The Indiana Financial Declaration form is a document used in family law cases to disclose financial information during divorce or custody proceedings. This form requires individuals to provide details about their income, expenses, assets, and liabilities. Completing the form accurately is essential for fair financial negotiations, so be sure to fill it out by clicking the button below.
The Indiana Financial Declaration form is a crucial document utilized in divorce and custody proceedings within the state. This form requires detailed disclosure of both parties' financial situations, ensuring transparency and fairness during the legal process. Key components of the form include sections for gross weekly income, monthly expenses, and a comprehensive list of assets and liabilities. Individuals must report various income sources, such as salaries, pensions, and child support, while also accounting for mandatory deductions like taxes and insurance premiums. Furthermore, the form prompts users to list all household members and their associated expenses, providing a complete financial picture. Assets are categorized by type, including real estate, vehicles, and retirement accounts, with specific instructions for valuation. The declaration also emphasizes the importance of accuracy, as individuals are required to amend the document if financial circumstances change prior to trial. Completing this form accurately is essential for ensuring that both parties are treated equitably in the division of assets and responsibilities.
FINANCIAL DECLARATION FORM
STATE OF INDIANA: CIRCUIT AND SUPERIOR COURTS
OF PORTER COUNTY
IN RE THE MARRIAGE OF:
Cause Number:
Petitioner,
And
Respondent
In accordance with Local Rule 18 of the Porter Superior Court and Indiana Trial Rules 26, 33, 34, 35 and 37, the undersigned, Petitioner or Respondent, hereby submits the following
VERIFIED FINANCIAL DISCLOSURE STATEMENT:
FINANCIAL DECLARATION OF
Dated:
I. PRELIMINARY INFORMATION:
Husband:
Wife:
Address:
Soc. Sec. No.:
Soc. Sec No.:
Badge/Payroll No.:
Occupation:
Employer:
Birth Date:
Date of Marriage:
Date of Physical Separation:
Date of Filing:
Children:
Name:
Age:
DOB:
SSN:
1
II. HEALTH INSURANCE INFORMATION:
Name and Address of health care insurance company:
Name all persons covered under plan(s):
Weekly cost of total health insurance premium:
Weekly cost of health insurance premium for children only:
Name of the children’s health care providers:
The names of the schools and grade level for each child are:
List any extraordinary health care concerns of any family member:
List any educational concerns of any family member:
III.INCOME INFORMATION:
A.EMPLOYMENT HISTORY:
Current Employer:
Telephone No.:
Length of Employment:
Job Description:
Gross Income:
Per week
Bi-weekly
Per month
Yearly
Net Income:
2
B.EMPLOYMENT HISTORY FOR LAST 5 YEARS:
Employer
Dates of Employment
Compensation (per wk/mo/yr)
C.INCOME SUMMARY:
1.GROSS WEEKLY INCOME from: Salary and wages, including commissions, bonuses, allowances, and over-time
Note: If paid monthly, determine weekly income by dividing monthly income by 4.3
Pensions & Retirement
Social Security
Disability and unemployment insurance
Public Assistance (welfare, AFDC payments, etc.)
Food Stamps
Child supports received for any child(ren) not both of the parties to this marriage
Dividends and Interest
Rents received
All other sources (specify)
TOTAL GROSS WEEKLY INCOME
2.ITEMIZED WEEKLY DEDUCTIONS: from gross income
State and Federal Income Taxes:
Social Security & Medicare Taxes:
Medical Insurance
Coverage:
Health
(
)
Dental
Eye Care
Psychiatric
3
Union or other dues:
Retirement:
Pension fund: Mandatory ( )Optional ( )
Profit sharing: Mandatory ( )Optional( )
401(K): Mandatory ( ) Optional ( )
SEP: Mandatory ( ) Optional ( )
ESOP: Mandatory ( ) Optional ( )
IRA: Mandatory ( ) Optional ( )
403 B: Mandatory ( ) Optional ( )
Child Support withheld from pay (not including this case)
Garnishments (itemize on separate sheet)
Credit Union debts
Direct Withdrawals Out of Paychecks:
Car Payments
Life Insurance
Disability Insurance
Thrift plans
Credit Union Savings
Bonds
Donations
Other (specify)
TOTAL WEEKLY DEDUCTIONS:
3. WEEKLY DISPOSABLE INCOME:
(A minus B: Subtract Total Weekly Deduction from Total Weekly Gross Income)
IN ALL CASES INVOLVING CHILD SUPPORT: Prepare and attach an Indiana Child Support Guideline Worksheet (with documentation verifying your income); or, supplement with such a Worksheet within ten (10) days of the exchange of this Form.
