The Arizona Financial Form is a crucial document used in family law cases to provide a comprehensive overview of an individual's financial situation. This form requires detailed information about income, expenses, and any financial obligations. Completing it accurately is essential, as it directly impacts court decisions regarding support and other financial matters.
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The Arizona Financial form is a crucial document for individuals involved in family law cases, particularly in matters related to divorce, child support, and spousal maintenance. This form requires detailed financial information from both parties, ensuring that the court has a clear understanding of each person's financial situation. Key sections of the form include personal information such as names, addresses, and contact numbers, as well as specific details about income sources, employment history, and monthly expenses. It also addresses any dependents and support obligations. Completing this form accurately is essential, as it helps determine financial responsibilities and entitlements. The form emphasizes the importance of honesty, warning that providing false information can lead to serious legal consequences. Each section must be filled out completely, and if additional space is needed, attachments are encouraged. By following the instructions carefully and providing all necessary documentation, individuals can facilitate a smoother legal process.
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 your legal proceedings. It requires careful attention to detail and accuracy. Make sure you have all necessary documents at hand, as you will need to provide comprehensive information about your financial situation. This will help the court understand your circumstances better and make informed decisions.
What is the purpose of the Arizona Financial form?
The Arizona Financial form is designed to collect detailed financial information from individuals involved in family law cases. It serves as a crucial document for the court to assess financial circumstances, especially in matters of child support, spousal maintenance, and other related issues. Accurate and complete information is essential for fair decision-making by the judge.
Who needs to complete the Arizona Financial form?
Both parties involved in a family law case must complete the Arizona Financial form. This includes individuals who are petitioners or respondents in divorce, custody, or support proceedings. Each party is required to provide their financial details to ensure transparency and fairness in the court's evaluation.
What information is required on the form?
The form requires personal information such as names, addresses, and phone numbers. It also asks for employment details, income sources, monthly expenses, and any additional financial obligations. Specific sections address child-related expenses, including health insurance and child care costs. It is important to answer every question thoroughly and accurately.
What happens if I do not provide accurate information?
Providing false or incomplete information on the Arizona Financial form can lead to serious consequences. The court may impose fines or other sanctions for misinformation. Additionally, it could negatively impact the outcome of your case. Therefore, it is crucial to ensure that all information is correct and complete.
Can I attach additional documents to the form?
Yes, if the spaces provided on the Arizona Financial form are insufficient, you may use separate sheets of paper to provide additional information. It is essential to attach any required documents, such as pay stubs or tax returns, to support the information you have provided. This helps substantiate your financial claims and ensures the court has all necessary details.
What should I do if a question does not apply to me?
If a question on the form does not apply to your situation, you should write "NA" for "not applicable" in the space provided. This indicates that you have read the question and confirms that it does not pertain to your circumstances. Leaving it blank may lead to confusion or assumptions about your financial situation.
How should I submit the completed form?
Once you have completed the Arizona Financial form, it must be filed with the court. You should also provide copies to the other party involved in the case. Ensure that you keep a copy for your records. Check with the court for specific filing procedures, as they may vary by location.
What are the consequences of not submitting the form?
Failing to submit the Arizona Financial form can have significant repercussions. The court may impose fines or other penalties, and it could adversely affect your case. Additionally, the judge may be unable to make informed decisions regarding financial matters, which could lead to unfavorable outcomes for you. Timely submission is essential for a fair process.
Filling out the Arizona Financial form can be a straightforward process, but many individuals make common mistakes that can lead to complications. One frequent error is failing to complete the entire form. All sections must be filled out, even if some information does not apply. Leaving blanks can result in delays or even fines.
Another mistake involves providing inaccurate or outdated information. For example, using old pay stubs or tax returns can misrepresent current financial status. It is essential to attach the most recent documents to ensure the court has the correct data.
Some individuals neglect to answer questions completely. Simply marking “yes” or “no” without providing additional explanations can lead to misunderstandings. If a question does not apply, it is better to write “NA” instead of leaving it blank.
Additionally, rounding amounts incorrectly is a common issue. The form requires all monetary figures to be rounded to the nearest dollar. Failing to do this can create inconsistencies in financial reporting.
Many people also forget to include all sources of income. It is important to list every source, whether it is from employment, social security, or other means. Omitting any income can lead to an inaccurate assessment of financial needs.
Another mistake is not providing documentation for income sources. The form specifically asks for copies of pay stubs and tax returns. Failing to attach these documents can delay the process.
Some individuals do not clarify their employment status adequately. If someone is not currently working, they should explain the reason clearly. This information is crucial for the court's understanding of their financial situation.
Moreover, individuals often overlook the requirement to report child care costs accurately. Listing anticipated expenses without indicating that they are estimates can create confusion. It is vital to denote any estimated amounts with an asterisk.
Lastly, many people forget to sign the affidavit. The signature is a confirmation of the accuracy of the information provided. Without it, the form may be considered incomplete.
By avoiding these common mistakes, individuals can ensure that their Arizona Financial form is filled out correctly, leading to a smoother process in court.
The Arizona Financial form is a crucial document used in family law cases, particularly concerning financial disclosures during divorce or child support proceedings. Several other forms and documents are often required to accompany this form, ensuring that all necessary information is provided to the court. Below is a list of common documents that may be used alongside the Arizona Financial form.
Each of these documents plays a vital role in ensuring that the court has accurate and complete financial information to make informed decisions regarding support and asset division. Properly completing and submitting these forms can help facilitate the legal process.
The Arizona Financial form is similar to several other legal documents that serve various purposes in financial disclosures. Here’s a list of six documents that share similarities with the Arizona Financial form:
When filling out the Arizona Financial form, there are important guidelines to follow. Here’s a list of things you should and shouldn't do:
Understanding the Arizona Financial form is crucial for those involved in legal proceedings. However, several misconceptions can lead to confusion. Here are five common misunderstandings about this important document:
Many believe that completing the Arizona Financial form is not mandatory. In reality, it is a required document in family law cases. Failing to submit it can result in fines or other penalties.
Some individuals think that only one party in a case needs to complete the form. However, both parties are typically required to submit their own financial affidavits to ensure transparency and fairness.
It is a common belief that estimates can be provided for income and expenses. This is incorrect. All figures must be accurate and based on actual amounts to avoid potential legal repercussions.
While income is a significant part of the Arizona Financial form, it also requires detailed information about expenses, assets, and liabilities. Omitting any section can lead to complications in your case.
Some may think that the financial affidavit can stand alone without additional documentation. In fact, it is essential to attach supporting documents, such as pay stubs and tax returns, to substantiate the information provided.
Filling out the Arizona Financial form requires complete and accurate information. Any inaccuracies may lead to legal consequences.
Use black ink to fill out the entire Affidavit. If additional space is needed, attach separate sheets with the required information.
Every question must be answered. If unsure about an answer, indicate that you do not know. For questions that do not apply, write “NA” to show you have read them.
Financial amounts should be rounded to the nearest dollar. This ensures clarity and consistency in reporting.
Two recent pay stubs and federal income tax returns for the last three years must be attached to the Affidavit.
List all sources of income, including self-employment, and provide monthly averages for income that fluctuates.
Be prepared to disclose all monthly expenses, including those related to children, and provide supporting documentation where necessary.
Indicate any anticipated expenses with an asterisk (*) to differentiate them from actual expenses.
Failure to provide required documents or accurate information may result in sanctions, including fines or additional legal fees.