Financial Affidavit printable pdf download

Instructions for Financial Affidavit & Form

The Financial Affidavit is a sworn statement about the financial situation of the party completing

the form. It is meant to give the judge and the parties accurate information about the property and debts

involved in the divorce. The values used should be as of the day the party completes the Financial

Affidavit.

Both parties need to complete a separate Financial Affidavit Form and submit the same

to the Court.

 Complete this form in black ink only!

 This is a 3 page form. Complete the caption (the top portion of the form). NOTE: The caption is the

top portion of each form. You will need to know the name of your county, judicial circuit (ask the

Clerk if you do not know), name of plaintiff, name of defendant and case filing number (ask the Clerk

if you do not know). The caption will be the same on every form you fill out.

 Fill in the personal information in paragraphs (1)-(25). Use the information from your last two tax

returns and your most current pay check stub, if you have them, to help you. If you do not know an

answer then place a question mark (“?”) in the blank. If the question does not apply to you, then

mark “N/A” in the blank. If you know for certain that you don’t have or receive the item listed

then enter a zero (0).

 Fill in the form completely. Each blank should have a response whether it is an answer, a “?” or

“N/A.” Failure to completely fill out the form may result in the Motion being denied.

 Fill in the blanks for sections I, II, and III. Values should be an actual amount (if known) or an

estimate of what the property is worth. If you do not have or receive the item listed, enter a zero (0).

 You must sign and date the Affidavit in the presence of a notary public or clerk of court. Make

sure to bring photo identification to show the notary public or clerk of court. A notary public

can usually be found at the bank and sometimes at the courthouse.

WARNING: By signing your name, you are telling the court that you are telling the truth and that

you have a good faith reason for your requests. If you are not telling the truth, if you are misleading

the court, or if you are serving or filing this document for an improper purpose, the court could

find you in contempt or you could be charged with a crime for not telling the truth.

Form UJS-304A

Rev. 11/2014

Financial Affidavit