Request For Financial Statement printable pdf download

Request For Financial Statement

ONTARIO

Court File Number

_____________________________________________________

(Name of Court)

Form 27: Request for

___________________________________________________

Financial Statement

Court office address

Recipient(s)

Full legal name & address for service — street & number, municipality, postal code,

Lawyer's name & address — street & number, municipality, postal code, telephone

& fax numbers and e-mail address (if any).

telephone & fax numbers and e-mail address (if any).

Payor

Lawyer's name & address — street & number, municipality, postal code, telephone

Full legal name & address for service — street & number, municipality, postal code,

telephone & fax numbers and e-mail address (if any).

& fax numbers and e-mail address (if any).

TO:

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(name of party)

I claim that you have missed payments under an order, domestic contract or paternity agreement, a copy of which is

attached to this notice.

YOU MUST PREPARE A FINANCIAL STATEMENT (Form 13) within 15 days of being served with this notice. A blank

form of financial statement should accompany or be attached to this notice. If it is missing, you should contact your own

lawyer or the court office immediately.

YOU MUST MAIL your completed financial statement within the next 15 days to

. . . . . . . . . . . . . . . . .

(person & address)

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

IF YOU DO NOT MAIL THE COMPLETED FINANCIAL STATEMENT AS REQUIRED BY THIS NOTICE, THE COURT

MAY ORDER YOU TO DO SO AND YOU MAY THEN BE REQUIRED TO PAY THE COSTS. IF YOU DISOBEY THE

ORDER, THE COURT MAY MAKE AN ORDER FOR YOUR IMPRISONMENT.

Signature

Date of signature

FLR 27 (September 1, 2005)

(Français au verso)