Form 13.1 - Financial Statement (Property And Support Claims)

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ONTARIO
Court File Number
Superior Court of Justice Family Court Branch
(Name of court)
at
Form 13.1: Financial
(Court office address)
Statement (Property and
Support Claims)
sworn/affirmed
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal code,
postal code, telephone & fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal code,
postal code, telephone & fax numbers and e-mail address (if any).
telephone & fax numbers and e-mail address (if any).
INSTRUCTIONS
1.
USE THIS FORM IF:
you are making or responding to a claim for property or exclusive possession of the matrimonial home and its contents; or
you are making or responding to a claim for property or exclusive possession of the matrimonial home and its contents
together with other claims for relief.
2.
USE FORM 13 INSTEAD OF THIS FORM IF:
you are making or responding to a claim for support but NOT making or responding to a claim for property or exclusive
possession of the matrimonial home and its contents.
3.
If you have income that is not shown in Part I of the financial statement (for example, partnership income, dividends, rental
income, capital gains or RRSP income), you must also complete Schedule A.
4.
If you or the other party has sought a contribution towards special or extraordinary expenses for the child(ren), you must also
complete Schedule B.
NOTE: You must fully and truthfully complete this financial statement, including any applicable schedules. Failure to do so may
result in serious consequences.
1. My name is
(full legal name)
I live in
(municipality & province)
, Province of Ontario
and I swear/affirm that the following is true:
PART I: INCOME
2. I am currently
employed by
(name and address of employer)
self-employed, carrying on business under the name of
(name and address of business)
unemployed since
(date when last employed)
3. I attach proof of my year-to-date income from all sources, including my most recent
(attach all that are applicable):
pay cheque stub
social assistance stub
pension stub
workers’ compensation stub
employment insurance stub and last Record of Employment
statement of income and expenses/ professional activities (for self-employed individuals)
other (e.g. a letter from your employer confirming all income received to date this year)
FLR 13 (February 1, 2010)

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Parent category: Financial