Financial Statement printable pdf download

Financial Statement

Family Law Rules ~ RULE 13.05

Federal Circuit Court Rules ~ RULE 24.02

Please type or print clearly and mark [X] all boxes that

apply. Attach extra pages if you need more space to answer

Client ID

______________________

any question/s.

Filed in:

File number

____________________

Family Court of Australia

Family Court of Western Australia

Filed at

Federal Circuit Court of Australia

Other (specify)

Filed on

Filed on behalf of:

Full name:

MARK [X] IN THE BOX THAT APPLIES TO YOU

Court location

Husband/father

Wife/mother

Next Court date (if known)

_________

Other (specify)

__________________________

This form is to be used by a party to a financial case, such as property settlement, maintenance, child support

or financial enforcement.

Part A

About you

What is your family name as used now?

Given names?

State

Postcode

Please tick as applicable – only one box should be selected

AFFIDAVIT – for Proceedings in the:

Family Court

I swear* / affirm* that:

Federal Circuit Court

I swear* / affirm* that:

(a)

I have read Rule 13.04 and I am aware that by law I have

(a) I have read Rule 24.03 and I am aware that by law I have an

an obligation to make a full and frank disclosure of my

obligation to make a full and frank disclosure of my

financial

financial circumstances to the Court and each other party.

circumstances to the Court and each other party. In particular, I

In particular, I have disclosed in this document or in an

have disclosed in this document all matters I am required to

affidavit filed by me or on my behalf under Rule 13.05(2),

disclose under Rule 24.03.

all matters I am required to disclose under Rule 13.04.

(b)

The information in the financial statement and any attachments

(b)

The information in the financial statement and any

to it which are within my personal knowledge are true. Where I

attachments to it which are within my personal knowledge

have given an estimate in this financial statement, it is based on

are true. Where I have given an estimate in this financial

my knowledge and is given in good faith. All other information

statement, it is based on my knowledge and is given in

given in this financial statement and any attachments is true to

good faith. All other information given in this financial

the best of my knowledge, information and belief.

statement and any attachments is true to the best of my

(c)

I have no income, property or financial resources other than as

knowledge, information and belief.

set out in this document.

(c)

I have no income, property or financial resources other

than as set out in this document or any affidavit filed by

me under Rule 13.05(2).

Your signature

Place

Date

Before me (signature of witness)

Full name of witness (please print)

Justice of the Peace

This financial statement was prepared by:

Notary public

the applicant

the respondent

lawyer

Lawyer

Authorised Staff Member of the Court

* delete whichever is inapplicable

PRINT NAME AND LAWYER’S CODE

Financial Statement

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