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	<title>McClelland Law Firm &#187; mcdonough lawyer</title>
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		<title>George Michael Needs a Lawyer</title>
		<link>http://www.jacksonlaws.com/legal-fun/george-michael-lawyer</link>
		<comments>http://www.jacksonlaws.com/legal-fun/george-michael-lawyer#comments</comments>
		<pubDate>Wed, 07 Jul 2010 02:35:11 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Legal Fun]]></category>
		<category><![CDATA[accident attorney]]></category>
		<category><![CDATA[atlanta attorney]]></category>
		<category><![CDATA[Atlanta Personal Injury Lawyer]]></category>
		<category><![CDATA[Decatur Personal Injury Lawyer]]></category>
		<category><![CDATA[Marietta Personal Injury Lawyer]]></category>
		<category><![CDATA[mcdonough lawyer]]></category>

		<guid isPermaLink="false">http://www.jacksonlaws.com/?p=2236</guid>
		<description><![CDATA[Oh, say it ain&#8217;t so.  George Michael of Wham and of, well, George Michael has another hit.  His name is on the tongue of journalist.  His name is in print.  People are looking over at him with more interest than the day before.  So, you may ask, what does his new hit sound like.  Something [...]]]></description>
			<content:encoded><![CDATA[<p>Oh, say it ain&#8217;t so.  George Michael of Wham and of, well, George Michael has another hit.  His name is on the tongue of journalist.  His name is in print.  People are looking over at him with more interest than the day before.  So, you may ask, what does his new hit sound like.  Something like this, &#8220;Bam!&#8221;.</p>
<p>The story goes something like this.  George Michael was driving around London after 3:00 in the morning when he drove into a building.  He claims the building slammed on its brakes, but I don&#8217;t believe him.</p>
<p>If you are a building that has been hit by a member of Wham or anyone who has a hit song about giving you their love at Christmas, contact my law office today.</p>
<p>As a kid, I remember when Wham broke up.  I could not believe that other guy, whose name I did not know, was the one leaving.  It made no sense to me  and millions of other people.  Then, you start hearing these stories.  Now, it becomes clearer.  When someone does crazy stuff like that, they are doing it on smaller levels all day long.  By the way, he says he used to smoke 25 joints a day.  Can you image?  25 joints a day?  None of the current reports indicate that he was high, but if that is what you say about yourself in the press&#8230;we can only image.  The only way he wasn&#8217;t high is if his high had worn off by that time of the morning.  Joking aside, he sounds like he was drunk.</p>
<p>This was a quick post by the <a title="Atlanta Wrongful Death Lawyer" href="http://www.jacksonlaws.com/">Atlanta Wrongful Death Lawyer</a>.</p>
]]></content:encoded>
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		<title>McDonough Tractor Trailer Lawyer for Henry County</title>
		<link>http://www.jacksonlaws.com/lawyer-attorney/mcdonough-personal-injury-lawyer/mcdonough-tractor-trailer-lawyer-henry-county</link>
		<comments>http://www.jacksonlaws.com/lawyer-attorney/mcdonough-personal-injury-lawyer/mcdonough-tractor-trailer-lawyer-henry-county#comments</comments>
		<pubDate>Sat, 01 May 2010 19:14:40 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[McDonough Personal Injury Lawyer]]></category>
		<category><![CDATA[18 Wheeler Accident]]></category>
		<category><![CDATA[mcdonough lawyer]]></category>
		<category><![CDATA[Tractor Trailer Accident]]></category>

		<guid isPermaLink="false">http://www.jacksonlaws.com/?p=1506</guid>
		<description><![CDATA[As a Atlanta Accident Lawyer, I have seen all types of accidents.  McDonough, Georgia and Henry County have a huge stretch of interstate 75 going right through it.  As a McDonough personal injury lawyer, I know that when you have interstates, you have tractor trailer accidents.  There are countless ways you could be involved in [...]]]></description>
