Financial Affidavit: Divorce & Support (Free Template)
Direct Answer
A financial affidavit is a sworn, notarized statement of the affiant's complete monthly income, payroll deductions, living expenses, assets, and liabilities, filed in divorce, child support, alimony, paternity, indigency, and bankruptcy proceedings so the court has a verified financial baseline for support calculations and equitable distribution. The full financial affidavit template below is attorney-drafted on the long-form pattern (9 income lines, 26 expense categories, 5 asset categories, full liabilities), maps cleanly to Florida Family Law Rule 12.902(b)/(c) and California Form FL-150, and carries the penalty-of-perjury jurat plus Schedules SE/INC/ SEP/SUPP.
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Long form · Court-ready
Fla. R. Fam. Law 12.902(c)
The Long-Form Financial Affidavit Template
The long-form affidavit below is built on Florida Family Law Rule 12.902(c) (the long form for parties at or above $50,000 gross annual income) and tracks California Form FL-150 (Income and Expense Declaration) so it works in both jurisdictions and most other states' family courts. Eleven numbered paragraphs cover identification, dependents, employment, nine income lines, nine payroll deduction lines, twenty-six monthly expense categories, five asset categories, full liabilities, contingent changes, attached documents, and the disclosure obligation. Schedules SE/INC/SEP/SUPP follow for self-employment income, additional income, separate property, and supplemental disclosures.
STATE OF [STATE] )
) ss.
COUNTY OF [COUNTY] )
FINANCIAL AFFIDAVIT
(Sworn Statement of Income, Expenses,
Assets, and Liabilities of the Affiant)
In the matter of: [Case Caption, e.g., In re the Marriage of X
and Y / People v. X / In re X (Pet. for Fee Waiver)]
Court: [Court Name] Cause No.: [____]
BEFORE ME, the undersigned authority, on this day personally
appeared [Affiant Full Legal Name] (the "Affiant"), who, being
by me first duly sworn upon oath, deposed and stated as follows:
1. AFFIANT IDENTIFICATION.
Full legal name: [Affiant Full Legal Name]
Date of birth: [Date of Birth]
Address: [Street, City, County, State, ZIP]
Telephone: [Phone]
Email: [Email]
Marital status: [Single / Married / Separated /
Divorced / Widowed]
Highest education: [Degree / Year]
Health (general): [No issues affecting earning
capacity / Specify limitation]
2. DEPENDENTS. Affiant has the following dependents for
whom Affiant has a current legal or financial support
obligation:
Name Date of Birth Relationship Resides With
________________ ____________ ____________ ____________
________________ ____________ ____________ ____________
________________ ____________ ____________ ____________
3. EMPLOYMENT.
Current employer: [Employer Legal Name]
Position / Title: [Title]
Start date: [Start Date]
Pay frequency: [Weekly / Bi-weekly / Semi-
monthly / Monthly / Other]
Hours per pay period: [Hours]
Self-employed? [Yes / No]
If self-employed, attach Schedule SE (a description of
the business, ownership percentage, the most recent two
years of Schedule C or partnership/K-1 returns, and the
most recent year-to-date profit-and-loss statement).
4. GROSS MONTHLY INCOME. (Average of the most recent 12
months unless income is variable; if variable, attach
Schedule INC showing the computation.)
