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No question identified. : 9. Do you expect any major changes to your monthly income or expenses or in your assets or liabilities during the next 12 months? OlYes [No If yes, describe on an attached sheet. 10. Have you paid — or-will you be paying — an attorney any money for services in connection with this case, including the completion of this form? []Yes [1No If yes, how much? ; If yes, state the attorney’s name, address, and telephone number: 11. Have you paid—or will you be paying—anyone other than an attorney, (such as a paralegal or a typist) any money for services in connection with this case, including the completion of this form? C] Yes ONo , ; If yes, how much? z : If yes, state the person’s name, address, and telephone number: ‘ 12. Provide any other information that will help explain why you cannot pay the costs of this case. I declare under penalty of perjury that the foregoing is true and correct. Executed on: , 20__ . (Signature) ee x 4 rlual oo Hure'in Yack ¢ ofhow , ptoceacling Mgt woo obstruckes lay Wen TON ON Chetonee,” Wornwnt, sezeal pr eid 3 Coady Wnocunt mp pa Wao Onis Won apply? Ts Wr a Dre Process ‘iblobion since Pdicununt didnt wyak rOwLGeles) fae. qepufeaunl Od Cat Chrmonal Oecedbuane, Jin Fn Fido © B® Gast GO olays of Arrest! Wa T. unyuct cance) 3 sonlencee! due 4 Wkective Assichanve of Chunse|7 World) tute tule, wen Cedlewh, Tyyolvenat Te wet for The Obstmcton? BE the obshuction sit relevent to the Selene, bby 5 if sicenthie fy He Pleg bral 2 . |