Fill and Sign the Colorado Crcp Form

 District Court  Denver Juvenile Court __________________ County, Colorado Court Address: In re:  The Marriage of:  The Civil Union of:  Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES *****EACH PARTY MUST COMPLETE AND FILE THIS FORM WITH THE COURT***** I, the  Petitioner  Co-Petitioner/Respondent (check one) hereby certify that I have sent the other party the following Mandatory Disclosures as required by Rule 16.2(e)(7) of the Colorado Rules of Civil Procedure. See JDF 1125: Mandatory Disclosure – Form 35.1 for explanation on what is required by the disclosures being listed. Check those that you have furnished to the other party. (Note: Only the Sworn Financial Statement and Child Support Worksheet should be filed with the Court.)  Sworn Financial Statement  Retirement Plans  Income Tax Returns (most recent 3 years)  Bank/Financial Institution Accounts  Personal Financial Statements (last 3 years)  Income Documentation (Pay Stubs, etc.)  Business Financial Statements (last 3 years)  Employment and Education – Related child  Real Estate Documents (Appraisal, Title, etc.) Care Documentation  Personal Debt (Loans, Title, Credit Card Statements, etc.)  Insurance Documentation  Investments  Extraordinary Children’s Expense  Employment Benefits Documentation If I have not provided information, it is because: I hereby certify that, to the best of my knowledge, the disclosures I have made are complete and correct as of this date.  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. JDF 1104 R5/18 CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES VERIFICATION AND ACKNOWLEDGEMENT I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of ________________, _______, at ______________________________________ (date) (month) (year) (city or other location, and state OR country ___________________________________ _____________________________________________ (Printed name of Petitioner/Co-Petitioner Respondent) Signature of Petitioner/Co-Petitioner/Respondent) ____________________________________________ Attorney Signature, if any CERTIFICATE OF SERVICE I certify that on _______________________ (date) a true and accurate copy of the CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES was served on the other party by:  Hand Delivery,  E-filed,  Faxed to this number ____________________, or  by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ___________________________________ ___________________________________ ___________________________________ (Your signature) Date JDF 1104 R5/18 CERTIFICATE OF COMPLIANCE WITH C.R.C.P. 26.2 Page 2 of 2