UT-827D free printable template

5. The Petitioner is employed at and grosses 6. The Respondent is employed at per month. 7. The child support amount requested meets the minimum level of support required under the Utah Child Support Guidelines. AFFIDAVIT OF INCOME VERIFICATION AND COMPLIANCE WITH THE UNIFORM CHILD SUPPORT GUIDELINES Case No. Judge Petitioner certifies that the income of the parties has been verified pursuant to U. Name Address Phone IN THE OF JUDICIAL DISTRICT COURT COUNTY STATE OF UTAH Petitioner vs....Respondent. C. A. 78-45-7. 3 in that 1. A Child Support Worksheet a* has been submitted b. is attached* 2. The year-to-date income for Petitioner b. is not applicable. 4. Tax returns are attached for Or a verified statement of defaulting party s income has been previously served upon that party. Dated this day of. Petitioner Signature STATE OF UTAH COUNTY OF appeared before me on the satisfactory evidence to prove to me his/her identity. with then signed this document in my presence and affirmed...that he/she had read this document and understood its contents and that the contents were true to his/her personal knowledge. C. A. 78-45-7. 3 in that 1. A Child Support Worksheet a* has been submitted b. is attached* 2. The year-to-date income for Petitioner b. is not applicable. 4. Tax returns are attached for Or a verified statement of defaulting party s income has been previously served upon that party. Dated this day of. Petitioner Signature STATE OF UTAH COUNTY OF appeared before me on the...satisfactory evidence to prove to me his/her identity. with then signed this document in my presence and affirmed that he/she had read this document and understood its contents and that the contents were true to his/her personal knowledge.