Names and birth dates of children for whom support is to be determined in this action:
Names and birth dates of affiant’s other children:
2. SUMMARY OF AFFIANT’S INCOME AND NEEDS
GROSS MONTHLY INCOME
Description
Value
Plaintiff
Defendant
Joint
5. A. AVERAGE MONTHLY EXPENSES
HOUSEHOLD
AUTOMOBILE
CHILDREN’S EXPENSES
AFFIANT’S OTHER EXPENSES
OTHER INSURANCE
TOTAL ABOVE EXPENSES
B. PAYMENTS TO CREDITORS
Personally appeared before me, an officer authorized to administer oaths, the undersigned affiant, who upon being sworn, swears that he/she is legally competent to make this affidavit, that the affidavit is based upon personal knowledge, and that the contents of the affidavit are true and correct to the best of his/her knowledge or belief.