Parties & Case Info

a. General Information

Person Filing: Type the full name of the person filling out and turning in this form. Address (if not protected): Write your street address where you get mail. Leave blank if your address is protected for safety. City, State, Zip Code: Write the city, state, and ZIP code that go with your address. Telephone: Type a phone number where the court can reach you. Email Address: Type the email address where you can receive messages about your case. ATLAS Number: Enter your ATLAS number if you have one. This is used for child support cases. Lawyer's Bar Number: If a lawyer is helping you, write their State Bar number. Leave blank if you have no lawyer. Self, without a Lawyer Check this box if you are handling the case on your own without a lawyer. Attorney for Check this box if you are a lawyer filing for one of the parties. Petitioner Check this box if you or the person you represent started the case (the Petitioner). Respondent Check this box if you or the person you represent is responding to the case (the Respondent). Petitioner / Party A Write the full name of the person who started the case. Respondent / Party B Write the full name of the other person in the case. Case No. Write the case number printed on your court papers. Leave blank if you don't have one yet. ATLAS No. Enter the ATLAS number for your case if you have one. Affidavit of (Name of Person Whose Information is on this Affidavit) Write the full name of the person whose money and financial details are listed on this form. 1. I listed all sources of my income. Check yes if you wrote down every place your money comes from. If you check no, write why on a separate page. 2. I attached copies of my two (2) most recent pay stubs. Check yes if you included your last two paychecks. If you check no, explain on a separate page. 3. I attached copies of my federal income tax return for the last three (3) years, and I attached my W-2 and 1099 forms from all sources of income. Check yes if you attached your last three years of tax returns plus your W-2 and 1099 forms. If you check no, explain on a separate page. A. Name: Write your full legal name as it appears on official documents.

b. Children's Basic Information

Date of Birth: Write the day, month, and year you were born. B. Current Address: Write the full street address where you live right now, including city, state, and zip. Case No. Write the case number the court gave your case. You can find it on papers you already filed. Case No. Write the case number printed on your court papers. Leave blank if you don't have one yet. A. High School: Name the high school you went to, how long you attended, the last year you were there, and any diploma you earned. B. College: Name the college you attended, how long you were there, the last year you attended, and any degree you earned. C. Post-Graduate: List any graduate school you attended, how long, the last year, and any advanced degree you earned. D. Occupational Training: List any job or trade training you completed, how long it lasted, and any certificate you received. Case No. Write the case number given to you by the court. You can find it on papers you already filed. Case No. Write the case number that the court gave your case. You can find it on papers you already filed. Case No. Write the case number the court gave you. You can find it on the top of your court papers. Case No. Write the case number given by the court. You can find it on papers you already received from the court. Case No. Write the case number given by the court. You can find it on papers you already filed. Case No. Write the case number given by the court. You can find it on papers the court already sent you. Case No. Write the case number given by the court. You can find it at the top of your court papers. Case No. Write the case number the court gave you. You can find it on papers you already filed.