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Get CT JD-FM-6 2000

FINAFF DOCKET NO. AT (Address of court) NAME OF AFFIANT (Person submitting this form) NAME OF CASE PLAINTIFF DEFENDANT NAME OF EMPLOYER OCCUPATION ADDRESS OF EMPLOYER A. WEEKLY INCOME FROM PRINCIPAL EMPLOYMENT (Use weekly average not less than 13 weeks) DEDUCTIONS AMOUNT/WEEK DEDUCTIONS (Cont.) AMOUNT/WEEK GROSS WKLY WAGE FROM PRINCIPAL EMPLOYMENT 1. $ 4. $ 2. $ 5. $ TOTAL DEDUCTIONS $ $ NET WEEKLY WAGE $ $ 3. 6. $ B. ALL OTHER INCOME (Include in-kind compensation.

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