Free Financial Affidavit of Separation Outline Template
Financial Affidavit of Separation Outline
Prepared by: [YOUR NAME]
Contact Email: [YOUR EMAIL]
This Financial Affidavit of Separation is designed to summarize financial details for use in separation or divorce proceedings. The information provided below serves as a foundation for preparing a formal financial affidavit.
I. Personal and Marital Information
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Name: Jane Doe
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Address: 123 Elm Street, Springfield, USA
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Date of Marriage: March 15, 2030
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Date of Separation: June 20, 2052
Children (if applicable):
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Name: Emily Doe
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Date of Birth: August 10, 2045
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Name: Michael Doe
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Date of Birth: February 5, 2048
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II. Income Details
Income Source |
Monthly Amount |
Annual Amount |
Notes |
---|---|---|---|
Employment (Jane Doe) |
$6,500 |
$78,000 |
Regular salary |
Freelance Income (Jane) |
$1,200 |
$14,400 |
Graphic design projects |
Employment (John Doe) |
$8,000 |
$96,000 |
Regular salary |
Total Annual Income (Combined): $188,400
III. Assets and Liabilities
Assets:
Asset Description |
Owner |
Estimated Value |
Notes |
---|---|---|---|
Family Home |
Joint Ownership |
$450,000 |
Located in Springfield |
Savings Account |
Jane Doe |
$25,000 |
Account ending in 1234 |
Retirement Account (401k) |
John Doe |
$120,000 |
Through employer |
Liabilities:
Liability Description |
Owner |
Amount Owed |
Notes |
---|---|---|---|
Mortgage on Family Home |
Joint Ownership |
$300,000 |
Monthly payment $1,800 |
Credit Card Debt |
Jane Doe |
$12,000 |
Account ending in 5678 |
Car Loan |
John Doe |
$20,000 |
Monthly payment $500 |
IV. Monthly Expenses
Expense Category |
Amount |
Notes |
---|---|---|
Housing (Mortgage + Utilities) |
$2,300 |
Includes electricity and water |
Childcare and Education |
$1,500 |
Tuition for two children |
Food and Groceries |
$800 |
Average monthly grocery expenses |