			<content:encoded><![CDATA[<p>As a <a title="Atlanta Accident Lawyer" href="http://www.jacksonlaws.com">Atlanta Accident Lawyer</a>, I have seen all types of accidents.  McDonough, Georgia and Henry County have a huge stretch of interstate 75 going right through it.  As a <a title="McDonough Personal Injury Lawyer" href="http://www.jacksonlaws.com/mcdonough-personal-injury-lawyer/">McDonough personal injury lawyer</a>, I know that when you have interstates, you have <a href="http://www.jacksonlaws.com/tractor-trailer-accident" title="Atlanta tractor trailer accident lawyer">tractor trailer accidents</a>.  There are countless ways you could be involved in a tractor trailer injury.</p>
<p>When you are injured, seek medical attention.  It just makes plain sense.  The emergency room must treat you regardless of how much money you have, or don&#8217;t have.  Then, call a McDonough personal injury attorney to let them do the negotiating.  You already have a job, getting better.  Let me as your injury lawyer worry about getting those bills paid, and you paid for all you went through. You have suffered pain.  You have had your life changed.  Your car has damage.  You are missing work.  You are in pain and sure when you will get healthy again.  You have enough to worry about.  Let me take it over from here and get you the compensation you deserve.  If you try to handle the negotiations yourself, you will come out on the bottom.  Trust me.  The insurance company has spent millions of dollars on studies on how to get you to go away for little or nothing.  And, then, feel bad about it.  Let me take care of the insurance company in your tractor trailer accident or 18 wheeler wreck.</p>
<p>One way to get hurt by an <a title="18 wheeler accident lawyer Atlanta" href="http://www.jacksonlaws.com/tractor-trailer-accident/">18 wheeler</a> is when they jackknife.  That is when the back of the truck turns over, and then it pulls the front of the semi truck over.  This type of wreck can be caused by the sudden turn, and the truck can&#8217;t realign fast enough.  A jackknifed truck spreads itself out causing damages to anyone in several lanes of traffic.</p>
<p>With the stop and go traffic in McDonough, the interstate is often backed up.  This is when you have a problem.  As a <em>McDonough tractor trailer accident lawyer</em>, I know that an 18 wheeler has problems stopping as fast as a car can.  This causes rear-end accidents with a commercial vehicle very likely.</p>
<p>As an attorney, I see that driver fatigue is also a significant cause of tractor trailer accidents in McDonough.  Truck driver work long shifts.  And, it is quite difficult to concentrate for such a long period of time.  Their job is difficult.  But, being tired can be related to serious injuries and deaths.</p>
<p>We represent clients in McDonough, Locust Grove, Hampton, Eagle&#8217;s Landing, Jackson, Griffin, Monticello, Conyers, Covington, Macon, Forsyth, Barnesville Decatur, Atlanta, Marietta, Buckhead, Vinings, and more.  Our practice areas are car accidents, motorcycle accidents, premises liability, negligence, intentional torts, 18 wheeler accidents, tractor trailer injuries, semi truck collisions, DUI truck driver injuries and more.</p>
]]></content:encoded>
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		<title>Brother and Sister Die in Rockdale Car Accident</title>
		<link>http://www.jacksonlaws.com/lawyer-attorney/georgia/brother-and-sister-die-in-car</link>
		<comments>http://www.jacksonlaws.com/lawyer-attorney/georgia/brother-and-sister-die-in-car#comments</comments>
		<pubDate>Thu, 25 Mar 2010 22:14:08 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Georgia]]></category>
		<category><![CDATA[accident attorney]]></category>
		<category><![CDATA[griffin lawyer]]></category>
		<category><![CDATA[mcdonough lawyer]]></category>
		<category><![CDATA[stockbridge lawyer]]></category>

		<guid isPermaLink="false">http://www.jacksonlaws.com/?p=868</guid>
