benefits, public assistance, welfare benefits, alimony, grants,

distributions from trusts, and gifts is                     $__________

     DATED this ________ day of _________________________, __________.

 

                                          _________________________________
                                          Plaintiff

 

STATE OF IDAHO              )
                            : ss
County of __________________)



_______________________________, being duly sworn, deposes and says that:
   (typed name of Plaintiff)

she/he is the plaintiff and applicant for a filing fee waiver in a

proposed divorce action in the Third Judicial District of the State of

Idaho, she/he has read the foregoing Verified Application for Filing Fee

Waiver, and has personal knowledge that the facts stated therein are true.

 

                                          _________________________________
                                          Plaintiff

 

 

SUBSCRIBED AND SWORN TO before me this ____ day of ________________, ______


                                          _________________________________
                                          NOTARY PUBLIC FOR IDAHO
                                          Residing at:
                                          My commission expires:

VERIFIED APPLICATION FOR
FILING FEE WAIVER               Page 3 of 3