How to Fill Out JDF 1104

JDF 1104 at a glance

What it is: JDF 1104 is the Certificate of Compliance with Mandatory Financial Disclosures.

Who signs: Print Your Name, then sign at Your Signature.

Each party in the case must complete and file their own Disclosure form.

A filled-in JDF 1104 example: a petitioner files the certificate

JDF 1104 example filled out, example: a petitioner files the certificate
Dana Sample, a petitioner, files JDF 1104 in a District Court case. Dana sent and filed the sworn financial statement, and sent the most recent 3 years of tax returns. The picture shows page 1 filled in, and every value in it is made up. The case already has a number, a division and a courtroom. Dana has no supporting schedule of assets, so Documents Sent and Filed b) stays empty. Dana is the petitioner and the filer, so the Name box repeats the Petitioner. Dana completes page 2 later, so Reason for Non-Disclosure is left blank. Dana signs and serves the form last, so Verified Signature stays empty and Certificate of Service stays empty.

How to fill out JDF 1104, box by box

Court

JDF 1104 example filled out, court

Under Court, mark District or Juvenile, then enter the Colorado County and Mailing Address.

Parties to the Case

JDF 1104 example filled out, parties to the Case

Under Parties to the Case, enter the Petitioner, then the Respondent (or Co-petitioner) if the case has one.

Filed by

JDF 1104 example filled out, filed by

Under Filed by, enter Name, Mailing Address, City, St, Zip, Phone and Email.

Case Details

JDF 1104 example filled out, case Details

Under Case Details, enter Number, Division and Courtroom.

Documents Sent and Filed

JDF 1104 example filled out, documents Sent and Filed

Under Background, enter your name after I (name). "I (name) certify that I have sent the following financial documents to the other party, complying with Colorado Rule of Civil Procedure (C.R.C.P.) 16.2(e)(7)."

Under Documents Sent and Filed, check all that apply of the documents you sent to the other party and filed with the court: a) JDF 1111 SC - Sworn Financial Statement, b) JDF 1111 SS - Supporting Schedule of Assets (as needed).

Documents Sent

JDF 1104 example filled out, documents Sent

Under Documents Sent, check all that apply of the documents you sent to the other party. Do not file these with the court. a) Income Tax Returns. (Most recent 3-years)

Personal Financial Statements to Extraordinary Children's Expense Documentation

JDF 1104 example filled out, personal Financial Statements to Extraordinary Children's Expense Documentation

b) Personal Financial Statements. (Last 3-years)

c) Business Financial Statements. (Last 3-years)

d) Real Estate Documents. (Examples: appraisal, title)

e) Personal Debt. (Examples: loans, title, credit card statements)

f) Investments. g) Employment Benefits. h) Retirement Plans.

i) Bank and Financial Institution Accounts.

j) Income Documentation. (Example: pay stubs)

k) Employment and Education Related Childcare Documentation. l) Insurance Documentation. m) Extraordinary Children's Expense Documentation.

Reason for Non-Disclosure

JDF 1104 example filled out, reason for Non-Disclosure

Under Reason for Non-Disclosure, if you didn't check 1 or more boxes of Documents Sent and Filed or Documents Sent, check all that apply: a) The unchecked boxes don't apply to me. b) I didn't disclose that information because: enter the reason.

Verified Signature

JDF 1104 example filled out, verified Signature

Under Verified Signature: "I certify that, to the best of my knowledge, the disclosures I made are complete and correct as of this date."

"I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct."

Executed on the (date) day of (month), (year) at (city or other location, and state or country).

Print Your Name, Your Signature and Lawyer Signature

JDF 1104 example filled out, print Your Name, Your Signature and Lawyer Signature

Print Your Name, then sign at Your Signature.

Sign at Lawyer Signature (If any).

Certificate of Service

JDF 1104 example filled out, certificate of Service

Under Certificate of Service, enter the date in I certify that on (enter date): I gave a copy of this document to the other parties by: (select at least one) Colorado Courts E-Filing, Email or Fax to:, Regular Mail, addressed to: (name, full address) or Hand Delivery, to: (name, place), lines 1), 2) and 3).

Sign at Signature:

More rules for JDF 1104

The Event Code: CC16 box is for court use only.

See JDF 1125 SC - Mandatory Disclosure (Form 35.1) for more information.

Sources

[1] JDF 1104 (R: October 24, 2023), Certificate of Compliance with Mandatory Financial Disclosures, Colorado Judicial Branch (the Official source link on this page).

Form JDF 1104 PDF Details

You certify that you have sent the following financial documents to the other party, complying with Colorado Rule of Civil Procedure 16.2(e)(7).

Sent and filed: JDF 1111 SC - Sworn Financial Statement. JDF 1111 SS - Supporting Schedule of Assets (as needed).

Do not file with the court: Income Tax Returns (Most recent 3-years), Personal Financial Statements (Last 3-years), Business Financial Statements (Last 3-years).

Verified Signature: You certify that, to the best of your knowledge, the disclosures you made are complete and correct as of this date.

Service: Select at least one way you gave a copy of this document to the other parties: Colorado Courts E-Filing, Email or Fax, Regular Mail, or Hand Delivery.

QuestionAnswer
Form NameForm JDF 1104
Form Length3 pages
Fillable?Yes
Fillable fields51
Avg. time to fill out9 min
EditionOctober 24, 2023
Other namesJDF 1104, JDF1104, JDF 1104 Colorado, Form JDF 1104, Certificate of Compliance with Mandatory Financial Disclosures
Official sourceForm JDF 1104 (Rev October 24, 2023),