		<description><![CDATA[This is a post from the McDonough Personal Injury Law Firm of Joseph P. McClelland. It is a sad day in Georgia.  Two children died in a car accident today on the way to school in Rockdale County, Georgia.  The driver of the car was a high school senior and his little sister.  The young [...]]]></description>
			<content:encoded><![CDATA[<p>This is a post from the <a title="McDonough Personal Injury Law Firm of Joseph P. McClelland" href="http://www.jacksonlaws.com">McDonough Personal Injury Law Firm of Joseph P. McClelland</a>.</p>
<p>It is a sad day in Georgia.  Two children died in a car accident today on the way to school in Rockdale County, Georgia.  The driver of the car was a high school senior and his little sister.  The young boy was 18 years old.  His name was Karl Michael Anschutz.   She was only 14 years old.  Her name was Laura Anschutz.  The young boy was on the way to Heritage High School, and she was on the way to Davis Middle School.</p>
<p>It is believed that while on the way to school their car must have crossed the yellow line.  As the car crossed the yellow line, a truck was coming from the opposite direction.  It is believed the young boy swerved back into lane, went off the road, and then over-corrected.  This made is car go back into the lane of oncoming traffic.  The driver of the truck, was a male, and was injured.  He was taken to the hospital and later released.  It is unknown the extent of his injuries.</p>
<p>I wish the family of these children my condolences.  The family must be going through a lot.  If you know this family send them your love and prayers.</p>
<p>The Law Office of Joseph P. McClelland handles car accidents, auto accidents, <a href="http://www.jacksonlaws.com/tractor-trailer-accident" title="Atlanta tractor trailer accident lawyer">tractor trailer accidents</a>, car wrecks, biking injuries, pedestrian injuries and other negligence cases in McDonough, Henry County; Jackson, Butts County; Griffin, Spalding County; and <a title="Monticello, Georgia car accident " href="http://www.jacksonlaws.com/monticello-jasper-georgia">Monticello, Jasper County, Georgia</a>.</p>
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		<item>
		<title>Elder Law</title>
		<link>http://www.jacksonlaws.com/lawyer-attorney/georgia/georgia-will-trust-power-of-attorney</link>
		<comments>http://www.jacksonlaws.com/lawyer-attorney/georgia/georgia-will-trust-power-of-attorney#comments</comments>
		<pubDate>Sun, 27 Sep 2009 05:34:39 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Georgia]]></category>
		<category><![CDATA[accident attorney]]></category>
		<category><![CDATA[atlanta attorney]]></category>
		<category><![CDATA[atlanta lawyer]]></category>
		<category><![CDATA[elder law]]></category>
		<category><![CDATA[georgia lawyer]]></category>
		<category><![CDATA[griffin lawyer]]></category>
		<category><![CDATA[Henry County]]></category>
		<category><![CDATA[mcdonough lawyer]]></category>
		<category><![CDATA[Probate Court]]></category>
		<category><![CDATA[stockbridge lawyer]]></category>

		<guid isPermaLink="false">http://www.jacksonlaws.com/?p=239</guid>
		<description><![CDATA[We can help you have the confidence Georgia Estate Planning Attorney that your possessions and loved ones will be properly cared for with a good estate plan.  You may need a simple will or a complex trust, either way we can help. Power of Attorneys for Heath Care Power of Attorney for Financial Purposes Living [...]]]></description>
			<content:encoded><![CDATA[<p>We can help you have the confidence</p>
<div>
<dl id="attachment_232" style="float: right; text-align: center; background-color: #f3f3f3; padding-top: 4px; -webkit-border-top-right-radius: 3px 3px; -webkit-border-top-left-radius: 3px 3px; -webkit-border-bottom-left-radius: 3px 3px; -webkit-border-bottom-right-radius: 3px 3px; width: 310px; margin: 10px; border: 1px solid #dddddd;">
