INSTRUCTIONS: CONNECTICUT FINANCIAL AFFIDAVIT (Form JD-FM-6)

In family court disputes concerning child support, alimony and other aspects of divorce, both parties will be required to submit a sworn affidavit detailing all aspects of their finances. This Form JD-FM-6 is listed on the website maintained by Connecticut's Judicial Department.

Connecticut Financial Affidavit JD-FM-6 Step 1: Enter your name where indicated, along with the judicial district in which the case is being heard, the court address, the name of the case, your job and your employer's name and address.

Connecticut Financial Affidavit JD-FM-6 Step 2: Section one, "Weekly income," asks you to detail your income. If the amount you earn varies from week to week, provide averages based on your income from a period of 13 weeks or greater.

Connecticut Financial Affidavit JD-FM-6 Step 3: Subsection A asks you to list income from your primary job. Include deductions for taxes withheld from wages and other expenses, subtract these from your gross income and list your net weekly wage.

Connecticut Financial Affidavit JD-FM-6 Step 4: Subsection B asks you to detail all other sources of income.

Connecticut Financial Affidavit JD-FM-6 Step 5: Section two, "Weekly expenses," asks you to detail all your expenses by category, including rent, utilities, real estate taxes, food and clothing costs, the cost of transportation, medical expenses, alimony payments, child support payments, day care costs and insurance expenses. List any expenses which are not detailed under "Other."

Connecticut Financial Affidavit JD-FM-6 Step 6: Section three, "Liabilities (Debts)," asks you to list all your debts, including the amount and the creditor. Indicate the balance due and the size of all weekly payments.

Connecticut Financial Affidavit JD-FM-6 Step 7: Section four, "Assets," requires you to list all property, motor vehicles, property, bank accounts, stocks, insurance, deferred compensation plans such as IRAs. Provide the total value of each and add them up where indicated.

Connecticut Financial Affidavit JD-FM-6 Step 8: Under section five, "Health Insurance," list the name and address of your insurance provider if applicable, as well as all people covered by this policy.

Connecticut Financial Affidavit JD-FM-6 Step 9: Restate your total income, expenses, assets and liabilities from each section at the bottom of page two.

Connecticut Financial Affidavit JD-FM-6 Step 10: Sign and date the form before a notary public, court clerk or other Superior Court official.

INSTRUCTIONS: CALIFORNIA FINANCIAL STATEMENT (SIMPLIFIED) (Form Fl-155)

Couples who divorce need to complete financial statements in order for the court to rule how property and assets should be divided. The California Financial Statement (Simplified) can only be filled out by people who are not self-employed, who are not involved in an alimony or attorney's fees dispute, and who meet the restrictions listed on the bottom of page two concerning sources of income. Be sure to read the bottom of page two to determine if you can fill out this form or must fill out Form FL-150 instead. Both forms can be obtained from the website of the California Courts system.

California Financial Statement (Simplified) FL-155 Step 1: Enter your name or that of your attorney at the top of page, as well as the applicable address. Enter your name and that of the other party in the dispute, the address of the court which is hearing your case, and the case number you have been assigned.

California Financial Statement (Simplified) FL-155 Step 2: Question one concerns welfare income. Indicate if you receive income from any of the listed programs.

California Financial Statement (Simplified) FL-155 Step 3: Questions two and three require you to note any children and custody arrangements.

California Financial Statement (Simplified) FL-155 Step 4: Questions four and five require you to list your tax filing status and detail all sources of income.

California Financial Statement (Simplified) FL-155 Step 5: Detail all child-related expenses in response to questions six and seven.

California Financial Statement (Simplified) FL-155 Step 6: Question eight requires you to detail all average monthly expenditures.

California Financial Statement (Simplified) FL-155 Step 7: Concerning question nine, provide the address of your place of employment and describe your job history.

California Financial Statement (Simplified) FL-155 Step 8: Question ten requires you to estimate the average pre-tax monthly income of the other party in the dispute. In response to question eleven, detail the income of your current spouse, if any.

California Financial Statement (Simplified) FL-155 Step 9: If you wish to provide additional information about your financial situation, attach as many additional papers as necessary. You may also include page three of Form FL-150 if your case involves child support payments.

California Financial Statement (Simplified) FL-155 Step 10: Print and sign your name. Indicate if you are the plaintiff or respondent.

DR-130 (8/97)