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Affidavit Of Financial Disclosure
Affidavit Of Financial Disclosure — a 4-page PDF form with 125 fill-in fields for the employer and affiant and sections covering income, health insurance, child care and 3 more sections.
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1 downloadsUpdated Aug 21, 2026
How to fill out the Affidavit Of Financial Disclosure
Work through the form section by section in your browser, then download the completed PDF.
- Income
- Health Insurance
- Child Care
- Assets
- Expenses
- Loans And Debts
Information you will need
- What’s the affiant’s name?
- What’s the affiant’s employment status?
- What’s the third source of income?
- What’s the amount of the third income source?
- Is the affiant paying child support?
- Who’s the support order for?
- What’s the amount of the child support order?
- What’s the policy number?
- How are the affiant’s children covered?
- What’s the cost of childcare?
- What’s the other account balance?
- What’s the value of the second additional asset?
- What’s the cost of the family insurance plan?
- What’s the cost of the individual insurance plan?
- What’s the other type of coverage?
- Who’s the childcare provider?
- How many hours of childcare?
- What’s the savings account balance?
- What’s the type of account?
- What’s the vehicle make?
- What’s the vehicle model?
- What’s the vehicle’s value?
- What’s the make of the second vehicle?
- What’s the model of the second vehicle?
…and 101 more fields in the PDF.
Completed by the employer and the affiant.
The form includes 2 signature lines, a witness section.
PDF facts
- Format
- File size
- 882 KB
- Pages
- 4
- Version
- 1