<dt><img style="padding: 0px; margin: 0px; border: 0px none initial;" title="Georgia Estate Planning Attorney" src="http://www.jacksonlaws.com/wp-content/uploads/2009/05/will-3-300x224.jpg" alt="Georgia Estate Planning Attorney" width="300" height="224" /></dt>
<dd style="font-size: 11px; line-height: 17px; padding-top: 0px; padding-right: 4px; padding-bottom: 5px; padding-left: 4px; margin: 0px;">Georgia Estate Planning Attorney</dd>
</dl>
</div>
<p>that your possessions and loved ones will be properly cared for with a good estate plan.  You may need a simple will or a complex trust, either way we can help.</p>
<p>Power of Attorneys for Heath Care</p>
<p>Power of Attorney for Financial Purposes</p>
<p>Living Will</p>
<p><a title="Georgia Divorce Lawyer" href="http://www.jacksonlaws.com/mcdonough-divorce-henry-county">Georgia Divorce Lawyer</a> <a title="Georgia Personal Injury Lawyer" href="http://www.jacksonlaws.com/personal-injury">Georgia Personal Injury Lawyer</a></p>
<p><a title="Monticello, Georgia Trusts, Wills, Estates, planning" href="http://www.jacksonlaws.com/monticello-jasper-georgia">Monticello, Georgia Wills, Trusts and Estates</a></p>
]]></content:encoded>
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		<item>
		<title>GA Financial Affidavit</title>
		<link>http://www.jacksonlaws.com/lawyer-attorney/georgia/georgia-financial-affidavit</link>
		<comments>http://www.jacksonlaws.com/lawyer-attorney/georgia/georgia-financial-affidavit#comments</comments>
		<pubDate>Sun, 06 Sep 2009 03:31:31 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Georgia]]></category>
		<category><![CDATA[atlanta lawyer]]></category>
		<category><![CDATA[divorce]]></category>
		<category><![CDATA[elder law]]></category>
		<category><![CDATA[griffin lawyer]]></category>
		<category><![CDATA[Henry County]]></category>
		<category><![CDATA[henry county divorce lawyer]]></category>
		<category><![CDATA[injury lawyer]]></category>
		<category><![CDATA[locust grove lawyer]]></category>
		<category><![CDATA[McDonough]]></category>
		<category><![CDATA[mcdonough lawyer]]></category>
		<category><![CDATA[spalding lawyer]]></category>
		<category><![CDATA[stockbridge lawyer]]></category>
		<category><![CDATA[Superior Court]]></category>

		<guid isPermaLink="false">http://www.jacksonlaws.com/?p=151</guid>
		<description><![CDATA[GEORGIA DIVORCE LAWYER Monticello Lawyer Superior Court of ________County, Georgia ) ______________________, Plaintiff ) ) vs. ) Civil Action No. ___________ ) ______________________, ) Defendant ) ) DOMESTIC RELATIONS FINANCIAL AFFIDAVIT 1. AFFIANT’S NAME:_______________ Age _________ Spouse’s Name: __________________ Age _________ Date of Marriage: _____________________ Date of Separation __________________ Names and birth dates of children [...]]]></description>
			<content:encoded><![CDATA[<p class="style13" style="text-align: center;"><a title="GEORGIA DIVORCE LAWYER" href="http://www.jacksonlaws.com/mcdonough-divorce-henry-county">GEORGIA DIVORCE LAWYER</a></p>
<p class="style13" style="text-align: center;"><a title="Monticello, Georgia Lawyer" href="http://www.jacksonlaws.com/monticello-jasper-georgia">Monticello Lawyer</a></p>
<p class="style13" style="text-align: center;">
<p class="style13" style="text-align: center;">Superior Court of ________County, Georgia</p>
<p style="text-align: left;"><span><span> </span><span> </span><span> </span><span> </span>)<br />
______________________, </span></p>
<p><span>Plaintiff <span> </span><span> </span><span> </span>)<br />
<span> </span><span> </span><span> </span><span> </span>)<br />
vs.<span> </span><span> </span><span> </span><span> </span><span> </span>) Civil Action No. ___________<br />
<span> </span><span> </span><span> </span><span> </span>)<br />
______________________,<span> </span>)</span></p>
<p><span>Defendant <span> </span><span> </span><span> </span>)<br />
<span> </span><span> </span><span> </span><span> </span>)</span></p>
<p><span>DOMESTIC RELATIONS FINANCIAL AFFIDAVIT</span></p>
<p><span>1. AFFIANT’S NAME:_______________ Age _________</span></p>
<p><span>Spouse’s Name: __________________ Age _________</span></p>
