Enter FULL Name of Petitioner in this Case (Person who initiated the divorce)
*
Enter FULL Name of Respondent in this Case*
*
Please enter your full name*
*
What is your age?
Please Enter Your Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Enter your Phone Number
*
-
Area Code
Phone Number
Please Enter your Email
*
example@example.com
What is your Occupation?
*
Name of Employer
*
Address of Employment
City, State, Zip code of Employment Address
What is your Monthly Gross Income? (before taxes and deductions)
What is your Monthly Net income (after taxes and Deductions)
Please fill out your Average Monthly Expenses. Please Enter Zero is the Item does not Apply to you.
Rows
Average Monthly Expenses
Monthly Mortgage or Rent
Electricity
Monthly water, garbage, sewer
Monthly Phone Bill
Monthly Misc. Household Expenses
Monthly Pest Control
Monthly Food and Supplies
Monthly Cable
Monthly Outside Meals
Monthly Gasoline Expenses
Monthly Car Insurance
Monthly Car Payment or Lease Payment
Monthly Tolls and Parking
Monthly Insurance (Health)
Monthly Dental Insurance
Monthly Laundry
Monthly Clothing
Monthly Pet Expenses
Monthly Entertainment
Monthly Grooming
Monthly Club dues and Memberships
Monthly Credit Cards
If you and your Spouse Have Minor Children Together Please Fill Out Your Monthly Child Expenses. If not Applicable please Skip.
Rows
Monthly Children Expenses
Monthly Daycare or Baby Sitting
Monthly School Tuition
Monthly After School Activities
Monthly Private lessons or Tutoring
Monthly Clothing
Monthly Haircut
Monthly Lunch Money
Monthly Miscellaneous
Monthly Nonprescription medications
Monthly Allowance
Please List your Assets Here. If not applicable please enter Zero
*
Rows
Enter Value of your Assets
Cash on Hand
Cash in Bank
Stocks/Bonds
Real Estate
Vechicles
Boat
401K
Please Enter your Liabilities Here. If not Applicable Please Enter Zero
Rows
Enter your Liabilities Here
Mortgage Loan Balance
Car Loan
Credit Cards
Second Car Loan
Second Mortgage
Enter your Spouse's Full Name
*
Please Enter your Spouse's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Enter your Spouse Phone Number
-
Area Code
Phone Number
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.
Signature
*
Date
*
-
Month
-
Day
Year
Date
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