Petitioners Respondent Preliminary Or Final Declaration Of Disclosure Of Assets Debts Income And Expenses

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_______________________________
Name
_____________________________________
Address
_____________________________________
City
State
Zip Code
_____________________________________
Phone Number
[ ] PETITIONER/[ ] RESPONDENT PRO SE
MONTANA _______________ JUDICIAL DISTRICT COURT
_____________________ COUNTY
In re the Marriage of:
Cause No.: _________________
________________________,
Petitioner,
[ ] Petitioner’s/[ ] Respondent’s
and
[ ] Preliminary/[ ] Final
Declaration of Disclosure of Assets,
________________________,
Debts, Income, and Expenses
Respondent.
Warning: Montana law, M.C.A. § 40-4-252, requires the full disclosure of all assets, debts,
income, and expenses. Failure of either party to file a complete financial disclosure statement
shall authorize the Court to accept the statement of the other party as accurate. Any
deliberately false statement made hereon or on any schedules or attachments may subject you
to the penalty of perjury or other appropriate relief and may be considered a fraud upon the
Court.
If you need additional space on which to list your assets, debts, income, or expenses, please attach
additional sheets of paper as necessary. Do not write in the margins or on the reverse sides of the
pages of this document.
Declaration of Disclosure, Page 1 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02

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