Form CR-115 at a glance
What it is: CR-115 is the Defendant's Statement of Assets.
Who signs: The defendant signs: enter the Date, then (type or print name) and (signature).
A filled-in Form CR-115 example: a defendant lists one job, one bank account and one car
How to fill out Form CR-115, box by box
Personal information
Under PERSONAL INFORMATION 1, enter your Name, AKA, Date of birth, Social security number, Marital status, Driver license number, State of issuance, Home address (incl. city/zip), Home telephone no. and Employer's telephone no. Attach additional sheets if the space provided for any item is not sufficient.
Employment
Enter your sources of income and occupation: provide job title and name of division or office in which you work.
In a, enter the name and address of your business or employer (include address of your payroll or human resources department, if different).
If not employed, in b enter names and addresses of all sources of income (specify).
Pay each pay period
Enter your gross pay each pay period, your take-home pay each pay period, and how often you are paid (for example, daily, weekly, biweekly, monthly) (specify).
Spouse income and other sources of income
If your spouse earns any income, give the name of your spouse, the name and address of the business or employer, job title, and division or office (specify).
If you have other sources of income, enter them in box 8 (specify).
Cash and bank deposits
Enter how much money you have in cash.
List how much other money you have in banks, savings and loans, credit unions, and other financial institutions either in your own name or jointly, with the name and address of financial institution, Individual or joint?, Account number and Balance.
Automobiles, other vehicles, and boats
List all automobiles, other vehicles, and boats owned in your name or jointly, with Make and year, Value, Amount owed and Legal owner if different from registered owner.
More rules for Form CR-115
List all real estate owned in your name or jointly, with Address of real estate, Fair market value and Amount owed.
Under OTHER PERSONAL PROPERTY, in 13, list anything of value owned in your name or jointly (continue on attached sheet if necessary), with Description, Value and Address where property is located. Do not list household furniture and furnishings, appliances, or clothing.
List all other assets, including stocks, bonds, mutual funds, and other securities (specify).
Mark Yes or No for Is anyone holding assets for you? If yes, describe the assets and give the name and address of the person or entity holding each asset (specify).
Mark Yes or No for Except for attorney fees in this matter and ordinary and routine household expenses, have you disposed of or transferred any assets since your arrest on this matter? If yes, give the name and address of each person or entity who received any asset and describe each asset (specify).
Under DEBTS, enter Loans (give details), Taxes (give details), Support arrearages (attach copies of orders and statements), Credit cards (give creditor's name and address and the account number) and Other debts (specify).
Common questions about Form CR-115
Who signs it?
The defendant signs: enter the Date, then (type or print name) and (signature).
Is there a penalty?
It is a misdemeanor to make any willful misstatement of material fact in completing this form. (Pen. Code, § 1202.4(f)(4).)
What am I certifying when I sign?
The defendant signs the form, and any willful misstatement of material fact in completing it is a misdemeanor. If an interpreter translated this form to the defendant, the interpreter also signs the interpreter's statement and certifies, having been duly sworn or having a written oath on file, that they truly translated this form to the defendant in the language noted in Language.
Sources
[1] Form CR-115 (Rev. Jan. 1, 2020), Defendant's Statement of Assets, Judicial Council of California (the Official source link on this page).