Form I - Financial Information Page 5

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Name
Date of Birth
(First Middle Last)
(YYYY/MM/DD)
1.
2.
3.
4.
Additional page(s) attached
Name of Person #2:
Works at (name of employer, occupation)
Earns
per
(year)
Pays for about
% of household expenses
Does not work
Has no earnings
Contributes no money to the household expenses
This person has child(ren) living in the home with us (name and age of each child).
Name
Date of Birth
(First Middle Last)
(YYYY/MM/DD)
1.
2.
3.
4.
Additional page(s) attached
7. Assets and Debts
NOTE: As a general rule, it’s not necessary to complete this section if you are only seeking table amounts of
child support under the child support guidelines and all children named in the application are under the age of
majority and the other parent lives in Canada.
ASSETS
Real Estate
Description of Asset(s) – address, type of property
Your Equity
Market Value
Cars, boats, vehicles
Description of Asset(s) – year, make, model
Your Equity
Market Value
Pension Plan
Trustee/administrator of plan, date of valuation
Value
Form I
Financial Statement
Page 5

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