INSTRUCTIONS - State of Indiana - in 2026

1. Click ‘Get Form’ to open the Verified Motion for Fee Waiver in the editor.
2. In the top section, fill in your county and case number as they appear on your court papers.
3. Provide your name as the Petitioner and the Respondent's name in the designated fields.
4. Complete Section 3 by listing all family members living with you, as this is considered your household.
5. Detail your monthly income in Section 4, including wages, benefits, and any other sources of income before taxes.
6. In Section 6, outline your monthly expenses such as housing, utilities, food, and transportation.
7. Sign the form at the bottom to affirm that all information provided is true under penalties of perjury.

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