What if I can't find a document?

If you cannot locate a requested statement (bank, title, or pay stub), disclose the effort made to obtain it, provide alternative evidence, and state that the missing item will be supplied when available.

Is notarization always required?

Notarization requirements vary by court and state; some courts accept a sworn signature under penalty of perjury while others require notarization or remote online notarization.

Can I e-sign the form?

Electronic signatures are generally valid under the ESIGN Act and UETA when the court permits e-filings; confirm local rules and provide an auditable certificate of completion.

How do I correct an error after filing?

File an amended or supplemental Statement of Assets with clear notation of changes; include corrected supporting documents and a brief explanation for the court.

What happens for nondisclosure?

Courts may order supplementation, assess fines, impose sanctions, or refer false statements for criminal investigation depending on severity and jurisdiction.

Who can request verification?

Opposing counsel, probation officers, and the court may subpoena or request supporting records; maintain originals and certified copies as appropriate.

Electronic Signature
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Defendant's Statement of Assets

Defendant's Statement of Assets

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Instructions: Defendant’s Statement of Assets (CR-117)

A. Name of Victim

The name of the victim who will receive restitution goes here.

B. Superior Court of California

Ask the clerk of your court or defendant’s attorney for this information.

C. Name of Defendant

Write defendant’s name in the space provided.

D. Case Number

Fill in the criminal case number assigned in the space provided.

E. Personal Information

a. Defendant’s name.

b. If defendant has previously used another name, provide that name in the space provided.

c. Defendant’s date of birth.

d. Defendant’s social security number.

e. Defendant’s marital status.

f. Defendant’s driver license number and the state of issuance.

g. Defendant’s home address.

h. Defendant’s home telephone number.

i. Defendant’s employer's telephone number.

F. Income and Occupation

List defendant’s sources of income and occupation. Include defendant’s job title and the name of the division or office where defendant works or worked.

G. Address of Employer

a. Write the name and address of defendant’s business or employer.

b. If defendant is not employed, write the names and addresses of all sources of income.

H. Pay Period

Specify how often defendant is paid, that is, daily, weekly, monthly.

I. Gross Pay

Specify defendant’s gross pay each pay period.

J. Take-Home Pay

Specify defendant’s take-home, that is, after-taxes pay for each pay period.

K. Spouse’s Income

If defendant is married and defendant’s spouse is employed, specify the name and address of his or her employer, job title, and division or office.

L. Other Sources of Income

If defendant has additional sources of income that have not been listed, write them here.

M. Cash

Write the amount of money defendant has in cash.

N. Accounts

Complete the required information regarding any money held in defendant’s name in accounts in banks and any other financial institutions.

O. Automobiles

Complete the required information regarding any automobiles and boats defendant owns or jointly owns.

P. Real Estate

List all real estate owned in defendant’s name or jointly.

Q. Other Personal Property

List any valuable property that has not already been mentioned that defendant holds in his or her name or jointly.

R. Assets

List all other assets, including stocks, bonds, and mutual funds.

S. Assets Held for You

If anyone is holding any assets for defendant, check the “yes” box and describe the assets along with the name and address of each person or entity holding the assets.

Yes No

T. Transfer of Assets

List any disposal or transfer of assets that defendant has made since his or her arrest on this matter.

Yes No

U. Loans

If defendant has any outstanding loans, list them here. Give the details of the loan including why the loan was taken and to what institution defendant owes money.

V. Taxes

If defendant owes any past taxes, give the details here.

W. Support Arrearages

If defendant owes child or spousal support, attach copies of the orders and statements to this form.

X. Credit Cards

If defendant owes money on any credit cards, list the name of each creditor and the account number.

Y. Other Debts

If defendant has any additional debts that have not yet been listed, write them down in the space provided.

Z. Date and Signature

Date

Defendant’s Name

Signature

AA. Interpreter

If an interpreter was used to complete the document, he or she must print his or her name, include his or her signature, and indicate the date.

