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Our Financial Affidavit product is designed to be straightforward to use. Simply enter your data where appropriate and print when ready. For ease of navigation, a series of controls at the lower-right corner of your screen will allow you to quickly jump from section to section.

The descriptions of the entries in the "Assets", "Expenses", and "Creditors" sections have been pre-set to the suggested descriptions delineated by Georgia Uniform Superior Court Rule 24.2, but you can edit them to suit your preferences.

In addition, in the "Assets" and "Creditors" sections, you can swap two entries in the list to suit your preferences. To do so, click the left-most radio button next to one of the entries you want to swap, click the right-most radio button next to the other entry, and click the "Switch Assets" or "Switch Creditors" button (as appropriate). You can also click a icon to add a blank entry immediately below the selected entry, or a icon to remove the entry for that row. Similarly, the "Insert" and "Delete" buttons in the "Expenses" section will add or remove entries in the "Other Expenses" subsection, as appropriate.

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IN THE COURT OF COUNTY

STATE OF GEORGIA

, ,

Defendant.

CIVIL ACTION FILE

NO.

DOMESTIC RELATIONS FINANCIAL AFFIDAVIT

Personally appeared before the undersigned attesting officer came ("Affiant"), in the above-styled civil action, who after being duly sworn makes the following Domestic Relations Financial Affidavit pursuant to Uniform Superior Court Rule 24.2 and states the same is true and correct based upon the Affiant's personal knowledge.

1. PERSONAL INFORMATION.

Affiant:	Age:
Spouse:	Age:

Type of Case:

Date of Marriage: Date of Separation:

Date of Divorce:

Children of These Parties:

Name Birth Date Resides With

These parties have no children together.

Affiant's Children by Another Relationship:

Name Birth Date Resides With

Affiant has no children by another relationship.

2. SUMMARY OF AFFIANT'S INCOME AND NEEDS.

3-A. AFFIANT'S GROSS MONTHLY INCOME.†

1.	Salary and Wages
2.	Commissions, Fees, Tips
3.	Income From Self-Employment
4.	Bonuses
5.	Overtime Payments
6.	Severance Pay
7.	Recurring Income from Pensions/Retirement
8.	Interest Income
9.	Income from Dividends
10.	Trust Income
11.	Income from Annuities
12.	Capital Gains
13.	Social Security Disability/Retirement Benefits
14.	Worker's Compensation Benefits
15.	Unemployment Benefits
16.	Judgments from P.I. or Other Civil Cases
17.	Gifts
18.	Prizes / Lottery Winnings
19.	Alimony & maintenance from non-parties
20.	Assets used for support of family
21.	Fringe Benefits
22.	Any Other Income incl Imputed Income
	Gross Income:
	† Categories with no income are omitted.

3-B. BENEFITS OF EMPLOYMENT.

3-C. AFFIANT'S NET MONTHLY INCOME.

4. ASSETS.

5-A. AVERAGE MONTHLY EXPENSES.

5-B. PAYMENTS TO CREDITORS.

The foregoing is my Domestic Relations Financial Affidavit, and it is true and correct to the best of my personal knowledge.

FURTHER YOUR AFFIANT SAITH NOT.

Affiant /

Sworn to and subscribed by:

Notary Public

[SEAL]

My commission expires:

Gross monthly income (from Item 3-A)
Net monthly income (from Item 3-C)
Average monthly expenses (from Item 5-A)
Monthly payments to creditors (from Item 5-B)
Total monthly expenses and payments to creditors

				Description	Marital	Husband	Wife

				Description	Balance	Payment
				TOTALS:

Type of Case:
Date of Marriage:		Date of Separation:
Date of Divorce:

Net Income:
Affiant's Pay Period:
No. exemptions claimed: