Fillable Form 1.: Documents that MAY be required to (Warren County)

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Form 1.: Documents that MAY be required to (Warren County)

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U.S.A. forms for Warren County

BROWSE WARREN COUNTY (NY) FORMS

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Documents that MAY be required
to complete your application
Return the missing documents to: Warren County Assigned Counsel
Office Hours are: Warren County Municipal Center
Applications 9-Noon Only 1340 State Route 9
Normal 9:00 a.m. to 5:00 p.m. Lake George, NY 12845
(518) 761-6460/761-6443(f)
If returning documents by fax you must include/have your name and court date on one page.
1.
Identification is mandatory:
Driver’s license, DMV I.D. card, signed Social Security card, Military I.D., Learner’s Permit, signed
Medicaid Card, Passport, Green Card, Voter Registration Card, any Government issued I.D. card.
2.
Provide proof of your monthly income (for applicant):
4 Pay stubs if paid weekly/2 pay stubs if paid bi-weekly or a statement on letterhead from employer
Disability
Social Security
Worker’s Compensation
Unemployment
Social Services
Child Support/Alimony
Pension/Annuity Benefit
Retirement Benefit
Other
3.
Provide proof of all your monthly household expenses:
Mortgage
Property Taxes
School Taxes
Home Owners Insurance
Rent
Renters Insurance
Water
Utilities
Home Fuel
Cable/Satellite
Telephone (include cell & track phones)
Auto Payment
Car Insurance
Medical Insurance
Life Insurance
Medical Expenses (for example: Co-Pays)
Pharmacy
Credit Cards
Loans (includes student, personal and private loans)
Garbage
Other (for example: Child Support, Storage Unit, Computers, Rented Appliances or Furniture, etc.)
5.
Provide any and all documents given to you or served upon you by the Court or the Officer:
Charges, Complaints, Summonses, Tickets, Supporting Depositions, Statements, Petitions
Applicant agrees to immediately notify the Assigned Counsel Office
of any change in financial circumstances for the duration of the case.
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Form 1.: Documents that MAY be required to (Warren County)

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Completed 18 July 2020

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