When you are filling out your tax forms, one of the more confusing ones can be Form Fl 150. This is a form that is used to report income and deductions from self-employment activities. If you have any questions about how to complete this form, it is best to consult with a tax professional. In this post, we will provide an overview of what information is required on Form Fl 150. We hope this information will help make filing your taxes a little bit easier.
Before you complete form fl 150, you will want to know more in regards to the type of form you are going to use.
Question | Answer |
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Form Name | Form Fl 150 |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | fl 150 california, income and expense forms, income declaration form, form fl 150 fill out |
PARTY WITHOUT ATTORNEY OR ATTORNEY |
STATE BAR NUMBER: |
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NAME: |
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FIRM NAME: |
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STREET ADDRESS: |
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CITY: |
STATE: |
ZIP CODE: |
TELEPHONE NO.: |
FAX NO.: |
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ATTORNEY FOR (name): |
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
INCOME AND EXPENSE DECLARATION
FOR COURT USE ONLY
CASE NUMBER:
1.Employment (Give information on your current job or, if you're unemployed, your most recent job.)
Attach copies of your pay stubs for last two months (black out Social Security numbers).
a.Employer:
b. Employer's address:
c.Employer's phone number: d. Occupation:
e. Date job started:
f. If unemployed, date job ended:
g. |
I work about |
hours per week. |
h. |
I get paid $ |
gross (before taxes) |
per month
per week
per hour.
(If you have more than one job, attach an 8
2.Age and education
a.My age is (specify):
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I have completed high school or the equivalent: |
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Yes |
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No |
If no, highest grade completed (specify): |
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c. |
Number of years of college completed (specify): |
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Degree(s) obtained (specify): |
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d. |
Number of years of graduate school completed (specify): |
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Degree(s) obtained (specify): |
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e. |
I have: |
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professional/occupational license(s) (specify): |
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vocational training (specify): |
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3.Tax information
a. |
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I last filed taxes for tax year (specify year): |
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b. |
My tax filing status is |
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single |
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head of household |
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married, filing separately |
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married, filing jointly with (specify name): |
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c. |
I file state tax returns in |
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California |
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other (specify state): |
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d. I claim the following number of exemptions (including myself) on my taxes (specify):
4.Other party's income. I estimate the gross monthly income (before taxes) of the other party in this case at (specify): $ This estimate is based on (explain):
(If you need more space to answer any questions on this form, attach an 8
I declare under penalty of perjury under the laws of the State of California that the information contained on all pages of this form and any attachments is true and correct.
Date:
(TYPE OR PRINT NAME) |
(SIGNATURE OF DECLARANT) |
Page 1 of 4
Form Adopted for Mandatory Use Judicial Council of California
INCOME AND EXPENSE DECLARATION
Family Code, §§
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
CASE NUMBER:
Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax return to the court hearing. (Black out your Social Security number on the pay stub and tax return.)
5. Income (For average monthly, add up all the income you received in each category in the last 12 months |
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Average |
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and divide the total by 12.) |
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Last month monthly |
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a. Salary or wages (gross, before taxes) |
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$ |
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................................................................................................................b. Overtime (gross, before taxes) |
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$ |
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c. |
.........................................................................................................................Commissions or bonuses |
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$ |
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d. |
Public assistance (for example: TANF, SSI, GA/GR) |
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currently receiving |
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$ |
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e. |
Spousal support |
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from this marriage |
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from a different marriage |
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federally taxable* |
$ |
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$ |
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f. |
Partner support |
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from this domestic partnership |
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from a different domestic partnership |
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g. |
Pension/retirement fund payments |
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$ |
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.........................................................................................................h. Social Security retirement (not SSI) |
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$ |
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i. |
Disability: |
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Social Security (not SSI) |
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State disability (SDI) |
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Private insurance |
$ |
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j. |
Unemployment compensation |
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$ |
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k. |
............................................................................................................................Workers' compensation |
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$ |
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L. |
Other (military allowances, royalty payments) (specify): |
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$ |
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6.Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.)
a. |
Dividends/interest |
$ |
b. |
Rental property income |
$ |
c. |
Trust income |
$ |
d. |
Other (specify): |
$ |
7. Income from |
$ |
I am the |
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owner/sole proprietor |
Number of years in this business (specify): Name of business (specify):
Type of business (specify):
business partner
other (specify):
8.
9.
Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your Social Security number. If you have more than one business, provide the information above for each of your businesses.
