Jdf 1111 Form – Fill Out and Use This PDF

The JDF 1111 form is a comprehensive document used primarily in Colorado's District and Denver Juvenile Courts, designed to outline detailed financial statements in cases regarding the dissolution of marriage or civil unions, as well as parental responsibilities. It requires the individual completing it to provide exhaustive information on their employment status, income, monthly deductions, expenses, debts, and assets. Understanding and accurately completing this form is crucial for those seeking to ensure a fair and thorough examination of their financial situation in legal proceedings. To get started with filling out the form correctly, click the button below.

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Jdf 1111 Form PDF Details

Understanding the intricacies of financial declarations in legal proceedings is crucial, and the JDF 1111 form plays a key role in this process within Colorado's judicial system. This comprehensive form, utilized by individuals involved in cases of divorce, civil unions, or parental responsibilities, serves as a sworn statement detailing an individual’s employment status, income, expenses, assets, and liabilities. By requiring detailed information about monthly income from various sources, mandatory and voluntary deductions, and a thorough account of monthly expenses and debts, the form ensures transparency and fairness in financial assessments. Additionally, it addresses assets, distinguishing between those owned jointly or individually, including real estate, vehicles, and bank accounts. The form's structure helps in presenting a clear financial snapshot to the court, essential for determining matters such as alimony, child support, and the division of assets. It emphasizes accuracy and completeness, with the applicant affirming the truthfulness of the provided information under penalty of perjury, highlighting its significance in the legal process and the necessity for careful completion.

Question	Answer
Form Name	Jdf 1111 Form
Form Length	7 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min 45 sec
Other names	sworn financial, jdf 1111 sworn financial statement, jdf 1111 ss pdf, colorado jdf r

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District Court Denver Juvenile Court
___________________ County, Colorado
Court Address:
In re:
The Marriage of:
The Civil Union of:
Parental Responsibilities concerning:
______________________________________________________
Petitioner:
and
Co-Petitioner/Respondent:			COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):		Case Number:
Phone Number:	E-mail:
FAX Number:	Atty. Reg. #:	Division	Courtroom

SWORN FINANCIAL STATEMENT

I, ___________________________________________________ (full name) am am not currently employed.

I am employed ____ hours per week. I am paid weekly bi-weekly twice a month monthly.

My pay is based on a Monthly Salary Hourly rate of $__________ Other: _________________________

Date employment began _______________________________.

My occupation is: ____________________________ Name of employer: _______________________________

Address of employer: _________________________________________________________________________

If unemployed, what date did you last work? _______________________

I am unemployed due to disability involuntary layoff at work other: ________________________________

This household consists of _____ adult(s), and ______ minor child(ren).

I believe the monthly gross income of the other party is $___________.

Annual gross income (last tax year 20__) for Petitioner $ _________, Co-Petitioner/Respondent $ __________

1.Monthly Income (Convert annual, bi-monthly, and weekly amounts to monthly amounts.)

Gross Monthly Income (before taxes and	$		Social Security Benefits (SSA)	$
deductions) from salary and wages, including			SSDI (Disability insurance – entitlement
commissions, bonuses, overtime, self-			program)
employment, business income, other jobs,			program)
employment, business income, other jobs,			SSI (supplemental income – need based)
and monthly reimbursed expenses.			SSI (supplemental income – need based)
and monthly reimbursed expenses.
Unemployment & Veterans’ Benefits			Disability, Workers’ Compensation
Pension & Retirement Benefits			Interest & Dividends
Public Assistance (TANF)			Other - ___________________
			Total Monthly Income	$
Miscellaneous Income
Royalties, Trusts, and Other Investments	$		Contributions from Others	$
Dependent Children’s monthly gross			All other sources, i.e. personal injury
income. Source of Income: __________			settlement, non-reported income, etc.
Rental Net Income			Expense Accounts
Child Support from Others			Other - ___________________
Spousal/Partner Support from Others			Other - ___________________
		Total Monthly Miscellaneous Income		$
			Total Income	$