<p><span>Date of Marriage: _____________________ </span></p>
<p><span>Date of Separation __________________</span></p>
<p><span>Names and birth dates of children for whom support is to be determined in this action:</span></p>
<p><span>Name Date of Birth Resides with</span></p>
<p><span>________________________________________________________</span></p>
<p><span>________________________________________________________</span></p>
<p><span>________________________________________________________</span></p>
<p><span>Names and birth dates of affiant’s other children:</span></p>
<p><span>Name Date of Birth Resides with</span></p>
<p><span>________________________________________________________</span></p>
<p><span>________________________________________________________</span></p>
<p><span>________________________________________________________</span></p>
<p><span>2. SUMMARY OF AFFIANT’S INCOME AND NEEDS</span></p>
<p>(a) Gross monthly income (from item 3A) <span> </span>$ ______________</p>
<p><span>(b) Net monthly income (from item 3B) <span> </span><span> </span>______________</span></p>
<p><span>(c) Average monthly expenses (item 5A) <span> </span><span> </span>$ ______________</span></p>
<p><span>Monthly payments to creditors <span> </span><span> </span>+ ______________</span></p>
<p>Total monthly expenses and payments<br />
to creditors (item 5C) <span> </span><span> </span><span> </span><span> </span>_______________</p>
<p><span><br />
3. A. AFFIANT’S GROSS MONTHLY INCOME (complete this section or attach Child Support Schedule A)<br />
(All income must be entered based on monthly average regardless of date of receipt.)</span></p>
<p><span>Salary or Wages <span> </span><span> </span><span> </span><span> </span>$ ______________<br />
ATTACH COPIES OF 2 MOST RECENT WAGE STATEMENTS</span></p>
<p><span>Commissions, Fees, Tips <span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Income from self-employment, partnership, close corporations,<br />
and independent contracts (gross receipts minus ordinary<br />
and necessary expenses required to produce income)<br />
ATTACH SHEET ITEMIZING YOUR CALCULATIONS $ ______________</span></p>
<p><span>Rental Income (gross receipts minus ordinary and<br />
necessary expenses required to produce income)<br />
ATTACH SHEET ITEMIZING YOUR CALCULATIONS $ ______________</span></p>
<p><span>Bonuses <span> </span><span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Overtime Payments <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Severance Pay <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Recurring Income from Pensions or </span></p>
<p><span>Retirement Plans <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Interest and Dividends <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Trust Income <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Income from Annuities <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Capital Gains <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Social Security Disability or </span></p>
<p><span>Retirement Benefits <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Workers’ Compensation Benefits <span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Unemployment Benefits <span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Judgments from Personal Injury or </span></p>
<p><span>Other Civil Cases <span> </span><span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Gifts (cash or other gifts that </span></p>
<p><span>can be converted to cash) <span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Prizes/Lottery Winnings <span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Alimony and maintenance </span></p>
<p><span>from persons not in this case <span> </span><span> </span><span> </span>$ ______________</span></p>
<p><span>Assets which are used for support of family <span> </span>$ ______________</span></p>
<p><span>Fringe Benefits </span></p>
<p><span>(if significantly reduce living expenses) <span> </span><span> </span>$ ______________</span></p>
