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FILED BY. aN 1 IN THE THIRD JUDICIAL DISTRICT KS, DISTRICT COUR’ SHAWNEE COUNTY, KANSAS TARO 7 DIT. Rove EON mt MAR 13 A 153 Plaintiff . case wonde VO OD IY Defendant— POVERTY AFFIDAVIT In the district court of Shawnee County; I do solemnly swear that the claim set forth in the petition herein is just, and I do further swear that, by reason of my poverty, I am unable to pay a docket fee. My income and assets are as follows: _ 100% Ss OF Current monthly income:_< C1). Checking account Savings account: Cash Home equity: Estimated automobile value: Other pertinent financial information: VERIFICATION Under penalty of ps certify that the above information and statements are true to the best of

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