What information does the declaration ask for?

It asks about public assistance, household income and size, employment history, estimated outstanding debt, work limitations, and ability to make monthly payments.

Do I need a notary for the Declaration of Defendant’s Financial Status?

No. The document has no notary block; the signer certifies the information under penalty of perjury and signs and dates the declaration.

How do I submit the declaration?

The form identifies Bothell Municipal Court but gives no submission address or method. Submit it to the city department named on the form; check the city website for current contact details.

Bothell, WA · King County

No notary required

Declaration of Defendant’s Financial Status

This declaration lets a Bothell Municipal Court defendant provide financial, household, employment, debt, and work-limitation information to the court.

What this form is

A defendant in a Bothell Municipal Court case uses this declaration to report public assistance, household income and size, employment history, estimated debt, and limitations affecting the ability to work. It also asks about the defendant’s ability to make monthly payments and authorizes the court to verify public assistance information with the Washington State Department of Social and Health Services.

Who needs it

A defendant in a Bothell Municipal Court case who is reporting financial circumstances, public assistance, or limitations affecting work or monthly payments.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This document is signed without a notary; the signer certifies the declaration under penalty of perjury and signs and dates it.

How to submit this form

1
Download The Declaration
Download the Declaration of Defendant’s Financial Status.
2
Complete The Form
Fill in the case and personal details, then provide the requested assistance, household, employment, debt, and payment information.
3
Review And Sign
Review your answers and sign and date the declaration under penalty of perjury.
4
Submit To The City
Submit the completed declaration to the city department named on the form; check the city website for current contact details.

Frequently asked questions

What information does the declaration ask for?: It asks about public assistance, household income and size, employment history, estimated outstanding debt, work limitations, and ability to make monthly payments.
Do I need a notary for the Declaration of Defendant’s Financial Status?: No. The document has no notary block; the signer certifies the information under penalty of perjury and signs and dates the declaration.
How do I submit the declaration?: The form identifies Bothell Municipal Court but gives no submission address or method. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Declaration of Defendant’s Financial Status doesn’t need a notary — but if you have another Bothell form that does, a commissioned online notary can help.