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 1 of 7

2. Monthly Deductions (Mandatory and Voluntary)

Mandatory Deductions	Cost Per		Cost Per
	Month		Month
Federal Income Tax	$	State/Local Income Tax	$
PERA/Civil Service		Social Security Tax
Medicare Tax		Other - ___________________
		Total Mandatory Deductions	$
Voluntary Deductions	Cost Per		Cost Per
	Month		Month
Life and Disability Insurance	$	Stocks/Bonds	$
Health, Dental, Vision Insurance Premium		Retirement & Deferred Compensation
Total number of people covered on Plan 
Total number of people covered on Plan 
Child Care (deducted from salary)		Other - ____________________
Flex Benefit Cafeteria Plan		Other - ____________________
		Total Voluntary Deductions	$
		Total Monthly Deductions	$

3.Monthly Expenses

Note: List regular monthly expenses below that you pay on an on-going basis and that are not identified in the deductions above.

A. Housing
		Cost Per		Cost Per
		Month		Month
1st Mortgage		$	2nd Mortgage	$
Insurance (Home/Rental)	& Property		Condo/Homeowner’s/Maintenance
Taxes (not included in mortgage payment)			Fees
Rent			Other - ________________
			Total Housing	$
B. Utilities and Miscellaneous Housing Services
		Cost Per		Cost Per
		Month		Month
Gas & Electricity		$	Water, Sewer, Trash Removal	$
Telephone (local, long distance, cellular &			Property Care (Lawn, snow removal,
pager)			cleaning, security system, etc.)
Internet Provider, Cable & Satellite TV			Other - ____________________
	Total Utilities and Miscellaneous Housing Services			$
C. Food & Supplies
		Cost Per		Cost Per
		Month		Month
Groceries & Supplies		$	Dining Out	$
			Total Food & Supplies	$
D. Health Care Costs (Co-pays, Premiums, etc.)
		Cost Per		Cost Per
		Month		Month
Doctor & Vision Care		$	Dentist and Orthodontist	$
Medicine & RX Drugs			Therapist
Premiums (if not paid by employer)			Other - ____________________
			Total Health Care	$

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 2 of 7

E. Transportation & Recreation Vehicles (Motorcycles, Motor Homes, Boats, ATV, Snowmobiles, etc.)

	Cost Per		Cost Per
	Month		Month
Primary Vehicle Payment	$	Other Vehicle Payments	$
Fuel, Parking, and Maintenance		Insurance & Registration/Tax Payments
		(yearly amount(s) ÷12)
Bus & Commuter Fees		Other - ________________
		Total Transportation	$

F.Children’s Expenses and Activities

		Cost Per		Cost Per
		Month		Month
Clothing & Shoes		$	Child Care	$
Extraordinary Expenses i.e.	Special		Misc. Expenses, i.e. Tutor, Books,
Needs, etc.			Activities, Fees, Lunch, etc.
Tuition			Other - ________________
		Total	Children’s Expenses and Activities	$
G. Education for you - Please identify status: Full-time student Part-time student
		Cost Per		Cost Per
		Month		Month
Tuition, Books, Supplies, Fees, etc.			Other - ________________
			Total Education	$
H. Maintenance (Spousal/Partner Support) & Child Support (that you pay)
		Cost Per		Cost Per
		Month		Month
Maintenance			Child Support
This family		$	This family	$
Other family			Other family
		Total Maintenance and Child Support		$
I. Miscellaneous (Please list on-going expenses not covered in the sections above)
		Cost Per		Cost Per
		Month		Month
Recreation/Entertainment		$	Personal Care (Hair, Nail, Clothing, etc.)	$
Legal/Accounting Fees			Subscriptions (Newspapers, Magazines, etc.)
Charity/Worship			Movie & Video Rentals
Vacation/Travel/Hobbies			Investments (Not part of payroll deductions)
Membership/Clubs			Home Furnishings
Pets/Pet Care			Sports Events/Participation
Other - ________________			Other - ________________
Other - ________________			Other - ________________
Other - ________________			Other - ________________
Other - ________________			Other - ________________
			Total Miscellaneous	$

		Total Monthly Expenses (Totals from A – I)		$

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 3 of 7

4.Debts (unsecured)

List unsecured debts such as credit cards, store charge accounts, loans from family members, back taxes owed to the I.R.S., etc. Do not list debts that are liens against your property, such as mortgages and car loans, because that payment is already listed as an expense above, and the total of the debt is shown elsewhere as a deduction from value where that asset is listed, such as under Real Estate or Motor Vehicles.

