Financial Affidavit
1. Introduction
I, [YOUR NAME], residing at [YOUR ADDRESS], do hereby solemnly affirm and declare under penalty of perjury that the following statements are true and correct to the best of my knowledge and belief:
2. Financial Information
Annual Gross Income: $[GROSS INCOME AMOUNT]
Monthly Net Income: $[NET INCOME AMOUNT]
Total Monthly Expenses: $[MONTHLY EXPENSES AMOUNT]
Total Assets (Savings, Investments, etc.): $[ASSETS AMOUNT]
Total Liabilities (Mortgages, Loans, etc.): $[LIABILITIES AMOUNT]
3. Additional Information
Are there any outstanding judgments against you? [YES/NO]
Are you currently involved in any lawsuits? [YES/NO]
Have you declared bankruptcy in the past? [YES/NO]
Are there any other significant financial obligations or circumstances that should be considered? [YES/NO]
4. Declaration
5. Signature

[YOUR NAME]
Sworn to and subscribed before me this [DATE].

[NOTARY PUBLIC'S NAME]
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