Enter Full Name of Respondent in this Case
*
Enter Full Name of Petitioner in this Case (Person who initiated the divorce)
*
Please enter your full name
*
Address
*
Street Address
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Enter your email address
*
example@example.com
Enter your spouse's full name
*
Enter your spouse's phone number
Please enter a valid phone number.
Format: (000) 000-0000.
Enter your spouse's address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you currently employed? If no, you may skip the employment and income questions
*
Yes
No
If employed, what is your occupation?
Name of Employer
Employer Address
What is your monthly income before taxes?
Enter your monthly pay deductions
Enter your month net income (income after taxes)
Use whole number, do not include cents.
Enter your estimated monthly expenses
If an expense does not apply to you enter N/A or 0
If you pay rent or mortage please enter the monthly amount here.
*
Monthly utilities (light, water)
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Monthly phone bill
*
Monthly groceries expenses
*
Monthly home maintenance and repairs
*
Monthly Gasoline Expenses
*
Monthly Car Payment
*
Monthly car insurance
*
Monthly miscellaneous expenses
*
Monthly medical/dental insurance payments
*
Enter your Assets
If an assets does not apply to you leave it blank or enter N/A
Enter your Estimated Home Value
*
Cash on Hand
*
Cash in Bank
*
401k, IRA, Investment Account Value
*
Value of Vehicle
*
Stocks and Bonds Value
*
Enter your Estimated Liabilities/Debts
If not Applicable put N/A
Amount Owed on Mortgage
*
Vehicle loan balance
*
Credit Card Balances
*
Congradulations you are done filling out your financial affidavit. Please sign and date your document now.
If you need to add additional information to the financial affidavit you may do so by printing out your document and writing in the additional information by hand by using a black or blue ink pen.
Sign your Document
*
Date Signed
*
/
Month
/
Day
Year
Date
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