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Florida Family Law Financial Affidavit (Short Form)

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Florida Family Law Financial Affidavit (Short Form)

IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA

Case No.:    Division:

Petitioner:

Respondent:

FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM)

(Under $50,000 Individual Gross Annual Income)

I, , being sworn, certify that the following information is true:

My Occupation:    Employed by:

Business Address:

Pay rate: $ ( ) every week ( ) every other week ( ) twice a month ( ) monthly ( ) other:

Check here if unemployed and explain on a separate sheet your efforts to find employment.

SECTION I. PRESENT MONTHLY GROSS INCOME:

All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid monthly. Attach more paper, if needed. Items included under “other” should be listed separately with separate dollar amounts.

1. Monthly gross salary or wages

2. Monthly bonuses, commissions, allowances, overtime, tips, and similar payments

3. Monthly business income from self-employment, partnerships, close corporations, and/or independent contracts (gross receipts minus ordinary and necessary expenses required to produce income)

4. Monthly disability benefits/SSI

5. Monthly Workers’ Compensation

6. Monthly Unemployment Compensation

7. Monthly pension, retirement, or annuity payments

8. Monthly Social Security benefits

9. Monthly alimony actually received

9a. From this case: $

9b. From other case(s): Add 9a and 9b

10. Monthly interest and dividends

11. Monthly rental income (gross receipts minus ordinary and necessary expenses required to produce income)

12. Monthly income from royalties, trusts, or estates

13. Monthly reimbursed expenses and in-kind payments to the extent that they reduce personal living expenses

14. Monthly gains derived from dealing in property (not including nonrecurring gains)

15. Any other income of a recurring nature (list source)

16.

17. PRESENT MONTHLY GROSS INCOME (Add lines 1–16) TOTAL: $

PRESENT MONTHLY DEDUCTIONS:

18. Monthly federal, state, and local income tax

a. Filing Status

b. Number of dependents claimed

19. Monthly FICA or self-employment taxes

20. Monthly Medicare payments

21. Monthly mandatory union dues

22. Monthly mandatory retirement payments

23. Monthly health insurance payments (including dental insurance), excluding portion paid for any minor children of this relationship

24. Monthly court-ordered child support actually paid for children from another relationship

25. Monthly court-ordered alimony actually paid

25a. from this case: $

25b. from other case(s): Add 25a and 25b

26. TOTAL DEDUCTIONS ALLOWABLE UNDER SECTION 61.30, FLORIDA STATUTES (Add lines 18 through 25) TOTAL: $

PRESENT NET MONTHLY INCOME (Subtract line 26 from line 17) 27. $

SECTION II. AVERAGE MONTHLY EXPENSES

A. HOUSEHOLD:

Mortgage or rent $

Property taxes $

Utilities $

Telephone $

Food $

Meals outside home $

Maintenance/Repairs $

Other: $

B. AUTOMOBILE

Gasoline $

Repairs $

Insurance $

C. CHILD(REN)’S EXPENSES

Day care $

Lunch money $

Clothing $

Grooming $

Gifts for holidays $

Medical/Dental (uninsured) $

Other: $

D. INSURANCE

Medical/Dental $

Child(ren)’s medical/dental $

Life $

Other: $

E. OTHER EXPENSES NOT LISTED ABOVE

Clothing $

Medical/Dental (uninsured) $

Grooming $

Entertainment $

Gifts $

Religious organizations $

Miscellaneous $

Other: $

$

$

$

$

$

F. PAYMENTS TO CREDITORS

Creditor:   Monthly payment $

  $

  $

  $

  $

28. TOTAL MONTHLY EXPENSES (add ALL monthly amounts in A through F above) 28. $

29. TOTAL PRESENT MONTHLY NET INCOME (from line 27 of SECTION I. INCOME)

30. TOTAL MONTHLY EXPENSES (from line 28 above)

31. SURPLUS (If line 29 is more than line 30, subtract line 30 from line 29)

32. (DEFICIT) (If line 30 is more than line 29, subtract line 29 from line 30)

SECTION III. ASSETS AND LIABILITIES

Use the nonmarital column only if this is a petition for dissolution of marriage and you believe an item is “nonmarital,” meaning it belongs to only one of you and should not be divided.

A. ASSETS:

B. LIABILITIES:

C. CONTINGENT ASSETS AND LIABILITIES:

SECTION IV. CHILD SUPPORT GUIDELINES WORKSHEET

A Child Support Guidelines Worksheet IS or WILL BE filed in this case.

A Child Support Guidelines Worksheet IS NOT being filed in this case.

I certify that a copy of this document was mailed faxed and mailed hand delivered to the person(s) listed below on

Other party or his/her attorney:

Name:

Address:

City, State, Zip:

Fax Number:

I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this affidavit and that the punishment for knowingly making a false statement includes fines and/or imprisonment.

