Application for determination of civil indigent status: Fill out & sign online

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01. Edit your application for determination of civil indigent status online

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Click ‘Get Form’ to open it in the editor.
Begin by filling out your personal information, including your name and case number at the top of the form.
In Section 1, indicate the number of dependents you have and answer whether you are married. If applicable, provide your spouse's income.
Proceed to Section 2 to report your net income. Specify how often you receive this income (weekly, bi-weekly, etc.).
In Section 3, disclose any additional sources of income. Circle 'Yes' or 'No' for each type listed and fill in amounts where applicable.
Section 4 requires you to list any assets. Circle 'Yes' or 'No' for each asset type and provide values as needed.
Complete Section 5 by detailing your total liabilities and debts. Be thorough in listing all relevant financial obligations.
Finally, sign and date the application in the designated area at the bottom of the form.

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