IV. MONTHLY LIVING EXPENSES:
House
1.Rent (Mortgage)
2.2nd Mortgage
4
3.Line of Credit
4.Gas/Electric
5.Telephone
6.Water
7.Sewer
8.Sanitation (garbage)
9.Cable
10.Satellite
11.Internet
12.Taxes (real estate – if not included in mortgage payment
13.Insurance (house – if not included in mortgage payment)
14.Lawn Care/Snow Removal
Groceries
1.Food
2.Toiletries
3.Cleaning Products
4.Paper Products
Clothing
1.Clothes
2.Shoes
3.Uniforms
Health Care
1.Health Insurance not deducted from pay
2.Dental Insurance not deducted from pay
3.Doctor visits (non-insurance covered)
4.Dental visits (non-insurance covered)
5.Prescription Pharmaceutical (non-insurance covered)
5
6.Over-the-counter medicine
7.Glass/contact lenses
8.Other non-insurance covered health care (itemize)
Car & Travel
1.Car Payment
2.Gasoline
3.Oil/Maintenance
4.Insurance (car)
5.Car Wash
6.Tolls
7.Train/Bus
8.Parking Lot Fees
9.License Plates
Beauty Care
1.Hair Dress/Barber
2.Cosmetics
School Needs
1.Lunches
2.Books
3.Tuition/Registration
4.Uniforms
5.School Supplies
6.Extra-Curricular Activities
Infant Care
1.Diapers
2.Baby Food
6
Miscellaneous
1.Church Donations
2.Charitable Donations
3.Life Insurance
4.Babysitter
5.Newspapers & Magazines
6.Cigarettes
7.Dry Cleaning
8.Entertainment
9.Cell Phone
10.Dues/Subscriptions
11.Charge Cards
12.Other (specify)
SUB-TOTAL OF EXPENSES:
Average Weekly Expenses (multiply monthly expenses by 12 and divide by 52)
V. PROVISIONAL ARREARAGE COMPUTATIONS:
If you allege the existence of a child support, maintenance, or other arrearage, attach all records or other exhibits regarding the payment history and complete the child support arrearage.
You must attach a Child Support Guideline Worksheet to your Financial Declaration Form or one must be exchanged with the opposing party/counsel within 10 days of receipt of the other parties= Financial Declaration Form.
7
ASSETS
All property is to be listed regardless of whether it is titled in your name only or jointly of if the property you own is being held for you in the name of a third party.
VI. PROPERTY:
A. MARITAL RESIDENCE:
Description:
Location:
Date Acquired:
Titled:
Purchase Price:
Down Payment:
Source of down payment:
Current Indebtedness:
Monthly Payment:
Current Market Value:
B.OTHER REAL PROPERTY: (Complete B on a separate sheet of paper for each additional parcel of real estate owned etc.)
8
C.PERSONAL PROPERTY: (motor vehicles, boats, motorcycles, furnishings, household goods, jewelry, firearms, etc. Household furnishings and household goods such as pots and pans need not
be itemized).
Description
Titled
Current Value
Indebtedness
Payment
Present User
VII. BANK ACCOUNTS:
Name
Type of Account
(Checking, Savings,
CD’s, etc.)
Owner
Account No.
Balance on Date of Filing
VIII. NON-RETIREMENT SECURITIES: (stocks, bonds, mutual funds, etc.)
(Money Mkt, Stocks,
Bonds, Mutual Funds)
Value on date of filing
9
IX. LIFE INSURANCE POLICIES (whole life, variable life, annuities, term)
Company
Policy #.
Beneficiary
Face Value
Loan
Amount
Cash Value
X.RETIREMENT ACCOUNTS (Pension, Profit Sharing, 401(K), SEP, IRA, KEOGH, ESOP, etc.)
Type of Plan
Account #
Vested (yes/no)
Value as of date of filing
XI. OTHER PROFESSIONAL OR BUSINESS INTERESTS:
Name of Business
Type (Corp., Part., Sole Owner
% Owned
Estimated Value
XII. MARITAL BILLS, DEBTS, AND OBLIGATIONS: (list every single bill, debt and obligation regardless of whether the bill is title in your name, your spouse=s name, or jointly. Please include all mortgages, 2nd mortgages, home equity loans, charge cards, other loans, credit union loans, car payments, and unpaid medical bills, etc. Do not include monthly expenses such as utilities that are paid in full every month).
Creditor
Acct. #
Monthly
Balance as of
Date of Filing
Current
Balance
10
Completing the Indiana Financial Declaration form is an important step in the legal process. This form requires detailed information about your income, expenses, assets, and liabilities. After filling it out, you will submit it to the court, where it will be reviewed as part of your case.
The Indiana Financial Declaration form is used to provide a comprehensive overview of an individual's financial situation during divorce or custody proceedings. It helps the court assess income, expenses, assets, and liabilities. This information is crucial for determining child support, alimony, and the division of property. Completing the form accurately is essential for fair proceedings.
