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FINANCIAL DISCLOSURE/AFFIDAVIT OF INDIGENCE
Name. PERSONAL INFORMATION
Case No. Mailing AddressCityD. O.B. StateZIPPhone
()
Message Phone (within 48 hours)
()Residence (if different from above)Name
1)II.
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What is residence if different from?
Residence if different from refers to a different address than the primary residence.
Who is required to file residence if different from?
Individuals who have a different address than their primary residence are required to file residence if different from.
How to fill out residence if different from?
To fill out residence if different from, provide the address that is different from the primary residence.
What is the purpose of residence if different from?
The purpose of residence if different from is to provide accurate information about an individual's secondary address.
What information must be reported on residence if different from?
The secondary address, including street address, city, state, and zip code, must be reported on residence if different from.
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