§ Form No. 4 Affidavit in support of motion to proceed in forma pauperis
Form No. 4. Affidavit in support of motion to proceed in forma pauperis
IN THE SUPREME COURT OF THE STATE OF OKLAHOMA
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Plaintiff/Appell_____,
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vs. ) No. _______________
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Defendant/Appell_____.
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AFFIDAVIT IN SUPPORT OF MOTION TO PROCEED IN FORMA PAUPERIS
STATE OF OKLAHOMA
In the Supreme Court of Oklahoma:
I, _______, being first duly sworn, depose and say that I am the _______ in the above-entitled case; that in support of my motion to proceed without being required to repay fees, costs or give security therefor, I state that because of my poverty I am unable to pay the costs of said proceeding or to give security therefor; that I believe I am entitled to redress; and that the issues which I desire to present are just.
I understand that a false statement in this affidavit will subject me to penalties for perjury.
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Date Affiant
COUNTY OF _______:
STATE OF OKLAHOMA:
Subscribed and sworn to before me this ____ day of _______, 19___.
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Notary Public
SEAL
Adopted July 10, 1996
Effective January 1, 1997
Heading renumbered by order of May 5, 2005, which added a new Part IX.