Financial Statement

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ONTARIO
Court file number
(Name of Court)
Form 13: Financial
Statement (Support Claims)
at
sworn/affirmed
Court office address
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, 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
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
INSTRUCTIONS
You must complete this form if you are making or responding to a claim for child or spousal support or a claim to change support,
unless your only claim for support is a claim for child support in the table amount under the Child Support Guidelines.
You may also be required to complete and attach additional schedules based on the claims that have been made in your
case or your financial circumstances:
·
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.
·
If you have made or responded to a claim for child support that involves undue hardship or a claim for spousal support, you
must also complete Schedule B.
·
If you or the other party has sought a contribution towards special or extraordinary expenses for the child(ren), you must
also complete Schedule C.
NOTES: You must fully and truthfully complete this financial statement, including any applicable schedules. You must also provide the other
party with documents relating to support and a Certificate of Financial Disclosure (Form 13A) as required by Rule 13 of the Family Law Rules.
If you are making or responding to a claim for property, an equalization payment or the matrimonial home, you must complete Form
13.1: Financial Statement (Property and Support Claims) instead of this form.
1. My name is
(full legal name)
I live in
(municipality & province)
and I swear/affirm that the following is true:
PART 1: 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)
FLR-13-E (2015/01)
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