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Financial Affidavit for Dissolution of Marriage

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Financial Affidavit for a Dissolution of Marriage with no Minor or Dependent Adult Children

Rule 17.100—Form 124

Caution: This form may require you to provide protected or sensitive information. Each party must complete one of these forms.

If filing electronically and you include protected information on this form, fill out or update the Protected Information Disclosure form (111) if you have not already done so.

If filing in paper, you may use form 111 to provide any protected information in full if you have not already done so.

If you do not understand how to use this form, or if you should use this form, talk to an attorney.

In the Iowa District Court for County

Upon the Petition of

Petitioner

Equity case no.

and concerning

Respondent

I am

I, , state that this is a true and complete statement of my assets, debts, and present income as of the day of , 20.

1. Assets

Things you and your spouse own.

A. Real estate

Attach additional sheets if necessary.

Type of real estate Owner Market value Debt Net value
Homestead Address
Other real estate

B. Vehicles

Includes cars, trucks, motorcycles, and other motorized vehicles.

Make / Year Owner Market value Debt Net value

C. Securities, stocks, & bonds

Company name Owner Market value Debt Net value

D. Life insurance

Company name Owner Cash value Loan from cash value Cash value minus loan owed

E. Bank accounts

Bank or Credit Union name Owner Cash value Personal loans / overdraft Net value

F. Household

Describe Owner Market value Debt Net value
Furniture
Appliances / Electronics
Other contents

G. Retirement assets

Examples: Pensions, IRAs, 401(k)s, annuities, etc. Owner Market value Loan from retirement account Net value

H. Other assets

Items not listed in the other boxes should be listed here. For example: jewelry, furs, guns, sporting goods, farm animals.

Describe Owner Market value Debt Net value

I. Totals

(1) Total from attached sheets Listed in 1A-H.

(2) Total net value of assets Listed in 1A-H.

2. Other Debts

Debts may include things such as past due balances on utilities, money owed to a landlord for damages after moving, credit card debt, and loans from friends, family, or banks.

Whose debt? Amount owed

Total other debts Including amounts shown on attached sheet, if any.

3. Income and Deductions

A. Petitioner’s Income and Deductions

Source How often paid? Gross amount How often taken? Amount of deduction
Wages from employer
Wages from employer
Unemployment assistance
Family Investment Program
Social Security
Other

Income total Deductions total

B. Respondent’s Income and Deductions

Source How often paid? Gross amount How often taken? Amount of deduction
Wages from employer
Wages from employer
Unemployment assistance
Family Investment Program
Social Security
Other

Income total Deductions total

4. Expenses

A. Living arrangements

B. My expenses

Note: You must complete this section if you or your spouse wants spousal support (alimony).

Type of expense Paid to How often paid? Monthly payment
House payment or rent
Food
Transportation
Clothing
Medical, dental
Utilities
Phone
Cable / satellite television / internet
Car insurance payment
Health insurance payment
Credit card payments
Car loan payments
Other loan payments
Other expense
Other expense
Other expense

Total expenses

5. Attorney Help

6. Certification of Service by Mailing or Delivery

Section 6 to be completed only if filing in paper or if the other party is exempt from electronic filing. This document, if filed electronically, will automatically be served on registered parties.

I, , certify that on I mailed or gave a copy of this Financial Affidavit to the other party or the other party’s attorney at this address:

7. Oath and Signature

I, , have read this Financial Affidavit, and I certify under penalty of perjury and pursuant to the laws of the State of Iowa that I have read this Financial Affidavit and that the information I have provided in it is true and correct.

Signed on:

Your signature*

Enter text✕

What the Financial Affidavit for Dissolution of Marriage Is

A Financial Affidavit for Dissolution of Marriage is a sworn, written statement used in family law proceedings to disclose each party's income, expenses, assets, liabilities, and support obligations. Courts use the affidavit to determine temporary orders, child support, spousal maintenance, and equitable distribution. The form creates a record under penalty of perjury and typically requires supporting documentation such as pay stubs, tax returns, bank statements, and property valuations. Local courts may provide a standardized template; accuracy, completeness, and timely filing are essential for reliable court consideration.

Why a Complete Financial Affidavit Matters in Divorce

Providing a clear, accurate Financial Affidavit improves fairness of financial orders, reduces discovery disputes, and speeds hearings by giving the judge a reliable snapshot of each party's finances. Courts often treat the affidavit as primary financial evidence and may rely on it for interim and final decisions.

