Affidavit of Financial Information · Step 2 of 6

Signature & Certification

Date Write the date you are signing this form. Signature of Person Making Affidavit Sign your name here to confirm the information is true. I filed the ORIGINAL of the attached document(s) with the Clerk of Superior Court in Maricopa County on: Check this box if you turned in the original document to the court clerk. Month Date Year Enter the month, day, and year you gave the original to the clerk. I mailed/delivered a COPY of the attached document(s) to the Judicial Officer assigned to my case, Judge (or Commissioner): Check this box if you sent a copy to the judge or commissioner handling your case. (Judicial Officer assigned to your case) Write the name of the judge or commissioner assigned to your case. Month Date Year Enter the month, day, and year you mailed or delivered the copy to the judge. I mailed/delivered a COPY of the attached document(s) to The Office of the Attorney General (The State of Arizona) on this date (if applicable): Check this box only if your case requires sending a copy to the Arizona Attorney General. Month Date Year Enter the month, day, and year you sent the copy to the Attorney General. Address Write the mailing address where you sent the copy to the Attorney General's office. I mailed/delivered a COPY of the attached document(s) to the Opposing Party and/or his/her Attorney on: Check this box if you sent a copy to the other person in your case or their lawyer. Month Date Year Enter the month, day, and year you mailed or delivered the copy to the other side. Name of Other Side Write the full name of the other person in your case. Name of Other Side's Lawyer Write the name of the other person's lawyer. Leave blank if they do not have one. Address Write the street address where you sent the copy to the other person. Lawyer's Address Write the street address of the other person's lawyer. Leave blank if they have no lawyer. City, State, Zip Write the city, state, and ZIP code for the other person's address. City, State, Zip Write the city, state, and ZIP code for the lawyer's address. Leave blank if no lawyer. Your signature Sign here to swear that everything above is true and that you filed and mailed the documents as listed.

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