Fill and Sign the Expense Information of Name

CASE NUMBER: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT:EXPENSE INFORMATION OF (name):gross monthly incomerelationshipagenamea. List all persons living in your home whose expenses are included below and their income: 1. 1. 2.Continued on3. Attachment 1a. 4.b. List all other persons living in your home and their income:1. 2.Continued on 3. Attachment 1b. 2. MONTHLY EXPENSES a. Residence paymentse. Food at home and household supplies . .Rent ormortgage$ (1)f. Food eating out (2) If mortgage, include:Average principalg. Utilities $h. Telephone Average interest$ $ Impound for reali. Laundry and cleaning property taxes$ $ Impound for home- owner's insurancej. Clothing$ $ k. Insurance (life, accident, etc. Do not in-clude auto, home, or health insurance) (3) Real property taxes (if notincluded in (item (2)) $I. Education (specify): $ (4) Homeowner's or renter's insurance(if not included in item (2)) m. Entertainment$ $ n. Transportation and auto expenses(insurance, gas, oil, repair) (5) Maintenance $ $ o. Installment payments (insert total anditemize below in item 3) b. Unreimbursed medical and dental $expenses$p. Other (specify):$c. Child care$ q. TOTAL EXPENSES (a-p) $(do not include amounts in a(2)) d. Children's education$Continued on Attachment 3. 3. ITEMIZATION OF INSTALLMENT PAYMENTS OR OTHER DEBTSThe 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. (SIGNATURE OF ATTORNEY) (TYPE OR PRINT NAME OF ATTORNEY)Page ofEXPENSE INFORMATION (Family Law) Form Adopted by Rule 1285.50b Judicial Council of California 1285.50b [Rev. January 1, 1995]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ATTORNEY FEES a. To date I have paid my attorney for fees and costs:$ CREDITOR'S NAMEPAYMENT FORBALANCEDATE LAST PAYMENT MADE MONTHLY PAYMENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ $ $ $WEST GROUP Official Publisher