EM-115: EM 115 Form | CA Small Claims

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attendingschool

Attendingschool

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date_field

Date Field

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employed

Employed

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afdc

Afdc

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Atty Bar No

Name

Atty Firm

Street

City

State

Zip

Phone

Fax

Email

Atty For

Crt County

Crt Street

Crt Mailing Add

Crt City Zip

Crt Branch

Party1 Ft

Case Number

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expenses_housing

Expenses Housing$

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expenses_food

Expenses Food$

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expenses_clothing

Expenses Clothing$

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expenses_phone

Expenses Phone

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expenses_vehicle

Expenses Vehicle$

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Case Number Ft

Party Ft

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earnings_salary

Earnings Salary$

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earnings_parents

Earnings Parents$

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earnings_other

Earnings Other

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assets_cash

Assets Cash

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assetschecking

Assetschecking

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assets_savings

Assets Savings

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assets_stocks

Assets Stocks

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assets_vehicle

Assets Vehicle

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assets_other

Assets Other

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print_bt

Print Bt

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save_bt

Save Bt

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reset_bt

Reset Bt

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