For name on account, "P" = Petitioner, "C/R” = Co-Petitioner or Respondent, "J" = Joint.

Name of Creditor

Account

C/R

Date of

Balance

Minimum

Reason for

Number

Balance

Monthly

Which Debt

(last 4-

Payment

was Incurred

digits

Required

only)



→Total

Unsecured Debt Balance

Minimum

Monthly

Payment

SWORN FINANCIAL STATEMENT SUMMARY

(INCOME/EXPENSES)

Total Income (from Page 1)

$ _____________

Total Monthly Deductions (from Page 2)

$ _____________

Total Monthly Net Income (A minus B)

$ _____________

Total Monthly Expenses (from Page 3)

$ _____________

Total Minimum Monthly Payment Required - Debts Unsecured (from Page 4)

$ _____________

Total Monthly Expenses and Payments

(C plus D)

$ _____________

Net Excess or Shortfall (Monthly Net Income less Monthly Expenses and Payments)	(+/-) $ ______________

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 4 of 7

5.Assets

You MUST disclose all assets correctly. By indicating “None”, you are stating affirmatively that you or the other party, do not have assets in that category. Please attach additional copies of pages 5 & 6 to identify your assets, if necessary.

If the parties are married or partners in a civil union, check under the heading Joint (J) all assets acquired during the marriage/civil union but not by gift or inheritance. Under the headings of Petitioner (P) or Co- Petitioner/Respondent (C/R), check assets owned before this marriage/civil union and assets acquired by gift or inheritance.

If the parties were NEVER married to each other or are using this form to modify child support,

list all of each party’s assets under the headings of Petitioner (P) or Co-Petitioner/Respondent (C/R).

"P" = Petitioner, "C/R” = Co-Petitioner or Respondent, "J" = Joint.

A. Real Estate (Address or Property	P	C/R	J	Estimated	Amount	Net
Description and Name of Creditor/ Lender)				Value as of	Owed	Value/Equity
None				Today		(Value minus
				Value = what you		amount
				could sell it for		owed)
				in its current		owed)
				in its current
				condition.
				$	$	$
			
			
		Total		$	$	$

B. Motor Vehicles & Recreation	P	C/R	J	Estimated	Amount	Net
Vehicles Including Motorcycles, ATV’s,				Value as of	Owed	Value/Equity
Boats, etc.) (Year, Make, Model) (Name of				Today		(Value minus
Creditor/Lender)				Value = what you		amount
None				could sell it for		owed)
None				in its current		owed)
				in its current
				condition.
			
			
			
			
		Total		$	$	$

C. Cash on Hand, Bank, Checking,	P	C/R	J	Type of	Account #	Balance as
Savings, or Health Accounts (Name of				Account	(last 4-digits	of Today
Bank or Financial Institution)					only)
None
						$
			
			
			
					Total	$

D. Life Insurance	P	C/R	J	Type of	Face Amount	Cash Value
(Name of Company/Beneficiary)				Policy	of Policy	today
None
					$	$
			

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 5 of 7



Total

E. Furniture, Household Goods, and

C/R

Current Possession Held by

Estimated

Other Personal Property, i.e. Jewelry,

Value as of

C/R

Antiques, Collectibles, Artwork, Power

Today

Tools, etc. Identify Items and report in

Value = what

total.

you could sell it

for in its current

None

condition.



Total

F. Stocks, Bonds, Mutual Funds, Securities & Investment Accounts

None If owned please attach JDF 1111-SS.

Total

G. Pension, Profit Sharing, or Retirement Funds

None If owned please attach JDF 1111-SS.