Source Monthly Amount
(a) Wages, salary, commissions (W-2) $__________
(b) Self-employment net income $__________
(c) Pensions, retirement, Social Security $__________
(d) Disability, unemployment, workers' comp $__________
(e) Rental income (net of operating expenses) $__________
(f) Investment income (interest, dividends) $__________
(g) Trust distributions $__________
(h) Spousal or child support actually received $__________
(i) Other (specify): ________________ $__________
TOTAL GROSS MONTHLY INCOME $__________
5. PAYROLL DEDUCTIONS (mandatory, not voluntary).
(a) Federal income tax withholding $__________
(b) FICA / Social Security tax $__________
(c) Medicare tax $__________
(d) State income tax $__________
(e) Mandatory union dues $__________
(f) Mandatory retirement contributions $__________
(g) Health insurance premiums (Affiant only) $__________
(h) Health insurance premiums (dependents) $__________
(i) Wage garnishment (court order) $__________
TOTAL DEDUCTIONS $__________
NET MONTHLY INCOME (Line 4 minus Line 5) $__________
6. MONTHLY LIVING EXPENSES.
HOUSING
(a) Rent or mortgage principal and interest $__________
(b) Property taxes (if not escrowed) $__________
(c) Homeowner's or renter's insurance $__________
(d) HOA / condo fees $__________
(e) Utilities (electric, gas, water, sewer) $__________
(f) Internet, telephone, mobile $__________
FOOD AND HOUSEHOLD
(g) Groceries and household supplies $__________
(h) Meals outside the home $__________
TRANSPORTATION
(i) Auto loan or lease payment $__________
(j) Auto insurance $__________
(k) Fuel, maintenance, registration $__________
(l) Public transit, rideshare, parking $__________
INSURANCE (premiums not deducted at Line 5)
(m) Life insurance $__________
(n) Out-of-pocket health, dental, vision $__________
(o) Disability or long-term-care insurance $__________
DEPENDENT EXPENSES
(p) Child care / after-school $__________
(q) Tuition and school fees $__________
(r) Extracurricular activities $__________
(s) Child support paid (under prior order) $__________
(t) Spousal support paid (under prior order) $__________
DEBT SERVICE (minimum monthly payments)
(u) Credit cards $__________
(v) Student loans $__________
(w) Personal loans $__________
(x) Medical debt installments $__________
OTHER RECURRING
(y) Charitable contributions $__________
(z) Subscriptions and memberships $__________
(aa) Other (specify): _________________ $__________
TOTAL MONTHLY LIVING EXPENSES $__________
MONTHLY SURPLUS / (DEFICIT) (Line 5 net minus
Line 6 total) $__________
7. ASSETS. (List the fair market value as of the date of
execution. Identify any asset claimed by Affiant to be
separate, non-marital, or otherwise excluded from the
marital or community estate by marking the "Separate?"
column "Yes" and identifying the basis on Schedule SEP.)
REAL PROPERTY
Address Vesting FMV Mortgage Equity Separate?
_________________ _________ $________ $________ $________ Y/N
_________________ _________ $________ $________ $________ Y/N
VEHICLES
Year/Make/Model VIN (last 6) FMV Loan Equity Separate?
_________________ __________ $________ $________ $________ Y/N
_________________ __________ $________ $________ $________ Y/N
FINANCIAL ACCOUNTS
Institution Type Acct (last 4) Balance Separate?
_________________ ________ __________ $________ Y/N
_________________ ________ __________ $________ Y/N
_________________ ________ __________ $________ Y/N
RETIREMENT ACCOUNTS
Plan / Custodian Type Balance Separate?
_________________ ________ $__________ Y/N
_________________ ________ $__________ Y/N
BUSINESS INTERESTS
Entity % Owned Valuation Basis Separate?
_________________ _____% ______________________ Y/N
PERSONAL PROPERTY OF VALUE
(Jewelry, collectibles, firearms, art, equipment;
individual items with FMV over $500)
Description Location FMV Separate?
_________________ ____________ $________ Y/N
TOTAL ASSETS $__________
8. LIABILITIES. (List each debt with the original creditor,
current servicer, account number last four, balance,
minimum payment, and whether the debt is in Affiant's
sole name, joint with another, or co-signed.)
Creditor / Servicer Acct (last 4) Balance Min Pmt Held?
_________________ __________ $________ $________ Sole/Joint/Cosigned
_________________ __________ $________ $________ Sole/Joint/Cosigned
_________________ __________ $________ $________ Sole/Joint/Cosigned
TOTAL LIABILITIES $__________
NET WORTH (Line 7 minus Line 8) $__________
9. CONTINGENT OR ANTICIPATED CHANGES. Within the next 12
months, Affiant anticipates the following material
changes to the financial picture stated above:
[Loss of employment / New employment / Inheritance /
Pending tort recovery / Pending commission or bonus /
Anticipated medical expense / Filing of bankruptcy /
Other: ______________ / None].
10. DOCUMENTS ATTACHED IN SUPPORT.
(Check or list those attached. State court rules and
local court rules may require some or all of these
and may require additional documents.)
___ Last two pay stubs.
___ Most recent two years' federal income tax
returns (with all schedules and W-2s/1099s).
___ Most recent two months' statements for every
financial account listed in Paragraph 7.
___ Most recent statement for every retirement
account listed in Paragraph 7.
___ Most recent statement for every debt listed in
Paragraph 8.
