The Arizona Financial Form is a critical document used in family law cases to disclose financial information. This affidavit requires parties to provide comprehensive details about their income, expenses, and financial obligations, ensuring that the court has a clear understanding of each party's financial situation. It is essential to complete this form accurately and thoroughly to avoid potential penalties, so please take the time to fill it out carefully.
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The Arizona Financial form is a critical document that plays a key role in family law cases, particularly those involving divorce or child custody. It requires detailed information about the financial status of the parties involved, including income, expenses, and any support obligations. The form starts by gathering basic identifying information such as names, addresses, and contact numbers. It then delves into employment history, requiring individuals to disclose their current job details, previous employment, and gross income from the past three years. Additionally, it asks for information regarding household members and their income, ensuring a comprehensive view of financial resources. The form emphasizes the importance of accuracy and completeness, warning that any discrepancies may lead to legal consequences. Parties must also provide supporting documents, such as pay stubs and tax returns, to substantiate their claims. Furthermore, the form includes sections on monthly expenses, child care costs, and any court-ordered financial responsibilities, ensuring that all relevant financial obligations are accounted for. Completing this form accurately is essential for a fair evaluation of financial circumstances in court proceedings.
Name:
Mailing Address:
City, State, Zip Code:
Daytime Phone Number:
Evening Phone Number:
Representing: Self
State Bar Number:
Petitioner
Respondent
FOR CLERK’S USE ONLY
SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
Case No.
Petitioner/Plaintiff
ATLAS No.
AFFIDAVIT OF FINANCIAL INFORMATION
Affidavit of
(Name of Person Whose Information is on this
Affidavit)
IMPORTANT INFORMATION ABOUT THIS DOCUMENT
WARNING TO BOTH PARTIES: This Affidavit is an important document. You must fill out this Affidavit completely, and provide accurate information. You must provide copies of this Affidavit and all other required documents to the other party and to the judge. If you do not do this, the court may order you to pay a fine.
I have read the following document and know of my own knowledge that the facts and financial information stated below are true and correct, and that any false information may constitute perjury by me. I also understand that, if I fail to provide the required information or give misinformation, the judge may order sanctions against me, including assessment of fees for fines under Rule 31, Arizona Rules of Family Law Procedure.
Date
Signature of Person Making Affidavit
INSTRUCTIONS
1.Complete the entire Affidavit in black ink. If the spaces provided on this form are inadequate, use separate sheets of paper to complete the answers and attach them to the Affidavit. Answer every question completely! You must complete every blank. If you do not
know the answer to a question or are guessing, please state that. If a question does not apply, write “NA” for “not applicable” to indicate you read the question. Round all amounts of money to the nearest dollar.
2.Answer the following statements YES or NO. If you mark NO, explain your answer on a separate piece of paper and attach the explanation to the Affidavit.
[
] YES [
] NO
1.
I listed all sources of my income.
2.
I attached copies of my two (2) most recent pay stubs.
3.
I attached copies of my federal income tax return for the last three (3)
years, and I attached my W-2 and 1099 forms from all sources of
income.
©SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
DROSC13f-091511
ALL RIGHTS RESERVED
Page 1 of 7
AFI
1. GENERAL INFORMATION:
A. Name:
Date of Birth:
B. Current Address:
C. Date of Marriage:
Date of Divorce:
D.Last date when you and the other party lived together:
E.Full names of child(ren) common to the parties (in this case), their dates of birth:
Name
Date of Birth
F.The name, date of birth, relationship to you, and gross monthly income for each individual who lives in your household:
Relationship to you
Income
G. Any other person for whom you contribute support:
Age Relationship
Reside With
Court Order to
to You
You (Y/N)
Support (Y/N)
H. Attorney’s Fees paid in this matter $
. Source of funds
2.EMPLOYMENT INFORMATION:
A.Your job/occupation/profession/title: Name and address of current employer:
Date employment began:
How often are you paid: [ ] Weekly [ ] Every other week [ ] Monthly [ ] Twice a month
[] Other
B.If you are not working, why not?
C.Previous employer name and address: Previous job/occupation/profession/title:
Date previous job began:
Date previous job ended:
Reason you left job:
Gross monthly pay at previous job: $
D.Total gross income from last three (3) years’ tax returns (attach copies of pages 1 and 2 of your federal income tax returns for the last three (3) years):
Year
$
E.Your total gross income from January 1 of this year to the date of this Affidavit (year-to-date income): $
Page 2 of 7
3.YOUR EDUCATION/TRAINING: List name of school, length of time there, year of last attendance, and degree earned:
A.High School:
B.College:
C.Post-Graduate:
D.Occupational Training:
4.YOUR GROSS MONTHLY INCOME:
List all income you receive from any source, whether private or governmental, taxable or not.
