Sample Affidavit Form printable pdf download

This is the 1

affidavit of

_____________ in this case and

was made on __________, 2011

No._

______

will be assigned when filed

SAMPLE

AFFIDAVIT

___City___Registry

IN THE SUPREME COURT OF BRITISH COLUMBIA

Your Name

BETWEEN:

PETITIONER

Father’s Name

AND:

RESPONDENT

AFFIDAVIT OF Your Name

I, Your Name, of Address , in the City of_____, in the Province of (or State)_____________,

___your occupation___________, AFFIRM THAT:

1. I am the Petitioner in this matter and as such have personal knowledge of the matters

herein referred to by me except where indicated to be on information and belief and where so

stated I verily believe them to be true.

Background

2. Example: I am 42 years of age, mother of 3 children daughter 12 years of age, son, 10 years

of age and a daughter 7 years of age. My husband and I were married July 20, 1991. We have

been separated for 2 years, since March 2010. Since our separation we have no child support

nor spousal support order in place.

3. I am currently living off of my savings and require support for the children and my living

expenses. Attached hereto and marked as ‘Exhibit A’ is a true copy of my Statement of

Finances.

___Husband’s full

name___ and I currently share custody and care of the children. He is

employed at

____name of

company___ as a

____position title___.

His salary is estimated at

roughly $105,000/year net. Attached and hereto marked as ‘Exhibit B’ is information of salaries

of similar position and company.

(Above is an example of what you can do if you do not have his income information. State your

circumstances of child care arrangement as above. If there is a child custody agreement in

Sample Affidavit Form