Family Law Financial Affidavit (Long Form) · Step 2 of 5
Signature & Certification
I, {full legal name}
Write your own full legal name, since you are the person filling out and signing this form.
e-mailed
Check this box if you sent a copy of this form by email.
mailed
Check this box if you sent a copy of this form by regular mail.
hand delivered
Check this box if you gave a copy of this form to the other person by hand.
delivered to the person(s) listed below on {date}
Enter the date you sent or delivered a copy of this form to the other side.
Name:
Write the full name of the other party or their lawyer who got a copy of this form.
Address:
Write the street address where you sent the copy.
City, State, Zip:
Write the city, state, and ZIP code for the address above.
E-mail Address(es):
Write the email address where you sent the copy, if you sent it by email.
Dated:
Write the date you are signing this form.
Signature of Party
Sign your name here to confirm the information is true.
Printed Name:
Print your full name clearly so it can be read easily.
Address:
Write your street address where you receive mail.
City, State, Zip:
Write the city, state, and ZIP code for your address.
E-mail Address(es):
Write your email address so the court can reach you.
Petitioner
Check this box if the form was filled out for the petitioner (the person who started the case).
Respondent
Check this box if the form was filled out for the respondent (the person responding to the case).
{name of individual}
Write the full name of the non-lawyer person who helped you fill out this form.
{name of business}
Write the name of the business or company where the helper works.
{address}
Write the street address of the helper or their business.
{city}
Write the city for the helper's address.
{state}
Write the state for the helper's address.
{telephone number}
Write the phone number where the helper can be reached.
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