Financial disclosure / affidavit of indigency - Butler County Ohio! - butlercountyohio 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section I: Personal Information. Fill in your date of birth, name, mailing address, city, state, zip code, and phone number. Ensure all details are accurate for proper identification.
3. Proceed to Section II: Other Persons Living in Household. List the names and relationships of individuals residing with you, along with their dates of birth.
4. In Section III: Presumptive Eligibility, check any applicable benefits that apply to you. This section helps determine your eligibility for appointed counsel.
5. Move on to Section IV: Income and Employer. Document your total income sources including employment and other types of income. Be sure to include only your income if your spouse is an alleged victim.
6. For Section V: Liquid Assets, provide estimated values for checking accounts, savings accounts, stocks, bonds, and any other liquid assets you may have.
7. In Section VI: Monthly Expenses, list all monthly expenses such as rent/mortgage, utilities, food costs, and child support payments. This will help assess your financial situation.
8. Complete the Affidavit of Indigency in Section IX by signing and dating the form. Ensure you understand the implications of providing false information.

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