___ Most recent mortgage statement(s).
___ Schedule SE (self-employment package).
___ Schedule INC (variable-income computation).
___ Schedule SEP (separate-property basis).
___ Other (specify): ______________________________.
11. AFFIANT'S DISCLOSURE OBLIGATION. Affiant understands
that Affiant is required to amend or supplement this
Affidavit promptly if any disclosure stated herein
becomes materially inaccurate before the conclusion of
the proceeding. Affiant further understands that the
opposing party and the Court are relying on the
truthfulness of these disclosures for purposes of
temporary orders, discovery, mediation, settlement,
and judgment, and that knowingly false statements may
expose Affiant to civil contempt, evidentiary
sanctions, criminal perjury charges, and reversal or
reopening of any order entered in reliance on this
Affidavit.
FURTHER AFFIANT SAYETH NAUGHT.
Executed on this ____ day of ________________, 20____.
____________________________________
AFFIANT
[Affiant Full Legal Name]
[Affiant Street Address]
[City, State, ZIP]
PENALTY-OF-PERJURY DECLARATION (Federal Alternative).
Pursuant to 28 U.S.C. Section 1746, Affiant declares under
penalty of perjury under the laws of the United States of
America that the foregoing is true and correct.
Executed on _______________ at _______________________.
____________________________________
AFFIANT
JURAT / NOTARY ACKNOWLEDGMENT
STATE OF ______________________ )
) ss.
COUNTY OF _____________________ )
Sworn to and subscribed before me by [Affiant Full Legal Name]
on this ____ day of ________________, 20____, who is personally
known to me OR produced ______________________________ as
identification, and who being duly sworn deposed that the
statements in the foregoing Affidavit are true and correct of
the Affiant's own personal knowledge.
____________________________________
NOTARY PUBLIC, State of __________
Printed Name: ______________________
My Commission Expires: _____________
Notary Seal:
EXHIBITS / SCHEDULES:
Schedule SE: Self-employment package (entity description,
ownership percentage, prior two years of
Schedule C or K-1, year-to-date profit-and-
loss statement).
Schedule INC: Variable-income computation (12-month rolling
average with month-by-month breakdown).
Schedule SEP: Separate-property basis statement for each
asset claimed in Paragraph 7 to be separate,
non-marital, inherited, gifted, or pre-marital.
Schedule SUPP: Any additional disclosure required by state
family-law rule or local court rule (for
example, business-interest valuation,
closely-held-entity tax returns, retirement-
account valuations as of date of separation).
From Bank Statements to Sworn Monthly Numbers
Five steps from gathering the documentary backup through filing with the family court and serving the opposing party. The two failure points to watch are documentation (every line on the affidavit should map to a bank statement, pay stub, or other paper) and the continuing disclosure duty (financial changes after filing must be supplemented promptly).
- 1
Gather the documentary backup
The affidavit is only as defensible as the documents that support it. Pull the last three pay stubs, the most recent year-end W-2, the last three years of federal income tax returns (with all schedules), the last three months of every bank and brokerage statement, the most recent statement for every credit card and loan, the most recent mortgage statement, the most recent retirement-account statement, and the latest property tax bill. Self-employed parties pull the most recent profit-and-loss and the business bank statements.
- 2
Calculate the monthly figures
Annualize income that fluctuates: divide year-to-date by months elapsed, or use the prior-year tax return divided by twelve, whichever is more accurate. Compute monthly expenses by averaging the last twelve months of bank and credit card statements, not the most recent month. Calculate net equity in real property (fair market value minus mortgage balance) and net worth in retirement accounts (current value minus vested balance reduction).
- 3
Fill in the template below
Replace each bracketed placeholder with the case-specific numbers. Disclose every income source, every account, every asset, and every liability. Estimates and rounded figures invite a credibility attack from the opposing party. If a number is uncertain, mark it as 'unknown, subject to supplement' rather than guessing low. Schedules SE/INC/SEP/SUPP at the end of the template handle self-employment, additional income, separate property, and supplemental disclosures.
- 4
Sign before a notary public
Do not pre-sign. The affidavit is sworn under penalty of perjury, and the notary must witness the signature in person, administer the oath, and complete the jurat. Bring photo identification and the supporting documents that will be filed as exhibits.
- 5
File with the court and serve the opposing party
File the original signed affidavit with the clerk of the family court (or bankruptcy court). Serve a copy on the opposing party (or counsel) and any other interested party (guardian ad litem, court-appointed evaluator). Many states require the affidavit to be filed before any contested hearing on financial issues; orders cannot enter until the affidavit is on file. Supplement the affidavit promptly if financial circumstances change materially.
