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FINANCIAL STATEMENT: (Complete the following information. Financial Statement Affidavit Of Indigence Request For Counsel And Order (DNA And TPR Cases) Form.Form AOC-DNA-11 Printable Pdf. Contains a completed AOC-DNA-11 (Financial Statement, Affidavit of Indigence,. Docketing Statement. Docketing Statement. If indigent per affidavit and the parents request it, appoint counsel for parents. This form must be filled out completely. Case opinion for KY Court of Appeals APPELLANT v. Completed AOCDNA11 (Financial Statement, Affidavit of Indigence, Request for Counsel, and.