Interpreter Name

Interpreter Signature

Date

What the Defendant's Statement of Assets Is and when it matters

A Defendant's Statement of Assets is a sworn declaration that details an individual defendant's financial position for use in civil and criminal court proceedings. It typically lists cash, bank accounts, investment holdings, real property, vehicles, retirement accounts, liabilities, monthly income and expenses, and any transfers or gifts made within a look-back period. Courts use the form to decide ability to pay fines, restitution, bonds, fees, or to set installment arrangements. The document is signed under penalty of perjury and must be complete, accurate, and supported by documentation when requested by the court.

Why a clear, accurate Statement of Assets matters to the case

Providing a complete Statement of Assets helps courts assess ability to pay fines or restitution, evaluate bail or bond conditions, and determine equitable remedies. Accurate disclosure reduces the risk of sanctions, perjury charges, or adverse credibility findings while speeding judicial resolution and conserving court resources.

Who prepares and relies on a Defendant's Statement of Assets

The form is completed by defendants or their legal representatives and reviewed by judges, clerks, prosecutors, and defense counsel.

Defense counsel and pro se defendants preparing sworn financial disclosures for hearings, plea negotiations, or sentencing.
Court clerks and judges who evaluate ability to pay fines, set installment plans, or order restitution.
Government attorneys or probation officers who verify finances during supervision, enforcement, or asset recovery.

Accurate completion supports fair case outcomes and reduces the likelihood of enforcement actions or post-judgment challenges.

Core sections to include in a professional Statement of Assets

A well-structured Statement groups assets, liabilities, income, expenses, transfers, and supporting declarations so courts can quickly verify key facts.

Identification

Full legal name, date of birth, case number and current address to correctly match the statement to court records and prevent misidentification.

Liquid Assets

Cash, checking and savings balances, money market and brokerage accounts listed with institution names and recent balances to show available funds.

Real Property

Owned real estate with addresses, estimated equity, mortgage balances, and percent ownership to clarify non-liquid value and encumbrances.

Personal Property

Vehicles, valuable collections, and other titled assets described with model/year and estimated value to reflect tangible net worth.

Liabilities

All outstanding debts, liens, judgments, and monthly payments identified with creditor names and balances to calculate net asset position.

Income & Expenses

Monthly income sources and routine living costs itemized to support claims of inability to pay or to set payment plans.

Step-by-step: completing the Statement of Assets

Follow these steps in order to prepare a complete, verifiable declaration.

01

Gather documents: Collect recent bank statements, title records, pay stubs, and mortgage statements for verification.
02

Populate fields: Enter information exactly as shown on supporting documents to avoid discrepancies.
03

Attach proofs: Attach or reference copies of statements and titles where the form requests supporting evidence.
04

Sign and submit: Sign under penalty of perjury and file or serve the statement as required by the court order or local rule.

How the Statement of Assets moves through the court process

Typical routing shows how the document is reviewed and acted upon after filing.

File with court: Submit the signed statement to the clerk's office or e-file system under the correct case number.
Clerk intake: Clerks verify signature, case number, and attachments and docket the filing for judicial review.
Judicial review: A judge or magistrate evaluates the disclosure for ability-to-pay findings or to set payment terms.
Enforcement steps: If omissions or misstatements are found, the court may order supplementation, sanctions, or refer for contempt.

Configuring a digital workflow for submission

Set up consistent routing and evidence collection to reduce follow-up and ensure compliance with court rules.

Field	Configuration
Signer role	Defendant; allow attorney as secondary signer
Attachments	Require PDF upload for statements and titles
Authentication	Email + SMS OTP for signer verification
Retention	Retain signed PDF and audit trail for required period

Technical considerations for electronic completion and filing

Courts and clerks may accept e-filed or emailed Statements of Assets; confirm acceptable formats and authentication.

