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

  • Name: Jane Doe

  • Address: 123 Elm Street, Springfield, USA

  • Date of Marriage: March 15, 2030

  • Date of Separation: June 20, 2052

Children (if applicable):

  • Name: Emily Doe

    • Date of Birth: August 10, 2045

  • Name: Michael Doe

    • Date of Birth: February 5, 2048


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

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