Fillable Sworn Financial Statement (Page 7 of 7) in pdf

Sworn Financial Statement Page 7

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I swear or affirm under oath that this Sworn Financial Statement, attached schedules, and mandatory

disclosures contain a complete disclosure of my income, expenses, assets, and debt as of the date of my

signature.

I understand that if the information I have provided changes or needs to be updated before a final decree

or order is issued by the Court, that I have a duty to provide the correct or updated information.

I understand that this oath is made under penalty of perjury. I understand that if I have omitted or

misstated any material information, intentionally or not, the Court will have the power to enter orders to

address those matters, including the power to punish me for any statements made with the intent to

defraud or mislead the Court or the other party.

Date: _______________________

_____________________________________________



Signature of

Petitioner or

Co-Petitioner/Respondent

Subscribed and affirmed, or sworn to before me in the

County of _________________________, State of

________________, this _______ day of _______, 20_____.

My Commission Expires: ___________________

________________________________________

Notary Public/Deputy Clerk

CERTIFICATE OF SERVICE

To be completed if the Sworn Financial Statement is not being filed with

JDF 1104 - Certificate of Compliance with Mandatory Financial Disclosures

I certify that on ________________________ (date) a true and accurate copy of the SWORN FINANCIAL

STATEMENT was served on the other party by:



Hand Delivery,

E-filed,

Faxed to this number: ___________________, or



By placing it in the United States mail, postage pre-paid, and addressed to the following:

To: _______________________________________

_______________________________________

______________________________________

Your signature

JDF 1111 R4/10 SWORN FINANCIAL STATEMENT – FORM 35.2

Page 7 of 7

Sworn Financial Statement Page 7

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