List all income payable to you individually or payable jointly to you and your spouse.
Use a monthly average for items that vary from month to month.
Multiply weekly income and deductions by 4.33. Multiply biweekly income by 2.165 to arrive at
the total amount for the month.
A. Gross salary/wages per month
Attach copies of your two most recent pay stubs.
Rate of Pay $
per [ ] hour [ ] week [ ] month [ ] year
B. Expenses paid for by your employer:
Automobile
Auto expenses, such as gas, repairs, insurance
Lodging
4.
Other (Explain)
C. Commissions/Bonuses
D. Tips
E. Self-employment Income (See below)
F.
Social Security benefits
G.
Worker's compensation and/or disability income
H.
Unemployment compensation
I.
Gifts/Prizes
J.
Payments from prior spouse
K.
Rental income (net after expenses)
L.
Contributions to household living expense by others
M. Other (Explain:)
(Include dividends, pensions, interest, trust income, annuities
or royalties.)
TOTAL:
5.SELF-EMPLOYMENT INCOME (if applicable):
If you are self-employed, attach of a copy of the Schedule C for your business from your last tax return and the most recent income/expense statement from your business.
If self employed, provide the following information: Name, address and telephone no. of business:
Type of business entity:
State and Date of incorporation: Nature of your interest:
Nature of business: Percent ownership: Number of shares of stock:
Page 3 of 7
Total issued and outstanding shares:
Gross sales/revenue last 12 months:
Both parties must answer item 6 if either party asks for child support. These expenses include only those expenses for children who are common to the parties, which means one party is the birth/adoptive mother and
the other is the birth/adoptive father of the children.
6.SCHEDULE OF ALL MONTHLY EXPENSES FOR CHILDREN:
DO NOT LIST any expenses for the other party, or child(ren) who live(s) with the other party, unless you are paying those expenses.
If you are listing anticipated expenses, indicate this by putting an asterisk (*) next to the estimated amount.
A.HEALTH INSURANCE:
Do you have health insurance available? Yes
No
Are you enrolled?
Total monthly cost
Premium cost to insure you alone
Premium cost to insure child(ren) common to the parties
4.List all people covered by your insurance coverage:
5.Name of insurance company and Policy/Group Number:
B. DENTAL/VISION INSURANCE:
C.UNREIMBURSED MEDICAL AND DENTAL EXPENSES:
(Cost to you after, or in addition to, any insurance reimbursement)
Drugs and medical supplies
Other
D. CHILD CARE COSTS:
Total monthly child care costs
(Do not include amounts paid by D.E.S.)
Name(s) of child(ren) cared for and amount per child:
Page 4 of 7
3. Name(s) and address(es) of child care provider(s):
E.EMPLOYER PRETAX PROGRAM:
Do you participate in an employer program for pretax payment of child care expenses? (Cafeteria Plan)? [ ] YES [ ] NO
F.COURT ORDERED CHILD SUPPORT:
Court ordered current child support for child(ren)
not common to the parties
Court ordered cash medical support for child(ren)
Amount of any arrears payment
Amount per month actually paid in last 12 mos.
Attach proof that you are paying
5.Name(s) and relationship of minor child(ren) who you support or who live with you, but are not common to the parties.
G. COURT ORDERED SPOUSAL MAINTENANCE/SUPPORT (Alimony):
1.Court ordered spousal maintenance/support you actually
pay to previous spouse:
H. EXTRAORDINARY EXPENSES :
1. For Children (Educational Expense/Special Needs/Other): $ Explain:
2. For Self:
Explain:
Both parties must answer items 7 and 8 if either party is requesting:
Spousal maintenance
Division of expenses
Attorneys’ fees and costs
Adjustment or deviation from the child support amount
Enforcement
7.SCHEDULE OF ALL MONTHLY EXPENSES:
Do NOT list any expenses for the other party, or children who live with the other party unless you are paying those expenses.
Page 5 of 7
A. HOUSING EXPENSES:
House payment:
a.
First Mortgage
b.
Second Mortgage
c.
Homeowners Association Fee
d.
Rent
Repair & upkeep
Yard work/Pool/Pest Control
Insurance & taxes not included in house payment
5.
B. UTILITIES:
Water, sewer, and garbage
Electricity
Gas
Telephone
Mobile phone/pager
6.
