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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.