements and to the best of my knowledge and belief these statements are true and correct.

Created by AIPSS