Internet Provider
7.
Cable/Satellite television
8.
Other (Explain:)
C. FOOD:
Food, milk, and household supplies
School lunches
Meals outside home
D. CLOTHING:
Clothing for you
Uniforms or special work clothes
Clothing for children living with you
Laundry and cleaning
E. TRANSPORTATION OR AUTOMOBILE EXPENSES:
Car insurance
List all cars and individuals covered:
Car payment, if any
Car repair and maintenance
Gas and oil
Bus fare/parking fees
Other (explain):
F. MISCELLANEOUS:
School and school supplies
School activities or fees
3. Extracurricular activities of child(ren)
Page 6 of 7
Church/contributions
Newspapers, magazines and books
Barber and beauty shop
Life insurance (beneficiary:
)
Disability insurance
9.
Recreation/entertainment
10.
Child(ren)'s allowance(s)
11.
Union/Professional dues
12.
Voluntary retirement contributions and savings deductions
13.
Family gifts
14. Pet Expenses
15.
Cigarettes
16.
Alcohol
17.
8.OUTSTANDING DEBTS AND ACCOUNTS: List all debts and installment payments you currently owe, but do not include items listed in Item 7 “Monthly Schedule of Expenses”. Follow the format below. Use additional paper if necessary.
Creditor Name
Purpose of Debt
Unpaid
Balance
Min.
Monthly
Payment
Date of
Your Last
Amount of
Your
Page 7 of 7
Completing the Arizona Financial form is a crucial step in providing the court with a comprehensive overview of your financial situation. The following steps outline how to accurately fill out the form, ensuring that all necessary information is included and correctly presented.
Once the form is completed, it is essential to review all entries for accuracy. Ensure that copies of the Affidavit and any supporting documents are provided to both the other party and the judge. This step is crucial to avoid potential fines or sanctions from the court.
The Arizona Financial form is used to disclose financial information in legal proceedings, particularly in family law cases. It provides the court with a comprehensive overview of an individual's financial situation, including income, expenses, and assets. This information is crucial for determining child support, spousal maintenance, and other financial obligations.
Both parties involved in a family law case must complete the Arizona Financial form. This includes the petitioner and the respondent. Accurate and complete information from both parties helps the court make informed decisions regarding financial matters.
The form requires various details, including:
Completing every section accurately is essential.
Providing false information on the Arizona Financial form may lead to serious consequences. It can be considered perjury, which is a criminal offense. Additionally, the court may impose sanctions, including fines or other penalties, if it finds that the information provided is misleading or incomplete.
Fill out the form using black ink and ensure every question is answered. If a section does not apply to you, indicate this by writing "NA." If you need more space, attach additional sheets as necessary. Round all monetary amounts to the nearest dollar for clarity.
If you are unsure about an answer, state that clearly on the form. It is better to indicate uncertainty than to guess. The court prefers transparency and honesty in the information provided.
Yes, you must attach several documents, including:
These documents support the financial information you provide.
If your financial situation changes significantly after you submit the Arizona Financial form, you should inform the court as soon as possible. Changes may affect child support or spousal maintenance obligations, and the court needs to be aware of any new circumstances.
Yes, the Arizona Financial form must be submitted by a specific deadline set by the court. Failure to submit the form on time can lead to delays in your case and may result in sanctions. Always check with the court for the exact due date.
The completed Arizona Financial form should be submitted to the Superior Court of Arizona in Maricopa County. Ensure you provide copies to the other party involved in the case as well. Keeping accurate records of all submissions is advisable.
Incomplete Information: Many people fail to fill out every section of the form. It is crucial to complete all blanks. Leaving any section empty can lead to delays or complications in the process.
Incorrect Income Reporting: Some individuals misreport their income. It is important to list all sources of income accurately. This includes wages, benefits, and any other financial support.
Missing Attachments: People often forget to attach required documents, such as pay stubs or tax returns. Not providing these can result in the court rejecting the form.
Failure to Use Black Ink: The instructions specify using black ink. Some submitters overlook this detail, which can lead to issues with legibility and acceptance of the form.
Not Indicating "Not Applicable": If a question does not apply, some individuals leave it blank instead of writing “NA.” This can create confusion about whether the question was considered.
Ignoring the Importance of Accuracy: Some people do not take the accuracy of their information seriously. Providing false information can lead to serious consequences, including legal penalties.
The Arizona Financial form is a crucial document used in family law cases, particularly those involving financial disclosures. Alongside this form, several other documents are often required to ensure a comprehensive understanding of the financial situation of the parties involved. Below is a list of commonly used forms and documents.
