Financial Declaration Form

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Superior Court of Washington, County of
In re:
Petitioner/s (person/s who started this case):
No.
Financial Declaration of
(name):
And Respondent/s (other party/parties):
(
)
FNDCLR
Financial Declaration
1.
Your personal information
Name:
Highest year of education you completed:
Your job/profession is:
Are you working now?
Yes. List the date you were hired (month / year):
No. List the last date you worked (month / year):
What was your monthly pay before taxes: $
Why are you not working now?
2.
Summary of your financial information
(Complete this section after filling out the rest of this form.)
3
1. Total Monthly Net Income (copy from section
, line C. 3.)
$
7
2. Total Monthly Expenses After Separation (copy from section
, line I.)
$
9
3. Total Monthly Payments for Other Debts (copy from section
)
$
4. Total Monthly Expenses + Payments for Other Debts (add line 2 and line 3)
$
3.
Gross Monthly Income of Other Party (copy from section
A.)
$
RCW 26.18.220(1)
Financial Declaration
Mandatory Form (09/2016)
FL All Family 131
p. 1 of 6

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