What Family Court Expects From the Financial Affidavit
A financial affidavit is the family court's primary evidentiary instrument for any financial issue: child support, alimony, equitable distribution of marital property, attorney-fee allocation, and indigency determinations. The affidavit is sworn, so the affiant attests under penalty of perjury that the income, expense, asset, and liability figures are complete and accurate. Courts treat the numbers on the affidavit as the presumptive baseline; the opposing party can challenge them in discovery or at trial, but the affidavit is the starting point.
The affidavit functions as the contract between the affiant and the court on financial transparency. Filing an incomplete or inaccurate affidavit creates two distinct exposures. The first is criminal: state-law perjury (typically a felony) and federal perjury under 18 U.S.C. Section 1621 where federal interests are implicated. The second is civil: the family court can strike the affidavit, hold the affiant in contempt, impose attorney fees, impute income or assets, and, if fraud is found after a final decree, reopen the property division and award the concealed assets disproportionately to the wronged spouse.
The affidavit is procedurally distinct from a few adjacent disclosures. Mandatory disclosure rules (Florida Rule 12.285, California Family Code 2104, equivalents in most states) require both parties to exchange documents alongside the affidavit (tax returns, bank statements, pay stubs); the affidavit summarizes, the documents corroborate. Discovery (interrogatories, depositions, subpoenas to third-party financial institutions) is the tool for testing the affidavit's accuracy when the other side suspects underreporting. The affidavit and the discovery package together build the court's financial record.
The affidavit does not itself set any financial obligation; the court issues the support, alimony, or distribution order after considering the affidavits, the mandatory disclosures, and any hearing testimony. The affidavit produces the inputs; the court applies the guidelines-based formula (child-support guidelines, alimony statutes, equitable-distribution factors) to produce the outputs. Wrong inputs produce wrong outputs; the affidavit is the leverage point in the entire process.
Five Proceeding Types That Require Financial Disclosure
The affidavit is required across five proceeding types. The long-form template below covers each pattern; state-specific forms (Florida 12.902(c), California FL-150) are signed alongside as required by the local rule.
Divorce and dissolution
Each spouse files a financial affidavit so the court can divide marital property, allocate debt, and set alimony. Mandatory disclosure rules (Florida Rule 12.285, California Family Code 2104, similar elsewhere) require exchange within a fixed window after service.
Child support and paternity
Each parent files a financial affidavit so the court can apply the state child-support guidelines. Imputation of income (the court assigns income the parent could earn) is the default penalty for underdisclosure or willful underemployment.
Alimony and spousal maintenance
The requesting party shows need; the obligor shows ability to pay. Both file financial affidavits with full income, expense, and asset detail. Standard of living during the marriage is reconstructed from the affidavits and the supporting documents.
Indigency and fee waivers
An applicant for in forma pauperis status (waiver of court filing fees) files a financial affidavit showing income below the federal poverty guideline or the state-specific indigency threshold. The court reviews the affidavit and either grants or denies the waiver.
Bankruptcy proceedings
Schedules of assets, liabilities, income, and expenses required in Chapter 7 and Chapter 13 bankruptcy track the financial-affidavit pattern. Federal bankruptcy uses the Means Test; the affidavit below maps to the underlying disclosures the trustee uses.
Hidden assets are caught more than they hide.
Forensic accountants, subpoenas to banks and brokerages, lifestyle audits, and tax-return analysis uncover concealment more often than concealment succeeds. A complete affidavit produces a cleaner outcome than a sanitized one; the court's remedy for fraud is far worse than the cost of disclosure. Complex situations should route through /get-a-quote for an attorney-structured disclosure.
Financial Affidavit: Disclosure Questions
Sourced from the People Also Ask box for financial affidavit, financial affidavit for divorce, and what is a financial affidavit.
What is a financial affidavit?
Who needs to file a financial affidavit?
What happens if you lie on a financial affidavit?
What is the difference between a short form and long form financial affidavit?
Is a financial affidavit required in a divorce?
What information goes on a financial affidavit?
How do you fill out a financial affidavit?
What is the penalty for filing a false financial affidavit?
Have a Family-Law Attorney Prepare the Disclosure
Self-employment income, closely-held business valuations, stock-option vesting, and trust-distributed income are the line items most often litigated, and the ones most often misreported on a self-drafted affidavit. A family-law attorney runs the income calculation against tax returns and Schedule K-1s, builds the asset and liability schedules from the brokerage and lender statements, and structures the disclosure so the affidavit and the mandatory-disclosure exhibits reconcile line by line.