lixitEzøgsc©arbs´cugecaTkñúgkar
KaMRTsMeNIbJ¢aoóbtæmÖkUn

elxer[gÉksar (sMrab´EttulakareRbI) 

tulakarénrdðm¨asSaQUestS¾

eQµaHedImecaT

eQµaHcugecaT

tulakarEpñk

x\úM, 

, sUmRbkasßGHGagza GIV> xageRkamenHKWCakarBitCak´lak´tamkaryl´dwg nigcMeNHrbs´x\úM;

1.   x\

MKWCamþay/ÓBuk (KUsrgVg´mYy) ehIyx\

ú

MKWCaGaNaBüa:lRsbc|ab´rbs´kUn‘>’ dUcxageRkamenH.

2.   edImecaTKWCamþay/ÓBuk (KUsrgVg´mYy) ehIyx\

ú

MKWCaGaNaBüa:lRsbc|ab´rbs´kUn‘>’ dUcxagelIenH.

ú

ú

3.   x\

MmanmuxrbrCa

x\

ú

MeZI

VkarenA

EdlmanGas&ydðanenA

. 

, 

. 

4.   R:k´cMNUlminTan´kat´ nigkarcMNayrbs´x\

ú

MmandUcteTA: 

R:k´cMNUlminTan´kat´ (R:k´cMNUlmunkat´BnÆ)

x\

ú

Mrk:n $

kñ

úg1s:þh¾/Ex (KUsrgVg´1).  

EpñkZanasuxPaB

x\

ú

McMNay $

kñ

úg1s:þh¾ Ex (KUsrgVg´1) 

/ 

EpñkZanasuxPaBeZµjnig/ßEPñk

x\

ú

McMNay $

kñ

úg1s:þh¾/Ex (KUsrgVg´1). 

karcMNayézøemIlkUn‘>’ dUccuHkñ

úgPaKTI1

x\

ú

McMNay $

kñúg1s:þh¾ Ex KUsrgVg´1 ). 

/ 

(

katBVkic©óbtæmÖkUndéTeT[t

x\

ú

McMNay $

kñ

úg1s:þh¾ Ex (KUsrgVg´1). 

/ 

x\

ú

MsUmGHGagza GI

VEdler[brab´xagelIKWCakarBitÇ cuHhtæaelxaTTYlBin&ebIkuhkeRk amsMbz.

kalbriecät

sresreQµaHcugecaT

htæelxacugecaT

FA-12 (1/12) Defendant's Affidavit in Connection with Request for a Child Support Order - Khmer (02/15)

This form is for your reference only. Do not submit to the court.RkdasenHRKan'CaKMrUEtbu"eN‚aH. kuMRbKl'RkdasenHCUneTAtulakar.

FA-2 & 2A.qxd

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

---

About This Form:

• Sourced from www.mass.gov (2023-03)
• Page(s): 1
• Fields(s): 5
• Average fields per page: 5
• Reading Level: Grade 13
• LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

---

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

---

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver. To learn more, read "Weaving" your form into a draft interview.