Financial Affidavit - The State Of New Hampshire Judicial Branch Page 4
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FINANCIAL AFFIDAVIT
THE STATE OF NEW HAMPSHIRE
General Instructions for Completing the Financial Affidavit Form NHJB-2065-F
A.
When this form is needed - You must fill out and file this form with the Court.
If you are the petitioner or respondent in a divorce, legal separation, or civil union dissolution case.
If you are the petitioner or respondent in an after-divorce, custody/parenting, child support, or paternity case.
If either side is requesting child support or alimony or a change in an existing support or alimony order.
If a person's ability to pay an obligation is an issue.
Any other time that the Court may require.
B.
If you need more space for any answer, either add an attachment and note it at section 13, or use section 14.
When using section 14, put in the number of the answer needing more space, and then the information.
C.
The importance of the oath - This form must be sworn to under oath and signed before a Notary Public or N.H. Justice of the
Peace. All information must be true, accurate, and complete, to the best of your knowledge and belief, under the pains and
penalties of perjury.
D.
Monthly Expenses form - You must always fill out and attach the Monthly Expenses form in the following cases.
If child support is an issue and either side claims that the Child Support Guidelines should not apply.
If either side is requesting alimony or payment of college expenses.
If you and the other side do not agree how to divide your debts.
If either side requests it.
If the Court requires it.
It is not required in other cases, if both sides agree by checking the box in section 13, or if the Office of Child Support Enforcement
(OCSE) does not request it and the Court approves.
E.
Duty to Update - You must fill out and file a new Financial Affidavit for every hearing.
F.
Use of Forms - You may use the Financial Affidavit and Monthly Expenses forms provided by the Court or your own forms, as
long as the format and content are identical to the Court version. You may design other attachments as you see fit.
G.
Child Support - If child support is an issue, read the Uniform Support Order and its Instructions.
Specific Instructions for Numbered Sections of the Financial Affidavit Form
1.
General Information - Street Address means your complete residence address. If you have filed a Domestic Violence Petition,
or if there are restraining orders, you do not have to give your address. The last two lines in section 1 apply only to divorce and
post-divorce cases.
2.
Children of the Parties - Fill in the first and last name, with middle initial, if any, for each child. Give date of birth and Social
Security Number.
3.
Employment Information - Fill in name, address and phone number of current employer. List date and place of last employment.
List job skills.
4.
Monthly Income - Miscellaneous - List all public assistance income, including AFDC, TANF, food stamps, SSI, APTD, and
general assistance from town or county. If your dependent children receive income from employment, investments, or other
sources, list it here. This income is excluded when calculating child support.
5.
Monthly Income - Before Taxes- List all income, except from those sources specified in section 4. If you are paid weekly,
multiply the weekly amount by 4.33 to get monthly. If you are paid every 2 weeks, multiply the bi-weekly amount by 2.17 to get
monthly. If income is occasional or irregular, fill in the average amount.
6.
Monthly Expenses - Support for Others means child support or alimony you are paying under court order for children other than
the children of the parties, or for alimony for another ex-spouse. Health Insurance means the actual amount paid for medical
insurance coverage for the children of the parties.
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NHJB-2065-FS (03/25/2013)
Page 4 of 5
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