Both spouses involved in a divorce or custody case must complete the Financial Declaration form. This includes the husband and wife, regardless of who is the petitioner or respondent. Each party must disclose their financial information, including income, expenses, and assets, to ensure transparency and fairness in the court's decisions.
To calculate your gross weekly income, add together all sources of income you receive weekly. This includes:
Once you have totaled these amounts, you will have your gross weekly income to report on the form.
If your financial situation changes after you have submitted the Indiana Financial Declaration form, you are required to update the information. This includes any changes to income, expenses, or assets. You must supplement or amend the declaration prior to trial to ensure that the court has the most accurate and current information. Failing to do so may affect the court's decisions regarding support and property division.
Incomplete Information: Failing to fill out all required fields can lead to delays. Every section must be addressed, even if the answer is zero or "none."
Incorrect Income Reporting: Misreporting income, whether by underestimating or overestimating, can affect the outcome. Always provide accurate figures, and remember to attach the necessary payroll stubs.
Missing Documentation: Not attaching required documents, such as payroll stubs or calculations for business income, can result in a rejection of the form.
Ignoring Assets: Omitting assets or not valuing them properly can be detrimental. Disclose all known assets, even if their value is uncertain.
Neglecting Deductions: Failing to account for all deductions can lead to an inflated view of available income. Ensure that all relevant expenses are included.
Inaccurate Valuation Dates: Not specifying the correct valuation date for assets can lead to complications. Always indicate the date when the petition was filed.
Misunderstanding Child Support Obligations: Misreporting child support payments can have serious implications. Be precise about amounts paid and received.
Failure to Update Information: Not amending the declaration if circumstances change can lead to legal issues. Update the form as necessary before trial.
Not Seeking Help: Attempting to fill out the form without guidance can lead to mistakes. Consider consulting with a professional if unsure about any aspect.
The Indiana Financial Declaration form is a crucial document often used in divorce proceedings to provide a clear picture of an individual's financial situation. Alongside this form, several other documents may be required to ensure a comprehensive understanding of both parties' finances. Below is a list of commonly used forms and documents that complement the Indiana Financial Declaration.
Gathering these documents can streamline the process and ensure that all financial aspects are considered fairly. By providing a complete financial picture, both parties can work towards a resolution that reflects their true financial circumstances.
The Indiana Financial Declaration form shares similarities with the Financial Affidavit used in family law cases in many states. Both documents require individuals to provide a detailed account of their income, expenses, assets, and liabilities. This information is crucial for determining child support, alimony, and property division during divorce proceedings. Just like the Indiana form, the Financial Affidavit typically includes sections for gross income, monthly expenses, and asset disclosures, allowing the court to assess the financial situation of each party accurately.
Another document that is comparable is the Child Support Worksheet, often used in custody and support cases. This worksheet helps calculate the amount of child support one parent may owe to the other. Similar to the Indiana Financial Declaration, it requires detailed financial information, including income and expenses. The goal is to ensure that both parents contribute fairly to the child's upbringing, taking into account their financial capabilities. The structured format of both documents aids in presenting a clear financial picture to the court.
The Statement of Net Worth is also akin to the Indiana Financial Declaration. It is commonly used in divorce cases to summarize an individual's financial standing. This document includes sections for assets, liabilities, income, and expenses, much like the Indiana form. By providing a snapshot of an individual's financial status, the Statement of Net Worth helps the court make informed decisions regarding asset division and support obligations, ensuring that all relevant financial factors are considered.
Additionally, the Financial Disclosure Statement serves a similar purpose. This document is often required in various legal proceedings, including divorce and bankruptcy. It demands a comprehensive listing of income, expenses, and assets. Like the Indiana Financial Declaration, it aims to provide transparency regarding an individual's financial situation, helping the court evaluate the case effectively. Both documents emphasize the importance of honesty and accuracy in financial reporting.
Lastly, the Income and Expense Declaration is another document that mirrors the Indiana Financial Declaration. Used primarily in family law cases, it requires parties to disclose their monthly income and expenses. This declaration is crucial for determining support obligations and ensuring that both parties are held accountable for their financial contributions. The structured approach of both documents facilitates a clear understanding of each party's financial landscape, which is essential for fair legal outcomes.
When filling out the Indiana Financial Declaration form, consider the following guidelines to ensure accuracy and compliance.
The Indiana Financial Declaration form is an essential document used during divorce proceedings, but many misunderstand its purpose and requirements. Here are eight common misconceptions about the form, along with clarifications to help you navigate it more effectively.
Understanding these misconceptions can help individuals better prepare for their divorce proceedings and ensure that their financial declaration is accurate and complete. This not only aids the court in making informed decisions but also protects your interests during a challenging time.
Completing the Indiana Financial Declaration form is a crucial step in legal proceedings related to family law. Here are key takeaways to keep in mind:
By following these guidelines, individuals can navigate the Financial Declaration process more effectively and contribute to a smoother legal experience.