Post Separation Support / Alimony Financial Affidavit Page 2
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3Form 7 - Post Separation/Alimony Financial Affidavit (page 2 of 3)
B. Fixed Expenses: How much do you allocate for:
Self
Child(ren)
Total
27 Electricity
28 Water
29 Heat (gas, fuel oil, etc.)
30 Telephone
31 Car payment
32 Car insurance
33 Other: (Itemize)
34
35
36
37
Totals of Fixed Expenses
38
(Also put totals on line 55)
C. Debt Payments (Itemize)
To Whom Owed
Balance
Monthly Payments
39
40
41
42
43
44
45
46
47
48
49
50
Totals of Fixed Expenses
51
(Also put totals on line 55)
53 Total Average Monthly Needs
Self
Child(ren)
Total
54 Totals of Individual Needs (Line 21)
55 Total of Fixed Expenses (Line 38)
No debt payments
56 Total Monthly Debt payment (Line 51)
can be allocated
to children
Total Average Monthly Needs
57
Add lines 54, 55, and 56
Eighth Judicial District
Continued on next page
Family Court Form 7 3/01
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