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Wyoming Confidential Financial Affidavit Form

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Wyoming Confidential Financial Affidavit Form
Wyoming Confidential Financial Affidavit Form
Confidential Financial Affidavit
Approved by the Wyoming Supreme Court (2012)
Page 1 of 9
STATE OF WYOMING ) IN THE DISTRICT COURT
) ss
COUNTY OF ________________ ) _______________ JUDICIAL DISTRICT
Plaintiff:____________________________, ) Civil Action Case No. __________
(Print name of person filing) )
)
vs. ) CONFIDENTIAL
)
Defendant:__________________________. )
(Print name of other parent)
_______________________________________________________________________________
CONFIDENTIAL
FINANCIAL AFFIDAVIT
W.S. ยง20-2-308
_______________________________________________________________________________
A financial affidavit must be completed by each parent. You must attach copies of your tax
returns and W-2 forms for the most recent two years and a copy of the total amount of wages you
have earned so far this year. Parents who are self-employed must supply verified income and
expense statements from their business for the two most recent years.
THE UNDERSIGNED, ___, hereby swears or affirms,
(Print Your Name)
under penalty of perjury, that the following answers are correct and complete.
1. Your Name: (First, Middle, Last) ______________________________________________
Gender: Male Female
2. Your Present Address: _______________________________________________________
City, State, Zip Code: _______________________________________________________
How long have you resided at this location ______________________________________
Your Mailing Address (if different from above) ___________________________________
City, State, Zip Code: _______________________________________________________
3. Your Home Phone Number: (___) _____________________________________________
Your Cell Phone Number: (____) ______________________________________________
PERSONAL INFORMATION
Wyoming Confidential Financial Affidavit Form
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