Last updated: 2/27/2014
Finacial Affidavit
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Description
IN THE CHANCERY COURT FOR MADISON COUNTY, TENNESSEE ______________________________________________________________________________ PLAINTIFF VS CASE NO. DEFENDANT ______________________________________________________________________________ LIST OF MONTHLY EXPENSES OF: ______________________________________________________________________________ ITEM PER MONTH COMMENT AUTOMOBILE PAYMENT GASOLINE OIL CHANGES LICENSE RENEWAL TIRE REPLACEMENT REPAIRS / SERVICE AUTOMOBILE INSURANCE HOME MORTGAGE OR RENT HOMEOWNERS/RENTERS INSURANCE REAL ESTATE TAXES ELECTRICITY GAS WATER American LegalNet, Inc. www.FormsWorkFlow.com GARBAGE PICKUP TELEPHONE CABLE T.V. INTERNET FEE SECURITY ALARM FEE HOME REPAIRS and MAINTENANCE YARD CARE YARD SUPPLIES and LANDSCAPING PEST CONTROL FEES MEDICAL INSURANCE DENTAL/ VISION INSURANCE MEDICINE AND PRESCRIPTIONS DEDUCTIBLES PER PERSON NON-COVERED MEDICAL EXPENSE LIFE INSURANCE CANCER/ACCIDENT INSURANCE DISABILITY INSURANCE FOOD - HOUSEHOLD INCIDENTAL FOOD AND SNACKS EATING OUT WORK LUNCHES - PARENT SCHOOL LUNCHES CLEANING & LAUNDRY SUPPLIES PLASTIC & PAPER GOODS MAID SERVICE American LegalNet, Inc. www.FormsWorkFlow.com DRY CLEANING FURNITURE & APPLIANCE REPLACEMENT PET FOOD, SUPPLIES, GROOMING SAFETY DEPOSIT BOX RENTAL STAMPS, OFFICE SUPPLIES & CARDS VACATION FUNDS & SHORT TRIPS CHARITY CONTRIBUTIONS CHURCH CONTRIBUTIONS CHRISTMAS CLUB SAVINGS VITAMINS / DRUG STORE ITEMS COUNSELING FEES EYE CARE - CHILDREN EYE CARE - WIFE CLOTHING FOR CHILDREN CLOTHING FOR PARENT UNIFORMS - PARENT UNIFORMS - CHILDREN SPORTING EQUIPMENT SPORTING / ACTIVITY FEE DAYCARE FOR CHILDREN BABYSITTERS PRE-SCHOOL FEES American LegalNet, Inc. www.FormsWorkFlow.com KINDERGARTEN FEES / EXPENSES PRIVATE SCHOOL TUITION CHRISTMAS GIFTS FOR CHILDREN CHRISTMAS GIFTS FOR FAMILY/FRIENDS BIRTHDAY GIFTS - CHILDREN / OTHERS ENTERTAINMENT FOR PARENT ENTERTAINMENT FOR CHILDREN BOOKS AND OR MAGAZINES NEWSPAPER SCHOOL SUPPLIES - TEXTBOOKS SCHOOL ACTIVITIES /CLASS ACTIVITIES SCHOOL PICTURES FIELD TRIPS ALLOWANCES FOR CHILDREN COSMETICS / TOILETRIES HAIRCUTS FOR CHILDREN HAIRCUTS / BEAUTY SHOP FOR PARENT HYGIENE/SOAP/LOTION/SHAMPOO MISCELLANEOUS FAMILY BILLS AND ACCOUNTS TOTAL HOUSEHOLD EXPENSES $0.00 BRING HOME INCOME American LegalNet, Inc. www.FormsWorkFlow.com SHORT FALL/EXCESS $0.00 I, the undersigned, hereby make oath that the forgoing statements are true to the best of my knowledge, information and belief. __________________________________________ Sworn to and subscribed to before me on this the _______ day of __________, 2008. ________________________________________ NOTARY PUBLIC My Commission Expires:____________________ American LegalNet, Inc. www.FormsWorkFlow.com
