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Plaintiff: □ is the original owner of this debt, and evidence of the debt, as required in Rules 2(B)(4)(a) and. An affidavit is a written statement that you swear is true., as alleged due and owing in the complaint and still due and owing;. Uniform Domestic Relations Form – Affidavit 2. Do you claim the Federal Child Care Tax Credit? Affidavit of Amounts Due and Owing. Type and Face Amount. Beneficiaries. Health. Company. Type. Description of Coverage. Dental. Company. The affidavit must be completed using monthly income and expense amounts. 2. I make this affidavit in support of my motion for a Money Judgment.