Family Law Financial Affidavit (Short Form) Page 7
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8Nonmarital
DESCRIPTION OF ITEM(S). List a description of each separate debt
Current
(check correct
owed by you (and/or your spouse, if this is a petition for dissolution
Amount
column)
of marriage). LIST ONLY LAST 4 DIGITS OF ACCOUNT NUMBERS. Check
Owed
the box next to any debt(s) for which you believe you should be
responsible.
husband wife
Check here if additional pages are attached.
Total Debts (add next column)
$
C. CONTINGENT ASSETS AND LIABILITIES:
INSTRUCTIONS: If you have any POSSIBLE assets (income potential, accrued vacation or sick
leave, bonus, inheritance, etc.) or POSSIBLE liabilities (possible lawsuits, future unpaid
taxes, contingent tax liabilities, debts assumed by another), you must list them here.
Contingent Assets
Nonmarital
Possible
(check correct
Value
Check the box next to any contingent asset(s) which you are
column)
requesting the judge award to you.
husband wife
$
Total Contingent Assets
$
Contingent Liabilities
Nonmarital
Possible
(check correct
Amount
column)
Check the box next to any contingent debt(s) for which you believe
Owed
you should be responsible.
husband wife
$
Total Contingent Liabilities
$
SECTION IV. CHILD SUPPORT GUIDELINES WORKSHEET
(Florida Family Law Rules of Procedure Form 12.902(e), Child Support Guidelines Worksheet,
MUST be filed with the court at or prior to a hearing to establish or modify child support. This
requirement cannot be waived by the parties.)
[Check one only]
____ A Child Support Guidelines Worksheet IS or WILL BE filed in this case. This case
involves the establishment or modification of child support.
____ A Child Support Guidelines Worksheet IS NOT being filed in this case. The
establishment or modification of child support is not an issue in this case.
Florida Family Law Rules of Procedure Form 12.902(b), Family Law Financial Affidavit (Short Form) (10/11)
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