The Indiana Financial Declaration form is a crucial document used in divorce and custody proceedings, providing a comprehensive overview of an individual's financial situation. It requires detailed information about income, expenses, assets, and liabilities, ensuring transparency and fairness in legal proceedings. Completing this form accurately is essential for a fair assessment of financial obligations and entitlements.
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The Indiana Financial Declaration form is a crucial document in family law cases, particularly during divorce proceedings. It provides a comprehensive overview of a person's financial situation, including income, expenses, assets, and liabilities. Along with this form, several other documents are often required to ensure a complete financial picture. Here is a list of those documents, each with a brief description.
Gathering these documents promptly is essential. They not only support the claims made in the Indiana Financial Declaration but also play a significant role in ensuring a fair resolution during divorce proceedings. The accuracy and completeness of these documents can greatly influence the outcome of financial negotiations.
Inaccurate Income Reporting: Many individuals underestimate or overestimate their gross weekly income. This can lead to significant discrepancies that affect child support and alimony calculations. Ensure that all sources of income are accurately reported, including wages, bonuses, and any other financial benefits.
Omitting Expenses: Some people fail to include all relevant monthly expenses. This includes not just fixed costs like rent or mortgage payments but also variable expenses such as groceries, utilities, and insurance. A comprehensive list of all expenses provides a clearer picture of financial obligations.
Neglecting to Update Information: If circumstances change after submitting the form, individuals often forget to update their financial declaration. This includes changes in income, new expenses, or alterations in asset values. Regular updates ensure that the court has the most accurate and current information.
Failure to Disclose Assets: Some individuals may not fully disclose all assets, believing that certain items are irrelevant or insignificant. Every asset, regardless of perceived value, should be listed. This includes bank accounts, retirement funds, and personal property, as these can impact the final financial decisions made by the court.
Personal Property Tax Indiana - Taxpayers must certify the accuracy of the information under penalty of perjury.
To ensure a smooth transaction, both parties should be aware of the importance of the Florida Motor Vehicle Bill of Sale form. It not only provides necessary details about the sale but also protects the interests of both the buyer and seller. For more information and to obtain the form, you can visit legalpdf.org.
Indiana Osow Permits - Contact information like an email address is also necessary on the M 201 form.
Indiana 53421 - The form will guide you through the application process to ensure all necessary details are captured.
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
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