Why a Complete Financial Affidavit Matters in Divorce

Who Typically Prepares and Uses This Affidavit

Courts, mediators, and support enforcement agencies rely on the affidavit to calculate support and division outcomes; accuracy protects your legal position.

  • Self-represented litigants who must disclose finances without attorney assistance
  • Family law attorneys preparing evidence for hearings and negotiations
  • Mediators and custody evaluators who need comprehensive financial data

Step-by-step: Completing a Financial Affidavit

Follow these steps to prepare a complete affidavit that courts and opposing counsel can rely on.

  • 01
    Gather Documents: Collect pay stubs, tax returns, bank statements, and loan statements.
  • 02
    Calculate Income: Compute monthly gross and net income, noting irregular income sources.
  • 03
    List Assets/Debts: Record balances, ownership, and documentation for each item.
  • 04
    Sign and Verify: Sign under penalty of perjury; notarize or attach required declaration.

Core Sections to Include in a Professional Affidavit

A complete affidavit is organized, numbered, and supported by attachments so judges can verify figures quickly and consistently.

Personal Data

Full legal name, address, date of birth, and employment details so the court can identify parties and verify income sources in records.

Income Summary

Monthly and annual gross/net income plus sources such as wages, bonuses, commissions, rental income, investment income, and public benefits.

Monthly Expenses

Detailed living costs including housing, utilities, transportation, childcare, insurance, and debt service to support support and maintenance calculations.

Assets Inventory

Bank accounts, retirement funds, real property, vehicles, business interests, and estimated values with supporting statements or appraisals.

Liabilities Inventory

Mortgages, loans, credit card balances, tax liens, and other debts with creditor names and current balances.

Certifications & Exhibits

Signed declaration under penalty of perjury plus numbered exhibits (pay stubs, tax returns, statements) for each line-item claimed.

Sensitive Information to Protect

Social Security: Mask unless required
Bank Account Numbers: Provide last four digits
Medical Records: Limit to necessary items
Tax Returns: Redact sensitive identifiers
Children's Data: Minimize personal details
Authentication: Use secure sign-in

Consequences of Incorrect or Incomplete Affidavits

Perjury Risk: Possible criminal charges
Contempt: Court sanctions or fines
Support Adjustments: Unfavorable financial orders
Credibility Loss: Hurt your testimony
Enforcement Action: Liens or wage garnishment
Costly Delays: Increased discovery expenses

Common Errors to Avoid

  • Omitting secondary income sources such as bonuses, rental receipts, or gig work can understate true income and lead to later sanctions.
  • Submitting unsupported values without attached bank statements, appraisals, or tax returns often triggers follow-up discovery and delays.
  • Using inconsistent dates or valuation periods between schedules and exhibits creates confusion and invites opposing counsel challenges.
  • Failing to sign properly, or using initials where a signature is required, may render the affidavit invalid for court use.

Typical Workflow from Draft to Court Filing

These standard steps describe preparing, exchanging, and filing a Financial Affidavit in a dissolution matter.

  • Upload Document: Open the affidavit template and attach exhibits.
  • Prepare Fields: Complete financial entries and label exhibits.
  • Share with Opposing Party: Serve per local rules or e-file where allowed.
  • File with Court: Submit the affidavit to the clerk before hearings.

Digital Setup Options for Online Completion

Configure the digital form to improve accuracy and preserve audit evidence for court review.

Field Configuration
Authentication Method Email link, SMS code, or stronger KBA
Conditional Fields Show relevant sections only when applicable
Notary / RON Enable remote notarization where allowed
Template Locking Prevent edits after signing

Delivery and Technical Considerations for eFiling

Verify the receiving court or e-filing vendor accepts electronic signatures, notarizations, and the chosen file format before submission.

  • File Formats: PDF or PDF/A preferred
  • Integrations: Works with common case management systems
  • Authentication: Use two-factor where required

Typical Timing and When to File Your Affidavit

Timing varies by jurisdiction; courts often set deadlines for initial disclosure and pre-hearing exchange of financial affidavits.

Initial Filing:

Provide at case opening if required by local rule

Pre-Hearing Exchange:

Typically due 7–14 days before hearings

Temporary Orders:

Submitted with motion for interim support

Final Hearing:

Attach final affidavit per court scheduling order

Requests for Supplement:

Update if finances materially change

eSignature Vendor Comparison for Filing and Signing Affidavits

Comparison of common eSignature vendors and core pricing and capability points relevant to document signing, compliance, and volume handling.

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Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial, no card Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes Yes
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently Asked Questions About Financial Affidavits

Answers to common questions about completion, signing, and court use of Financial Affidavits in dissolution proceedings.


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