Understanding these documents is essential for parties involved in family law matters. Each form plays a significant role in ensuring that financial disclosures are accurate and comprehensive, which ultimately aids in fair resolutions of disputes.
The Arizona Financial Form is similar to a Financial Affidavit commonly used in divorce proceedings. Both documents require individuals to provide a detailed account of their financial situation, including income, expenses, and assets. The Financial Affidavit serves the purpose of ensuring that both parties have a clear understanding of each other's financial status, which is essential for fair negotiations regarding asset division and spousal support. Just like the Arizona Financial Form, it emphasizes the importance of accuracy and completeness, as inaccuracies can lead to legal consequences.
Another document that shares similarities with the Arizona Financial Form is the Child Support Worksheet. This worksheet is specifically designed to calculate child support obligations based on the financial information provided by both parents. Like the Arizona Financial Form, it requires detailed disclosures of income, expenses, and any additional financial responsibilities. Both documents aim to ensure that the needs of the children are met while also considering the financial capabilities of each parent. The Child Support Worksheet is a vital tool in determining fair support amounts, just as the Arizona Financial Form is critical in the broader context of financial disclosures in family law cases.
The Statement of Net Worth is another comparable document. Used primarily in divorce cases, this statement provides a snapshot of an individual's financial health by listing all assets and liabilities. Similar to the Arizona Financial Form, it requires individuals to disclose their income, expenses, and debts. Both documents are essential in providing the court with a comprehensive view of a person's financial situation, allowing for informed decisions regarding asset division and support obligations. The Statement of Net Worth, like the Arizona Financial Form, underscores the necessity of transparency in financial matters during legal proceedings.
The Income and Expense Declaration is yet another document that parallels the Arizona Financial Form. This declaration is often used in family law cases to outline a party's monthly income and expenses. It serves a similar purpose by providing a detailed account of financial resources available to each party. Both documents require the same level of thoroughness and accuracy, as they are used to evaluate financial situations in legal contexts, particularly when determining support obligations. The Income and Expense Declaration aims to facilitate fair outcomes in family law disputes, much like the Arizona Financial Form.
The Financial Disclosure Statement is also akin to the Arizona Financial Form. This statement is commonly used in various legal contexts, including divorce and bankruptcy cases, to disclose financial information. It requires individuals to provide a comprehensive overview of their financial situation, including income, expenses, and assets. Both documents aim to promote transparency and fairness in legal proceedings. The Financial Disclosure Statement, like the Arizona Financial Form, is crucial in ensuring that all parties involved have access to the necessary financial information for informed decision-making.
Lastly, the Affidavit of Support is similar to the Arizona Financial Form in that it requires individuals to provide financial information to support a visa application for a family member. This affidavit ensures that the sponsor has the financial means to support the immigrant without relying on public assistance. Like the Arizona Financial Form, it requires accurate and complete disclosures of income and financial obligations. Both documents emphasize the importance of financial responsibility and the necessity of providing truthful information to the relevant authorities.
When filling out the Arizona Financial form, it’s crucial to approach the task with care and attention. Here’s a helpful list of things you should and shouldn’t do to ensure your submission is accurate and complete.
By following these guidelines, you can help ensure that your Arizona Financial form is completed correctly and submitted on time. This attention to detail can save you from potential fines and complications in your case.
When dealing with the Arizona Financial form, several misconceptions can lead to confusion. Understanding these misconceptions is crucial for anyone filling out the form. Here are five common misunderstandings:
Many people believe that submitting the Arizona Financial form is optional. In reality, this form is often required in family law cases, especially when determining child support or spousal maintenance. Failing to submit it can delay proceedings.
Some individuals think that only one party in a case needs to fill out the form. However, both parties are typically required to submit their financial information. This ensures that the court has a complete view of each party's financial situation.
It is a common belief that you can leave questions blank if you don’t know the answers. Instead, the form instructs you to indicate “NA” for questions that do not apply or to state that you are unsure. This helps maintain the integrity of the information provided.
Some individuals think that simply stating their income is sufficient. In fact, you must attach supporting documents, such as pay stubs and tax returns, to verify the income you report. This is essential for the court to make informed decisions.
Many believe that the form can be filled out quickly and without much detail. However, it requires careful consideration and accuracy. Providing false information can lead to serious consequences, including legal penalties.
When filling out the Arizona Financial form, it is essential to follow specific guidelines to ensure accuracy and compliance. Here are key takeaways to consider: