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_______________ Defendant STATEMENT OF INCOME AND EXPENDITURES AND BALANCE SHEET I, the undersigned, _________________________, residing and domiciled at _________________________, in the judicial district of Montreal, having been duly sworn, hereby solemnly affirm: I acknowledge my ability to pay the alimony claimed, but deny the other party is entitled to it (Rule 22); I receive only income security benefits in the amount of $ __________ per month; 1. I am the Plaintiff in the present case; .

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