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Fill and Sign the Ca Information Law

Fill and Sign the Ca Information Law

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PETITIONER/PLAINTIFF: ––––– RESPONDENT/DEFENDANT: ––––– EXPENSE INFORMATION OF (name) : ––––– CASE NUMBER: ––––– 1. a. List all persons living in your name age relationship gross monthly income home whose expenses are 1. ––––– ––––– ––––– ––––– included below and their income: 2. ––––– ––––– ––––– ––––– Continued on 3. ––––– ––––– ––––– ––––– Attachment 1a. 4. ––––– ––––– ––––– ––––– b. List all persons living 1. ––––– ––––– ––––– ––––– in your home and their income: 2. ––––– ––––– ––––– ––––– Continued on Attachment 1b 3. ––––– ––––– ––––– ––––– 2. MONTHLY EXPENSES a. Residence payments e. Food at home and household supplies. $ ––––– (1) Rent or mortgage . . . . . . . $ ––––– f. Food eating out . . . . . . . . . . . . . . . . . . $ ––––– (2) If mortgage, include: Average principal . . . .$ ––––– g. Utilities . . . . . . . . . . . . . . . . . . . . . . . . . $ ––––– Average interest . . . . .$ ––––– h. Telephone . . . . . . . . . . . . . . . . . . . . . . $ ––––– Impound for real property taxes . . . . .$ ––––– i. Laundry and cleaning . . . . . . . . . . . . . . $ ––––– Impound for home- owner's insurance . .$ ––––– j. Clothing . . . . . . . . . . . . . . . . . . . . . . . . $ ––––– k. Insurance (life, accident, etc. Do not in- (3) Real property taxes (if not clude auto, home, or health insurance). $ ––––– included in item (2)) . . . . . . . . . . . . . $ ––––– l. Education (specify) : ––––– $ l ––––– (4) Homeowner's or renter's insurance ––––– (if not included in item (2)) . . . . . . . . . $ ––––– m. Entertainment . . . . . . . . . . . . . . . . . . . . $ ––––– n. Transportation and auto expenses (5) Maintenance . . . . . . . . . . . . . . . . . . $ ––––– (insurance, gas, oil, repair) . . . . . . . . . . $ ––––– o. Installment payments (insert total and b. Unreimbursed medical and dental itemize below in item 3) . . . . . . . . . . . . . $ ––––– Expenses . . . . . . . . . . . . . . . . . . . . . . . $ ––––– p. Other (specify) : ––––– $ ––––– c. Child care . . . . . . . . . . . . . . . . . . . . . . . $ ––––– q. TOTAL EXPENSES (a  p) . . . . . . . . . . . $ ––––– d. Children's education . . . . . . . . . . . . . . . $ ––––– (do not include amounts in a(2)) 3. ITEMIZATION OF INSTALLMENT PAYMENTS OR OTHER DEBTS Continued on Attachment 3. CREDITOR'S NAME PAYMENT FOR MONTHLY PAYMENT BALANCE DATE LAST PAYMENT MADE ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– 4. ATTORNEY FEES a. To date I have paid my attorney for fees and costs: $ ––––– The source of this money was: ––––– b. I owe to date the following fees and costs over the amount paid: ––––– c. My arrangement for attorney fees and costs is: ––––– I confirm this information and fee arrangement. 4 (SIGNATURE OF ATTORNEY) ––––– (TYPE OR PRINT NAME OF ATTORNEY) Page –– of –– = Form Adopted by Rule 1285.50b Judicial Council of California 1285.50b [Rev. January 1, 1995] EXPENSE INFORMATION (Family Law) electronic form ã 1999 WWW.LawCA.com Law Publishers

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