<p><span>Any other income (do NOT include means-tested<br />
Public assistance, such as TANF or food stamps) $ _____________</span></p>
<p><span>GROSS MONTHLY INCOME <span> </span><span> </span><span> </span>$ ______________<br />
B. Affiant’s Net Monthly Income from employment<br />
(deducting only state and federal taxes and FICA)$ ____________</span></p>
<p><span>Affiant’s pay period (i.e., weekly, monthly, etc.) ___________________</span></p>
<p><span>Number of exemptions claimed ____________</span></p>
<p><span>4. ASSETS</span></p>
<p><span>(If you claim or agree that all or part of an asset is non-marital, indicate the non-marital portion under the appropriate spouse’s column and state the amount and the basis: pre-marital, gift, inheritance, source of funds, etc.).</span></p>
<p><span>Description Value Separate Asset<br />
of the Husband Separate Asset<br />
of the Wife Basis of the<br />
Claim</span></p>
<p><span>Cash<br />
$____________<br />
______________<br />
______________<br />
______________</span></p>
<p><span>Stocks, bonds<br />
$____________<br />
______________<br />
______________<br />
______________</span></p>
<p><span>CD’s/Money Market<br />
Accounts<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Bank Accounts<br />
(list each account): </span></p>
<p><span>_______________<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>_______________<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>_______________<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Retirement Pensions,<br />
401K, IRA, or<br />
Profit Sharing </span></p>
<p><span>$____________ </span></p>
<p><span>______________ </span></p>
<p><span>______________ </span></p>
<p><span>____________________</span></p>
<p><span>Money owed you:<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Tax Refund<br />
owed you: </span></p>
<p><span>$____________ </span></p>
<p><span>______________ </span></p>
<p><span>______________ </span></p>
<p><span>____________________</span></p>
<p><span>Real Estate: </span></p>
<p><span>home:</span></p>
<p><span>debt owed:<br />
$ ___________</span></p>
<p><span>$ ___________<br />
_____________<br />
_____________<br />
____________________</span></p>
<p><span>other:</span></p>
<p><span>debt owed:<br />
$____________</span></p>
<p><span>$ ____________<br />
______________<br />
______________<br />
____________________<br />
Automobiles/Vehicles:<br />
Vehicle 1:</span></p>
<p>debt owed: $____________</p>
<p><span>$ ___________ ______________ ______________ ____________________<br />
Vehicle 2:</span></p>
<p><span>debt owed: $____________</span></p>
<p><span>$____________ ______________ ______________ ____________________</span></p>
<p><span>Life Insurance<br />
(net cash value): </span></p>
<p><span>$____________ </span></p>
<p><span>______________ </span></p>
<p><span>______________ </span></p>
<p><span>____________________</span></p>
<p><span>Furniture/furnishings:<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Jewelry:<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Collectibles:<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Other Assets:<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>_______________<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>_______________<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>_______________<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>Total Assets:<br />
$____________<br />
______________<br />
______________<br />
____________________</span></p>
<p><span>5. A. AVERAGE MONTHLY EXPENSES</span></p>
<p><span>HOUSEHOLD<br />
Mortgage or rent payments $ __________ Cable TV $ __________</span></p>
<p><span>Property taxes<br />
$ __________<br />
Misc. household and grocery<br />
Items </span></p>
<p><span>$ __________</span></p>
<p><span>Homeowner/Renter Insurance<br />
$ __________<br />
Meals outside the home<br />
$ __________</span></p>
<p><span>Electricity<br />
$ __________<br />
Other<br />
$ __________</span></p>
<p><span>Water<br />
