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State of Alabama AFFIDAVIT OF SUBSTANTIAL Court Case ...

State of Alabama Unified Judicial System Form C-10-CIVIL Page 1 of 3 Rev. 9/2019 AFFIDAVIT OF SUBSTANTIAL HARDSHIP AND ORDER (Request to Waive Filing Fees) Court Case Number IN THE _____ Court OF _____COUNTY, Alabama (Circuit or District) (Name of County) STYLE OF CASE: _____ v. _____ (Plaintiff(s)) (Defendant(s)) I, because of financial hardship, am unable to pay the fees and costs in this case. I request that payment of these fees and costs be waived initially and taxed as costs at the conclusion of the case. AFFIDAVIT 1. IDENTIFICATION Full Name _____ Date of Birth _____ Spouse s Full Name (if married) _____ Complete Home Address _____ _____ Total Number of People I am Supporting Financially in Household Including Myself _____ Telephone Number (Cell) _____ (Home) _____ (Other) _____

Form C-10-CIVIL . Page 2 of 3 Rev. 9/2019 . AFFIDAVIT OF SUBSTANTIAL HARDSHIP AND ORDER (Request to Waive Filing Fees) Court Case Number. 4. Assets

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