Financial Statement
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1STATE OF MAINE
SUPERIOR COURT
DISTRICT COURT
, ss.
Location
Docket No.
Docket No.
, Plaintiff
CERTIFICATE IN LIEU OF
v.
FINANCIAL STATEMENT
, Defendant
I make the following statement in lieu of filing the Financial Statement, FM-043. To the best of
my knowledge the following statement is true.
I certify that in the divorce action in which I am a party,
(check all that apply)
There is no dispute regarding spousal support (alimony)
There is no dispute regarding attorney fees
There is no dispute regarding real estate
There is no dispute regarding personal property
*** If any of the above are not true, you must file the Financial Statement, FM-043 ***
I understand that if the opposing party disagrees with any of the above statements, I will be
required to file the Financial Statement.
Date:
Signature of Party
FM-042, Rev. 01/09
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