Post Separation Support / Alimony Financial Affidavit

ADVERTISEMENT

Form 7 - Post Separation/Alimony Financial Affidavit (page 1 of 3)
STATE OF NORTH CAROLINA
In The General Court Of Justice
District Court Division
Wayne County
Family Court
Lenoir County
File No.
GreeneCounty
Plaintiff:
POST SEPARATION SUPPORT/ALIMONY
VERSUS
FINANCIAL AFFIDAVIT
Defendant:
The Undersigned
Plaintiff
Defendant, having been first duly sworn as to the truthfulness and completeness of this Affidavit,
deposes and says:
My average monthly financial needs and my average monthly income, while living separate and apart from my spouse, are as
follows:
A. Individual Needs
Self
Child(ren)
Total
1 Groceries & Household Goods
2 Food (School/Work lunches)
3 Clothing
4 Personal care (includes laundry, dry cleaning, cosmetics, grooming)
5 Recreation/Entertainment
6 Activies (Sports, Clubs)
7 Medical & Dental Insurance (if not withheld from earnings)
8 Uninsured Medical & Dental expenses
9 Child care
10 Educational expenses (includes school supplies)
11 Donations, dues & charity
12 Magazines, newspapers, books, etc.
13 Gifts - birthday, wedding, anniversaries, funeral
14 Car - gas & maintenance
15 Other (Itemize)
16
17
18
19
20
21
Totals of Individual Needs
Also put Totals on line 54
B. Fixed Expenses: How much do you allocate for:
Total
Self
Child(ren)
22 Rent or house payment
23 Property tax (excluded above)
24 Homeowner's or Renter's insurance
25 Household maintenance and repair
26 Yard maintenance
Eighth Judicial District
Continued on next page
Family Court Form 7 3/01

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 3