Financial Declaration Page 8
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11(11)
Debts.
(Do not include amount owed on property reported in Paragraphs (7) and (8). (Attach
evidence of items listed, such as credit card statements, loan documents, leases, bills, etc.)
Purpose of Debt
(Such
In Whose
Amount
Monthly
Debt Owed To
as credit card, cash loan,
Name?
Owed
Payments
(Name & Address)
installment payment, etc.)
Petitioner
Respondent
Both
$
$
Petitioner
Respondent
Both
$
$
Petitioner
Respondent
Both
$
$
Petitioner
Respondent
Both
$
$
Petitioner
Respondent
Both
$
$
Petitioner
Respondent
Both
$
$
(12)
Monthly Expenses.
(If only one party has an expense, enter the amount in that party’s
column and enter $0 in the other party’s column. Attach evidence of items listed, such as credit card
statements, loan documents, leases, bills, receipts, etc.)
Petitioner’s
Respondent’s
Expenses
Monthly Expense
Expenses
$
Rent or mortgage
$
$
Food and Household Supplies
$
$
Clothing
$
Transportation
(Such as public transportation,
$
$
automobile payments, insurance, gas, maintenance)
Utilities
(Such as electricity, gas, water, sewer,
$
$
garbage)
$
Telephone
$
$
Credit Card Payments
$
$
Alimony
$
Financial Declaration
Approved Board of District Court Judges September 10, 2008
Page 8 of 11
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