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Click ‘Get Form’ to open the indigent application in the editor.
Begin by entering the number of dependents you have in the first field. Remember, do not include children not living at home or a working spouse.
In the next section, provide your take-home income. Fill in the amount and select how often you receive this income (weekly, bi-weekly, semi-monthly, monthly, or yearly).
For other income sources, circle 'Yes' for any applicable categories and fill in the amounts. If none apply, circle 'No'.
Next, indicate your assets by circling 'Yes' for any that apply and providing their values. Again, circle 'No' if they do not apply.
Complete the liabilities section by entering your total debts.
Finally, sign and date the application at the bottom to attest that all information is accurate.
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