Form Dc 606 PDF Details

Form Dc 606 is a required form for all District of Columbia businesses. The form must be filed with the Department of Consumer and Regulatory Affairs annually, and provides information about the business including its name and contact information, type of business, officers and directors, and other pertinent details. Filing Form Dc 606 is essential to staying in compliance with DC law and maintaining good relationships with city officials. As a business owner in DC, it's important to understand what this form is and how to complete it. This article will provide an overview of Form Dc 606 and instructions on how to file it.

QuestionAnswer
Form NameForm Dc 606
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdc606 form dc 606

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AFFIDAVIT IN SUPPORT OF APPLICATION FOR PROCEEDING IN CUSTODY OR VISITATION CASE WITHOUT PAYMENT OF FILING FEES

Commonwealth of Virginia VA. CODE § 16.1-69.48:5

.................................................................................

[] Circuit Court

[] Juvenile and Domestic Relations District Court

IN RE: ..........................................................................................................................................................

The undersigned applicant requests the court to permit the applicant to proceed with a custody or visitation proceeding in this court without the payment of filing fees. In support of this application, the applicant states that the following information is true:

1.The undersigned applicant is a Virginia resident.

2.The following financial information applies to the applicant:

a. Receiving public assistance [ ] No

[ ] Yes-See items checked below

[ ] Medicaid [ ] Supplemental security income

[ ] TANF

[ ] Food stamps

 

 

per [

]

week

[ ]

every second week

b. Take-home pay $

 

 

 

 

 

 

 

[

]

twice a month

[ ]

month

c. Other income, if any (specify sources and amounts):

..........................................................................................................................................................

d. Assets

Cash on hand $

.........................................

Bank accounts $

 

e. Exceptional Expenses (Total Exceptional Expenses of Family)

 

Medical Expenses (List only unusual and continuing expenses)

$

Court-ordered support payments/alimony

 

$

Child Care payments

 

$

Other (Describe on reverse)

 

$

3.Other information

a.The number of people for whom the applicant provides support is: ........................................................

b.The number of persons residing with the applicant is: ...........................................................................

............................................................

_______________________________________________________________

 

DATE

SIGNATURE – APPLICANT

 

.....................................................................................

 

NAME OF APPLICANT

Acknowledged, subscribed and sworn to before me this day:

............................................................____________________________________________________

 

DATE

[ ] CLERK

[ ] DEPUTY CLERK [ ] INTAKE OFFICER

 

 

 

 

 

 

 

 

 

FOR NOTARY PUBLIC’S USE ONLY:

 

 

 

 

 

State of

[ ] City

[ ] County of

 

 

Acknowledged, subscribed and sworn to before me this

day of

, 20

 

...............................................................

 

______________________________________________________

 

NOTARY REGISTRATION NUMBER

 

NOTARY PUBLIC

 

 

 

 

 

(My commission expires:

)

 

 

 

 

 

 

 

 

 

 

 

 

 

ORDER

The request to proceed without payment of filing fees is [ ] granted

[ ] denied.

If this application is denied, the case will not be set for hearing until the applicable fee is paid to the clerk.

............................................................_______________________________________________________________

DATE

JUDGE

FORM DC-606 MASTER 11/07