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8Form 13: Financial Statement (Support Claims)
(page 6)
Court file number
PART 4: DEBTS
Full Amount
Monthly
Are Payments
Type of Debt
Creditor
(name and address)
Now Owing
Payments
Being Made?
$
$
Yes
No
Mortgages, Lines
of Credits or other
Loans from a
$
$
Yes
No
Bank, Trust or
Finance Company
$
$
Yes
No
$
$
Yes
No
Outstanding Credit
$
$
Yes
No
Card Balances
$
$
Yes
No
$
$
Yes
No
Unpaid Support
$
$
Yes
No
Amounts
$
$
Yes
No
$
$
Yes
No
$
$
Other Debts
Yes
No
$
$
Yes
No
Total Amount of Debts Outstanding
$
PART 5: SUMMARY OF ASSETS AND LIABILITIES
Total Assets
$
Subtract Total Debts
$
Net Worth
$
NOTE: This financial statement must be updated no more than 30 days before any court event by either completing and filing:
·
a new financial statement with updated information, or
·
an affidavit in Form 14A setting out the details of any minor changes or confirming that the information contained in this statement
remains correct.
Sworn/Affirmed before me at
(Municipality)
in
Signature
(Province, state or country)
(This form is to be signed in front of a lawyer, justice of
on
, 20
the peace, notary public or commissioner for taking
Commissioner for taking affidavits
affidavits.)
(Type or print name below is signature is
illegible.)
FLR-13-E (2015/01)
Page 6 of 8
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