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Commonwealth of Massachusetts The Trial Court Probate and Family Court Department DivisionDocket No. Case Name:Public Assistance Affidavit 1. I, petitioner/plaintiff, hereby declare that I have made

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What is public assistance affidavit?

A public assistance affidavit is a document or form that is used to verify the income and financial circumstances of an individual or household in order to determine eligibility for public assistance programs.

Who is required to file public assistance affidavit?

Individuals or households who are applying for or receiving public assistance benefits are usually required to file a public assistance affidavit.

How to fill out public assistance affidavit?

Public assistance affidavits can usually be filled out online, by mail, or in person at a designated government office. The form will typically require information about income, assets, expenses, and household composition.

What is the purpose of public assistance affidavit?

The purpose of a public assistance affidavit is to verify the financial circumstances of individuals or households in order to determine their eligibility for public assistance programs.

What information must be reported on public assistance affidavit?

Information that must be reported on a public assistance affidavit may include income from employment, other sources of income, assets, expenses, and household composition.

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