Family Law Financial Affidavit

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SECTION I. INCOME
1
My Occupation:
I am currently:
2
[X all that apply]
Unemployed
a.
Describe your efforts to find employment, how soon you expect to be employed, and the pay you expect
to receive:
Employed by: __________________________________
(______) ________- ________________
b.
Telephone:
Business Address:
__________________________________
City/State/Zip: __________________________________
Pay Rate(Regular):
__________________________________
__________________________________
Pay Period:
If you are expecting to become unemployed or change jobs soon, describe the change you expect and why and
how it will affect your income:
Check here if you currently have more than one job. List the information above for the second job(s) on a
separate piece of paper:
1. _____________________________________________________________________________________
2. _____________________________________________________________________________________
Retired.
c.
Date of Retirement:
Employer from whom retired:
Address:
City, State and Zip code:
NOTE : As you complete this Affidavit, please complete each and
every line that may apply. There are some specific notes in each
section to help you as you go along. If you or your child(ren)
have a monthly expense that SOMEONE ELSE PAYS, please
include the expense and specify who pays it.
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Florida Family Law Rules of Procedure Form 12.902(c) Family Law Financial Affidavit

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