Additional income. I received
Change in income. My financial situation has changed significantly over the last 12 months because (specify):
10.Deductions
a. |
Required union dues |
$ |
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b. Required retirement payments (not Social Security, FICA, 401(k), or IRA) |
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$ |
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c. Medical, hospital, dental, and other health insurance premiums (total monthly amount) |
$ |
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d. Child support that I pay for children from other relationships |
$ |
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federally tax deductible* |
$ |
e. |
Spousal support that I pay by court order from a different marriage |
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f. Partner support that I pay by court order from a different domestic partnership |
$ |
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g. |
Necessary |
$ |
11.Assets
a. |
Cash and checking accounts, savings, credit union, money market, and other deposit accounts |
$ |
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b. Stocks, bonds, and other assets I could easily sell |
$ |
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c. |
All other property, |
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real and |
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personal (estimate fair market value minus the debts you owe) |
$ |
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Last month
Total
*Check the box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a
INCOME AND EXPENSE DECLARATION |
Page 2 of 4 |
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
CASE NUMBER:
12.The following people live with me:
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Age |
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How the person is |
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That person's gross |
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Pays some of the |
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Name |
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related to me (ex: son) |
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monthly income |
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household expenses? |
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a. |
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Yes |
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No |
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b. |
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Yes |
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No |
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c. |
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Yes |
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No |
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d. |
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Yes |
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No |
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e. |
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Yes |
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No |
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13. Average monthly expenses |
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Estimated expenses |
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a. Home: |
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(1) |
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Rent or |
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mortgage |
$ |
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If mortgage: |
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(a) |
average principal: |
$ |
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(b) |
average interest: |
$ |
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(2) Real property taxes |
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$ |
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(3) Homeowner's or renter's insurance |
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(if not included above) |
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$ |
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(4) Maintenance and repair |
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$ |
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b. |
$ |
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c. |
Child care |
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$ |
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d. Groceries and household supplies |
$ |
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e. |
Eating out |
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$ |
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f. Utilities (gas, electric, water, trash) |
$ |
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g. |
Telephone, cell phone, and |
$ |
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14.Installment payments and debts not listed above
Actual expenses |
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Proposed needs |
$ |
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h. |
Laundry and cleaning |
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i. |
Clothes |
$ |
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j. |
Education |
$ |
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k. Entertainment, gifts, and vacation |
$ |
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L. Auto expenses and transportation |
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(insurance, gas, repairs, bus, etc.) |
$ |
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m. Insurance (life, accident, etc.; do not include |
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auto, home, or health insurance) |
$ |
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n. |
Savings and investments |
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$ |
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o. |
Charitable contributions |
$ |
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p. Monthly payments listed in item 14 |
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(itemize below in 14 and insert total here) |
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q. |
Other (specify): |
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r.TOTAL EXPENSES
the amounts in a(1)(a) and (b)) |
$ |
s. Amount of expenses paid by others |
$ |
Paid to |
For |
Amount |
Balance |
Date of last payment |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
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15.Attorney fees (This information is required if either party is requesting attorney fees):
a.To date, I have paid my attorney this amount for fees and costs (specify): $
b.The source of this money was (specify):
c.I still owe the following fees and costs to my attorney (specify total owed): $
d.My attorney's hourly rate is (specify):
I confirm this fee arrangement.
Date:
(TYPE OR PRINT NAME) |
(SIGNATURE OF DECLARANT) |
INCOME AND EXPENSE DECLARATION |
Page 3 of 4 |
PETITIONER:
RESPONDENT:
OTHER PARTY/PARENT/CLAIMANT:
CASE NUMBER:
CHILD SUPPORT INFORMATION
(NOTE: Fill out this page only if your case involves child support.)
16. Number of children |
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a. I have (specify number): |
children under the age of 18 with the other parent in this case. |
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b. The children spend |
percent of their time with me and |
percent of their time with the other parent. |
(If you're not sure about percentage or it has not been agreed on, please describe your parenting schedule here.)
17.Children's
a. |
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I do |
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I do not |
have health insurance available to me for the children through my job. |
b.Name of insurance company:
c.Address of insurance company:
d.The monthly cost for the children's health insurance is or would be (specify): $ (Do not include the amount your employer pays.)
18. Additional expense for the children in this case |
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Amount per month |
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a. Childcare so I can work or get job training |
$ |
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b. Children's health care not covered by insurance |
$ |
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c. Travel expenses for visitation |
$ |
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d. Children's educational or other special needs (specify below): |
$ |
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19. Special hardships. I ask the court to consider the following special financial circumstances |
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(attach documentation of any item listed here, including court orders): |
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Amount per month For how many months? |
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a. Extraordinary health expenses not included in 18b |
$ |
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b. Major losses not covered by insurance (examples: fire, theft, other |
$ |
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insured loss) |
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c. (1) Expenses for my minor children who are from other relationships and |
$ |
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are living with me |
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(2) Names and ages of those children (specify): |
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(3) Child support I receive for those children............................................... $
The expenses listed in a, b, and c create an extreme financial hardship because (explain):
20.Other information I want the court to know concerning support in my case (specify):
INCOME AND EXPENSE DECLARATION |
Page 4 of 4 |
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