Income Expense Statement Form PDF Details

At the heart of financial litigation or negotiation, particularly in family law, resides the Income Expense Statement form, a crucial document designed to methodically report an individual's monthly earnings and outlays. The form addresses the intricate need to present an accurate financial picture by requiring detailed listings of average monthly income and expenses, encompassing everything from wages, tax adjustments, and support received to household expenses, insurance, and loan payments. It also takes into account the irregularity of certain incomes and expenses, instructing users to average these figures on a monthly basis for a clearer annual representation. The form further extends to include voluntary contributions and personal care costs, underlining the comprehensive nature of financial disclosure. Replete with sections for personal declarations and legal attestations, the Income Expense Statement culminates in providing a transparent platform for respondents and petitioners alike to disclose their financial standings. This, fortified by legal penalties for perjury, underscores the form’s significance in legal proceedings, where financial accuracy is paramount. Its meticulous preparation serves not only as a basis for equitable resolutions in legal disputes but also as a testament to the meticulous scrutiny financial matters receive in the legal arena.

QuestionAnswer
Form NameIncome Expense Statement Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesinome and expense statement, annual statement of income and expenses for income producing properties belleville new jersey, example of a statement of income and expenses, income form pdf

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Income & Expense Statement

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County:

Petitioner:

Respondent:

Case No:

Prepared:

Instuctions: Monthly averages should be used for all income and expense items even though income and/or expense is not received/paid on a montly basis. If item is received/paid on an irregular basis, take annual amount and divide by twelve.

Petitioner

Statement of:

Respondent

I. AVERAGE MONTHLY INCOME

A.Gross monthly income from wages

B.Minus the following adjusments:

<Federal withholding tax

<State withholding tax

<FICA

<Union dues

<Retirement contributions

<Health/life insurance

<Medicare

< Other (describe)

Total adjustments to wages

C.Maintenance received net of taxes

D.Child support received

E.Other income received net of taxes (e.g., bonuses, rental income, investment income, etc.)

TOTAL AVERAGE NET MONTHLY INCOME

II. AVERAGE MONTHLY EXPENSES

A.Rent or home mortgage payment

B.General household expenses

<Electricity

<Heating fuel (oil, gas, propane, wood, etc.)

<Water and sewer

<Cable television

<Internet access

<Phone service - land line

<Phone service - cell

<Home repair and maintenance

<Yard maintenance (mowing, snow removal, etc.)

<Trash pickup

<Other (describe)

Total general household expenses

C.Motor vehicle expenses

<Loan or lease payment

<Gasoline/diesel

<Maintenance and repair

<Inspection and licensing

< Other (describe)

Total motor vehicle expenses

Page 1 of 2

D.Insurance expenses (not included above)

<Life insurance for yourself

<Life insurance for souse/children

<Health insurance for yourself

<Health insurance for spouse/children

<Disability insurance

<Homeowner's/renter's insurance

<Motor vehicle insurance

< Other (describe)

Total insurance expenses

E. Loan and credit card expenses (not included above)

< Secured (list) < Unsecured (list) < Credit card (list)

Total loan expenses

F.Real estate and personal property taxes

G.Court ordered child support/maintenance payments

H.Church and charitable contributions

I.Day care costs

J. Other monthly living expenses

Yourself

Children

<Groceries, household goods, supplies, etc.

<Meal eaten away from home

<Clothing

<Uninsured medical care and medications

<Uninsured dental and orthodontic

<Uninsured eye care

<Professional dry cleaning and laundry

<Recreation and entertainment

<Beauty and barber shop

<School tuition, books, supplies and fees

<School room and board

<Extracurricular fees (clubs, sports, lessons, etc.)

< Other (describe)

Total other monthly living expenses

TOTAL AVERAGE MONTHLY EXPENSES

III. RECAPITULATION

A. Net monthly income

B. Minus average monthly expenses

TOTAL MONTHLY NET DISPOSABLE INCOME

IV. SIGNATURES

I hereby declare under penalties of perjury that the foregoing information is true and correct to the best of my knowledge and belief.

Signed By

Subscribed and sworn to before me on the _____ day of _________________________, 20_____.

Notary Public

© Williams, Robinson, Rigler & Buschjost, P.C. - 2005 - Rev. 20050902

Page 2 of 2

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Guidelines on how to fill out book vs accounting for income and expenses of a corporation step 1

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A way to prepare book vs accounting for income and expenses of a corporation portion 2

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Total motor vehicle expenses, Loan or lease payment, and Page  of of book vs accounting for income and expenses of a corporation

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Step no. 4 of submitting book vs accounting for income and expenses of a corporation

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Completing segment 5 of book vs accounting for income and expenses of a corporation

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