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City of Orem

56 N. State St., Orem, UT, 84057, US

City of Orem Justice Court

Affidavit of Indigency

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If you are pleading NOT GUILTY and asking for a court-appointed attorney to represent you, you must answer these questions under oath.

You are signing at the bottom under the penalties of perjury.  Any false statements will place you in contempt of court and subject you to criminal liability.

Do you help support anyone outside the United States?

Do you live with parents, family or friends?

Do you pay rent or expenses to them?

Do you own a car?

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