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Click ‘Get Form’ to open it in the editor.
Begin with Section A for the applicant father. Fill in the name and present employer's name, followed by days and working hours.
Input gross monthly income and take-home monthly income. For other income or benefits, list sources such as Social Security or child support, along with their respective amounts.
Proceed to Section B for the applicant mother. Repeat the same process as in Section A, ensuring all fields are accurately filled.
In Section C, calculate and enter the total household monthly take-home income and number of persons supported.
Move to Section D to detail monthly expenses. Itemize each expense category, including housing, groceries, utilities, and any debts.
Complete the unsworn declaration at the end of the form by signing and dating it appropriately.

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