Family Law Financial Affidavit (Long Form) - Florida Circuit Court Page 11
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13A
B
C
LIABILITIES: DESCRIPTION OF ITEM(S)
Current
Nonmarital
Amount
(Check correct
LIST ONLY LAST FOUR DIGITS OF ACCOUNT NUMBERS.
Owed
column)
Check the line next to any debt(s) for which you believe you should be
responsible.
husband wife
Mortgages on real estate: First mortgage on home
$
Second mortgage on home
Other mortgages
Charge/credit card accounts
Auto loan
Auto loan
Bank/Credit Union loans
Money you owe (not evidenced by a note)
Judgments
Other:
Total Debts (add column B)
$
Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (01/15)
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