Total

H. Miscellaneous Assets

None If you own any of the assets identified below, please check the appropriate box and attach JDF 1111-SS to report the value.

Business Interests		Stock Options	Money/Loans owed to you	IRS Refunds due to you
Country Club &		Livestock, Crops,	Pending lawsuit or claim	Accrued Paid Leave (sick,
Other Memberships		Farm Equipment	by you	vacation, personal)
Oil and Gas Rights		Vacation Club Points	Safety Deposit Box/Vault	Trust Beneficiary
Frequent Flyer Miles		Education Accounts	Health Savings Accounts	Mineral and Water Rights
Other - __________		Other - ___________	Other - _____________	Other - _____________
				Total	$

	I. Separate Property
	None If owned please attach JDF 1111-SS to identify the property and			Total	$
	to report the value.

		Total Value/Balance of All Assets (A – I)			$
		Total Value/Balance of All Assets (A – I)

I swear or affirm under oath that this Sworn Financial Statement, attached schedules, and mandatory disclosures contain a complete disclosure of my income, expenses, assets, and debt as of the date of my signature.

I understand that if the information I have provided changes or needs to be updated before a final decree or order is issued by the Court, that I have a duty to provide the correct or updated information.

I understand that this oath is made under penalty of perjury. I understand that if I have omitted or misstated any material information, intentionally or not, the Court will have the power to enter orders to

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 6 of 7

address those matters, including the power to punish me for any statements made with the intent to defraud or mislead the Court or the other party.

Date: _______________________	_____________________________________________
	Signature of Petitioner or Co-Petitioner/Respondent
	Subscribed and affirmed, or sworn to before me in the
	County of _________________________, State of
	________________, this _______ day of _______, 20_____.
	My Commission Expires: ___________________
	________________________________________
	Notary Public/Deputy Clerk

CERTIFICATE OF SERVICE

To be completed if the Sworn Financial Statement is not being filed with JDF 1104 - Certificate of Compliance with Mandatory Financial Disclosures

I certify that on ________________________ (date) a true and accurate copy of the SWORN FINANCIAL

STATEMENT was served on the other party by:

Hand Delivery, E-filed, Faxed to this number: ___________________, or

By placing it in the United States mail, postage pre-paid, and addressed to the following:

To: _______________________________________
_______________________________________
_______________________________________	______________________________________
	Your signature

JDF 1111 R7/13	SWORN FINANCIAL STATEMENT – FORM 35.2 © 2013 Colorado Judicial Department for use in the
Courts of Colorado	Page 7 of 7

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2. Right after performing the previous section, go on to the next step and fill in all required particulars in these blank fields - Date employment began, My occupation is Name of employer, Address of employer, If unemployed what date did you, This household consists of adults, I believe the monthly gross income, Social Security Benefits SSA SSDI, Gross Monthly Income before taxes, and Contributions from Others All.

3. Completing Gross Monthly Income before taxes, Contributions from Others All, JDF R SWORN FINANCIAL STATEMENT, and Page of is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

The right way to prepare jdf1111 portion 3

4. It is time to fill in this fourth form section! In this case you've got these Monthly Deductions Mandatory and, Cost Per Month, Cost Per, Month, Federal Income Tax PERACivil, StateLocal Income Tax Social, Cost Per, Cost Per, Month, Month, Life and Disability Insurance, StocksBonds Retirement Deferred, Other Other, Monthly Expenses, and Note List regular monthly empty form fields to do.

Concerning Other Other and Note List regular monthly, ensure that you double-check them in this current part. The two of these could be the key fields in this PDF.

5. To finish your form, the final section has several extra blank fields. Filling in st Mortgage Insurance HomeRental, nd Mortgage, Cost Per, Month, Month, Gas Electricity Telephone local, Water Sewer Trash Removal Property, removal, Cost Per, Month, Cost Per, Month, Groceries Supplies Total Food, Dining Out, and Cost Per will wrap up the process and you'll be done in a snap!

jdf1111 completion process outlined (step 5)

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