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Uniform Affidavit of Indigency

  1. City Seal for Press Releases -VECTOR.jpg
  2. Uniform Affidavit of Indigency
    Juvenile Court for The City of Bristol Tennessee
  3. Case Number BCJ-
    In the Matter of: ____________________________________
  4. Comes the defendant and, subject to the penalty of perjury, makes oath to the following facts (please list, circle, complete, etc.):
  5. PART 1
  6. weekly, monthly, etc.
  7. weekly, monthly, etc.
  8. Leave This Blank:

  9. This field is not part of the form submission.