Form 13 - Financial Statement (Support Claims) printable pdf download

Form 13 - Financial Statement (Support Claims)

ONTARIO

Court File Number

(Name of Court)

Form 13: Financial

Statement (Support Claims)

sworn/affirmed

Court office address

Applicant(s)

Full legal name & address for service — street & number, municipality,

Lawyer’s name & address — street & number, municipality, postal code,

postal code, telephone & fax numbers and e-mail address (if any).

telephone & fax numbers and e-mail address (if any).

Respondent(s)

Full legal name & address for service — street & number, municipality,

Lawyer’s name & address — street & number, municipality, postal code,

postal code, telephone & fax numbers and e-mail address (if any).

telephone & fax numbers and e-mail address (if any).

INSTRUCTIONS

You must complete this form if you are making or responding to a claim for child or spousal support or a claim to change

support, unless your only claim for support is a claim for child support in the table amount under the Child Support

Guidelines.

You may also be required to complete and attach additional schedules based on the claims that have been made in your

case or your financial circumstances:

If you have income that is not shown in Part I of the financial statement (for example, partnership income,

dividends, rental income, capital gains or RRSP income), you must also complete Schedule A.

If you have made or responded to a claim for child support that involves undue hardship or a claim for spousal

support, you must also complete Schedule B.

If you or the other party has sought a contribution towards special or extraordinary expenses for the child(ren), you

must also complete Schedule C.

NOTES: You must fully and truthfully complete this financial statement, including any applicable schedules. Failure to do so may

result in serious consequences.

If you are making or responding to a claim for property, an equalization payment or the matrimonial home, you must complete Form

13.1: Financial Statement (Property and Support Claims) instead of this form.

My name is

(full legal name)

I live in

(municipality & province)

and I swear/affirm that the following is true:

PART 1: INCOME

I am currently

employed by

(name and address of employer)

self-employed, carrying on business under the name of

(name and address of business)

unemployed since

(date when last employed)

FLR 13 (February 1, 2010)

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Form 13 - Financial Statement (Support Claims)

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