$ __________<br />
AUTOMOBILE </span></p>
<p><span>Garbage and Sewer<br />
$ __________ Gasoline and oil $ __________</span></p>
<p><span>Telephone:<br />
residential line:</span></p>
<p><span>cellular telephone: </span></p>
<p><span>$ __________</span></p>
<p><span>$ __________ Repairs</span></p>
<p><span>Auto tags and license</span></p>
<p><span>Insurance $ __________</span></p>
<p><span>$ __________</span></p>
<p><span>$ __________</span></p>
<p><span>Gas<br />
$ __________<br />
OTHER VEHICLES<br />
(boats, trailers, RVs, etc.) </span></p>
<p><span>Repairs and maintenance:<br />
$ __________ Gasoline and oil $__________</span></p>
<p><span>Lawn Care<br />
$ __________ Repairs $__________</span></p>
<p><span>Pest Control<br />
$ __________ Tags and license</span></p>
<p><span>Insurance $__________</span></p>
<p><span>$__________</span></p>
<p><span>CHILDREN’S EXPENSES AFFIANT’S OTHER EXPENSES </span></p>
<p><span>Child care (total monthly cost)<br />
$__________<br />
Dry cleaning/laundry<br />
$__________</span></p>
<p><span>School tuition<br />
$__________<br />
Clothing<br />
$__________</span></p>
<p><span>Tutoring<br />
$__________<br />
Medical, dental, prescription<br />
(out of pocket/uncovered expenses) </span></p>
<p><span>$__________<br />
Private lessons (e.g., music, dance) $__________<br />
Affiant’s gifts (special holidays)<br />
$__________</span></p>
<p><span>School supplies/expenses<br />
$__________<br />
Entertainment<br />
$__________</span></p>
<p><span>Lunch Money<br />
$__________<br />
Recreational Expenses (e.g., fitness)<br />
$__________</span></p>
<p><span>Other Educational Expenses (list)</span></p>
<p>Vacations<br />
$__________</p>
<p>____________________<br />
$__________<br />
Travel Expenses for Visitation<br />
$__________</p>
<p>____________________<br />
$__________<br />
Publications<br />
$__________</p>
<p><span>Allowance<br />
$__________<br />
Dues, clubs<br />
$__________</span></p>
<p><span>Clothing<br />
$__________<br />
Religious and charities<br />
$__________</span></p>
<p><span>Diapers<br />
$__________<br />
Pet expenses<br />
$__________</span></p>
<p><span>Medical, dental, prescription<br />
(out of pocket/uncovered expenses) </span></p>
<p><span>$__________<br />
Alimony paid to former spouse<br />
$__________</span></p>
<p><span>Grooming, hygiene<br />
$__________ Child support paid for other children<br />
$__________</span></p>
<p><span>Gifts from children to others<br />
$__________<br />
Date of initial order:<br />
__________</span></p>
<p><span>Entertainment<br />
$__________<br />
Other (attach sheet)<br />
$__________</span></p>
<p><span>Activities (including extra-curricular,<br />
school, religious, cultural, etc.)<br />
$__________ </span></p>
<p><span>Summer Camps<br />
$__________ </span></p>
<p><span>OTHER INSURANCE<br />
Health<br />
Child(ren)’s portion: $__________ <span> </span><span> </span>$__________<br />
Dental<br />
Child(ren)’s portion: $__________ <span> </span><span> </span>$__________<br />
Vision<br />
Child(ren)’s portion: $__________ <span> </span><span> </span>$__________<br />
Life<br />
Relationship of Beneficiary: $__________<br />
____________<br />
Disability $__________ </span></p>
<p><span>Other (specify):<br />
$__________<br />
TOTAL ABOVE EXPENSES $ _______________________</span></p>
<p><span>B. PAYMENTS TO CREDITORS<br />
(please check one)<br />
To Whom: Balance Due Monthly Payment Joint Plaintiff Defendant</span></p>
<p><span>TOTAL MONTHLY PAYMENTS TO CREDITORS: $ ___________________</span></p>
<p><span>C. TOTAL MONTHLY EXPENSES: $ ______________________</span></p>
<p><span> </span></p>
<p><span>This ______________________ day of ___________, 20________.</span></p>
<p><span> </span></p>
<p><span>_____________________________________</span></p>
<p><span>Affiant’s Signature</span></p>
<p><span> </span></p>
<p><span>_____________________________________<br />
Notary Public Affiant</span></p>
<p class="MsoNormal">
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