Attorney Fees Affidavit
ADVERTISEMENT
1IN THE COURT OF COMMON PLEAS
DOMESTIC RELATIONS DIVISION
SUMMIT COUNTY, OHIO
___________________________________
)
CASE NO. _________________________________
)
Plaintiff
)
JUDGE ____________________________________
)
MAGISTRATE _____________________________
vs.
)
___________________________________
)
FINANCIAL AFFIDAVIT
)
RE: ADVANCE ATTORNEY’S FEES AND COSTS
Defendant
)
OF:_______________________________________
1. I am requesting attorney’s fees of $______________________ and costs of $____________________.
2. I anticipate the following discovery/litigation expenses:
Real estate appraisal
$__________
Guardian ad litem $__________
Process server $__________
Court reporter
$__________
Pension appraisal
$__________
Subpoenas
$__________
Business evaluation
$__________
Vocational Eval.
$__________
Accountant/Tax advisor
$__________
Personal property appraisal
$__________
Document production
$__________
Other:__________________ $__________
3. List all bank, brokerage, or other financial accounts in your name alone or jointly with another:
Highest Balance
Bank/Financial Institution
Account No.
Titled
In Last 6 Mos.
Present Balance
_______________________
_____________
_____________
$___________
$____________
_______________________
_____________
_____________
$___________
$____________
_______________________
_____________
_____________
$___________
$____________
4. List all Certificates of Deposit held in your name alone or jointly with another:
Institution
Co-owner
Maturity Date
CD Amount
______________________
________________
_______________
$__________________
______________________
________________
_______________
$__________________
5. List all open credit cards or credit lines (including equity) in your name alone or jointly with another:
Creditor
Co-owner
Present Balance
Credit Limit
______________________
________________
$_______________
$__________________
______________________
________________
$_______________
$__________________
______________________
________________
$_______________
$__________________
6. List all life insurance with cash surrender value, pension plans, profit sharing accounts, stocks, bonds, money
markets, or any other asset which can be borrowed against or surrendered for cash:
Asset
Present Value
Amount Available for Loan/Surrender
______________________
________________
$______________________________
______________________
________________
$______________________________
7. The following total amount of attorney’s fees and costs in this case have been paid by me/on my behalf:
$_______________. The source of this payment was __________________________________.
_______________________________________
SWORN TO before me and subscribed in my presence
Signed
this _____ day of ________________, ________.
_______________________________________
Notary Public
Revised June, 2001
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