Accepted formats: PDF is universally accepted; DOCX accepted by some courts but convert to PDF before filing.
Authentication level: Some courts require notarization or two-factor authentication for sworn statements.
Audit trail: Maintain a tamper-evident audit trail including IP, timestamps, and signer identity for evidentiary value.

Confirm local court rules on e-filing, acceptable signature types, and any notarization or RON requirements before electronic submission.

Common timelines and court deadlines to watch

Timelines vary by jurisdiction; follow court orders closely and calendar all due dates to avoid default findings.

Initial disclosure deadline:

Often required at arraignment or within 7–30 days of court order depending on local rules.

Supplemental updates:

Courts may require updated statements within 7–14 days of material financial changes or discovery.

Supporting documents:

Clerks commonly set deadlines of 7–30 days for submission of bank statements and titles.

Post-judgment reviews:

Courts may order periodic reviews during supervision or collection; frequency varies by case.

Failure to comply:

Missed deadlines can trigger sanctions, garnishment, or contempt proceedings under court authority.

Frequent preparation errors to avoid

Omitting mortgage or lien details that reduce apparent equity and cause miscalculation of net worth.
Listing inflated asset values without evidence, which invites verification requests or sanctions for false statements.
Failing to attach recent supporting documents such as bank statements, pay stubs, or title documents.
Signing without required authentication or notarization, leading to rejection or requirement to refile.

Penalties and legal risks for inaccurate or false statements

Perjury exposure: False statements may expose a signatory to perjury charges under 18 U.S.C. §1621 where federally applicable.

Contempt of court: Failure to comply with disclosure orders can result in civil or criminal contempt sanctions and fines.

Monetary sanctions: Courts may impose fines or attorney-fee awards for misleading or incomplete disclosures in civil matters.

Asset seizure risk: Undisclosed assets discovered later can prompt judgment liens, levies, or turnover orders.

Probation consequences: In criminal supervision contexts, nondisclosure may affect probation terms or trigger revocation.

Impeachment at trial: Inconsistent disclosures undermine witness credibility and may be used for impeachment in litigation.

Typical eSignature vendor pricing and capabilities for court filings and sworn statements

Compare baseline pricing and commonly required capabilities such as bulk send, audit trails, HIPAA support, and envelope caps when selecting an eSignature provider.

	signNow	DocuSign	Adobe Sign	PandaDoc	HelloSign
Starting Price	$8/user/mo	$15/user/mo	$14/user/mo	$19/user/mo	$15/user/mo
Free Trial	7-day free trial	Varies by vendor	Varies by vendor	Varies by vendor	Varies by vendor
Bulk Send	Yes	Yes	Yes	Yes	No
Audit Trail	Yes	Yes	Yes	Yes	Yes
HIPAA Compliant	Yes	Yes	Yes	No	No
Envelope Cap	No envelope cap	100 envelopes/user/year	Varies	Varies	Varies

Frequently asked questions about completing and filing a Statement of Assets

Answers to common procedural and compliance questions when preparing a sworn financial disclosure for court use.

Need help? Contact support

What if I can't find a document?
If you cannot locate a requested statement (bank, title, or pay stub), disclose the effort made to obtain it, provide alternative evidence, and state that the missing item will be supplied when available.
Is notarization always required?
Notarization requirements vary by court and state; some courts accept a sworn signature under penalty of perjury while others require notarization or remote online notarization.
Can I e-sign the form?
Electronic signatures are generally valid under the ESIGN Act and UETA when the court permits e-filings; confirm local rules and provide an auditable certificate of completion.
How do I correct an error after filing?
File an amended or supplemental Statement of Assets with clear notation of changes; include corrected supporting documents and a brief explanation for the court.
What happens for nondisclosure?
Courts may order supplementation, assess fines, impose sanctions, or refer false statements for criminal investigation depending on severity and jurisdiction.
Who can request verification?
Opposing counsel, probation officers, and the court may subpoena or request supporting records; maintain originals and certified copies as appropriate.

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