Domestic Relations Financial Affidavit - Georgia Family Division
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13IN THE SUPERIOR COURT OF ______________ COUNTY
STATE OF GEORGIA
FAMILY DIVISION
___________________________,
:
:
Petitioner,
:
: CIVIL ACTION FILE
v.
:
: NO. ________________
___________________________,
:
:
Respondent.
:
DOMESTIC RELATIONS FINANCIAL AFFIDAVIT
You are required to make to the Court, under oath, a FULL DISCLOSURE of your
income, net worth and financial condition on this form. Fill out each and every
section of this form. If something does not apply to your situation, write, “N/A”.
1.
Your Name:________________________________ DOB ______________
Address:_______________________________________ County: ________________
City: _______________________ State: _____________ Zip Code: _______________
Spouse's Name:_____________________________ DOB ______________
Address: _______________________________________ County: ________________
City: _______________________ State: _____________ Zip Code: _______________
Date of Marriage:___________________________
Date of Separation:__________________________
Names and birth dates of children for whom support is to be determined in this action:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Names and birth dates of your other children who are living with you:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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