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Local Rule - State of Indiana

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APPENDIX CFINANCIAL DECLARATION FORMSTATE OF INDIANA: CIRCUIT AND SUPERIOR COURTSOF PORTER COUNTY(PATERNITY SHORT FORM)IN RE: THE PATERNITY OF:CAUSE NO:PetitionerandRespondentIn accordance with <strong>Local</strong> <strong>Rule</strong> 2200.1 <strong>of</strong> the Porter Superior Court and <strong>Indiana</strong> Trial <strong>Rule</strong>s26, 33, 34, 35 and 37, the undersigned, Petitioner or Respondent, hereby submits the followingVERIFIED FINANCIAL DISCLOSURE STATEMENT:FINANCIAL DECLARATION OFI. PRELIMINARY INFORMATIONMotherAddress:Soc. Sec. No.Occupation:Employer:FatherAddress:Soc. Sec. No.Occupation:Employer:Birth Date:Children <strong>of</strong> this action:Birth Date:Name Age DOB: SSN:Name Age DOB: SSN:Name Age DOB: SSN:20

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