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8Form 13: Financial Statement (Support Claims)
(page 4)
Court file number
Expense
Monthly Amount
Expense
Monthly Amount
Transportation
Personal, continued
Public transit, taxis
$
Education
$
(specify)
Entertainment/recreation (including
Gas and oil
$
$
children)
$
$
Car insurance and license
Gifts
Repairs and maintenance
$
SUBTOTAL
$
Parking
$
Other expenses
Car Loan or Lease Payments
$
Life Insurance premiums
$
SUBTOTAL
$
$
RRSP/RESP withdrawals
Health
Vacations
$
Health insurance premiums
$
School fees and supplies
$
Dental expenses
$
Clothing for children
$
$
$
Medicine and drugs
Children’s activities
Eye care
$
Summer camp expenses
$
SUBTOTAL
$
Debt payments
$
Personal
Support paid for other children
$
Other expenses not shown above
$
$
Clothing
(specify)
Hair care and beauty
$
SUBTOTAL
$
Alcohol and tobacco
$
Total Amount of Monthly Expenses
$
Total Amount of Yearly Expenses
$
PART 3: ASSETS
Type
Details
Value or Amount
State Address of Each Property and Nature of Ownership
1
$
$
Real Estate
2
$
3
Year and Make
1
$
Cars, Boats, Vehicles
2
$
3
$
FLR-13-E (2015/01)
Page 4 of 8
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