Affidavit Concerning Dependent Children and Household Income
Virginia · Supreme Court of Virginia
This form is an affidavit where a person states facts about their dependent children, their own income, and the income of other people who live with them. It is used to provide information to the court.
Where this fits in a case
General & infoInformation / general use — not tied to one step of a case
This form is used when providing information to the General District Court regarding dependent children and household income.
Either party may file.
Common questions
- What does this form ask me to provide information about?
- It asks for details about dependent children, including their names, ages, and any support or income they have. It also asks for the filer's own income and the income of other people living in the household.
- Who needs to fill out this form?
- The form is titled for the 'NAME OF DEBTOR,' suggesting the person filing it is the debtor.
Revision history
No changes recorded since we started tracking this form on October 10, 2026.
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