Family Law Financial Affidavit (Short Form) · Step 2 of 5
Signature & Certification
I, {full legal name}
Write your own full legal name as it appears on official documents.
e-mailed
Check this if you sent a copy of this document to the other party by email.
mailed
Check this if you sent a copy to the other party through the regular mail.
faxed
Check this if you sent a copy to the other party by fax.
hand delivered
Check this if you handed a copy directly to the other party.
on {date}
Enter the date you sent or gave a copy to the other party.
Name:
Write the full name of the other person in your case, or their lawyer if they have one.
Address:
Write the street address of the other party or their lawyer.
City, State, Zip:
Write the city, state, and ZIP code for the other party or their lawyer.
Telephone Number:
Write the phone number of the other party or their lawyer.
Fax Number:
Write the fax number of the other party or their lawyer if you have one.
E-mail Address(es):
Write the email address of the other party or their lawyer if you have one.
Dated:
Enter today's date, the day you are signing this form.
Signature of Party
Sign your name here to confirm everything you wrote is true.
Printed Name:
Print your full name clearly so it can be read.
Address:
Write your own street address.
City, State, Zip:
Write your own city, state, and ZIP code.
Telephone Number:
Write your own phone number.
Fax Number:
Write your own fax number if you have one.
E-mail Address(es):
Write your own email address.
Petitioner
Check this if a non-lawyer helped the Petitioner (the person who started the case) fill out this form.
Respondent
Check this if a non-lawyer helped the Respondent (the other party) fill out this form.
{name of individual}
Write the name of the non-lawyer person who helped you fill out this form.
{name of business}
Write the name of the business where the helper works.
{address}
Write the street address of the helper or their business.
{city}
Write the city where the helper or their business is located.
{state}
Write the state where the helper or their business is located.
{zip code}
Write the ZIP code for the helper or their business.
{telephone number}
Write the phone number of the helper or their business.
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