Dated:

Signature of Party

Printed Name:

Address:

City, State, Zip:

Telephone Number:

Fax Number:

STATE OF FLORIDA

COUNTY OF

Sworn to or affirmed and signed before me on by

NOTARY PUBLIC or DEPUTY CLERK

Personally known

Produced identification

Type of identification produced

IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:

I, , a nonlawyer, located at , , , , helped , who is the petitioner or respondent, fill out this form.

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What the Florida Family Law Financial Affidavit (Short Form) Is

The Florida Family Law Financial Affidavit (Short Form) is a written, sworn statement used in Florida family court to summarize a party's income, assets, liabilities, monthly expenses, and deductions. Designed for many routine family-law matters such as simplified divorce, temporary relief, or child support hearings, the short form reduces length while capturing key financial data courts require for orders. The affidavit is signed under penalty of perjury and becomes part of the court record when filed. Accuracy is essential because the information supports calculations for support, attorney fees, and property division.

Why a Concise Financial Affidavit Matters in Family Court

Filing the Florida Family Law Financial Affidavit (Short Form) gives judges a concise, standardized financial snapshot for custody, support, and fee decisions. It streamlines disclosure, reduces back-and-forth document requests, and provides a sworn baseline that assists accurate calculations and court scheduling.

Why a Concise Financial Affidavit Matters in Family Court

Who Typically Completes This Short Form

Typical filers include parties in dissolution proceedings, custodial parents, and attorneys preparing financial disclosures for hearings.

  • Self-represented parties completing their sworn financial statement for temporary relief or final judgment.
  • Family law attorneys assembling evidence for child support, alimony, or equitable distribution calculations.
  • Court-appointed professionals and mediators reviewing a standardized summary of each party's finances.

Courts, clerks, and opposing counsel rely on the short form to compare income disclosures and prioritize evidentiary needs.

Stepwise Process to Complete and File the Short Form

Follow these steps to complete and file the Florida Family Law Financial Affidavit (Short Form) accurately.

  • 01
    Gather Documents: Gather pay stubs, bank statements, tax returns, and debt records.
  • 02
    Complete Fields: Enter accurate income, assets, liabilities, and monthly expenses.
  • 03
    Sign and Notarize: Sign before a notary or follow local remote-notarization rules.
  • 04
    File with Court: File with the clerk and serve copies to opposing counsel.

How the Completed Affidavit Becomes Part of the Case File

The following routing explains where the completed affidavit travels from signing to court record and to relevant parties.

  • Sign: Signer completes and signs the form; identity verified.
  • Notarize: Notary acknowledges signature, records notarization details per state rules.
  • File: Submit to county clerk; include case number and proposed order.
  • Serve: Provide copies to opposing counsel and any required parties.

Automating the Short Form in an e-Filing or e-Sign Workflow

Use this configuration table when automating the short form for e-filing or e-sign workflows in your case management system.

Field Configuration
Signer Authentication Email plus SMS code authentication recommended for court filings.
Required Attachments Paystubs, 2 years tax returns
Notary Option In-person or RON where allowed
Auto-populated Fields Name, address, court case number

Platform and File Requirements for eSubmission

Confirm your eSignature platform supports court-acceptable PDF export, signer authentication options, and secure audit trails for filing and discovery.

  • Formats: PDF, PDF/A, and DOCX are supported export formats.
  • Authentication: Email, SMS, KBA, or stronger methods.
  • Integrations: Works with case management and cloud storage.

Security, Privacy, and Compliance Considerations

Encryption: TLS 1.2/1.3 in transit; AES-256 at rest.
HIPAA: Compliant; BAA available for protected health information.
SOC 2: SOC 2 Type II report available on request.
ESIGN / UETA: Meets ESIGN Act and UETA electronic signature standards.
21 CFR: Supports 21 CFR Part 11 controls for FDA-regulated records.
ISO 27001: Certified ISO 27001 information security management.

Penalties and Legal Risks from Incorrect or Misleading Statements

Perjury: Criminal charges and potential jail time.
Contempt: Court fines or sanctions for false statements.
Support Miscalculation: Incorrect awards; retroactive adjustments possible.
Tax Exposure: Undisclosed income can trigger IRS penalties.
Delay: Proceedings delayed by verification and discovery.
Attorney Fees: Court may order fee shifting for bad faith.

Common Pitfalls to Avoid When Preparing the Affidavit

  • Omitting recurring income sources such as bonuses, overtime, rental income, or self-employment earnings leads to inaccurate net income calculations and possible support recalculations.
  • Listing estimated values instead of current market or account balances creates evidence disputes; provide supporting statements or appraisals to justify asserted values.
  • Failing to attach required supporting documents such as recent pay stubs, bank statements, and tax returns prompts requests for supplementation and can delay hearings.
  • Using inconsistent dates or mismatched timeframes across entries undermines credibility; ensure all figures reference the same reporting period.

Practical Best Practices for Accuracy and Faster Review

Follow these best practices to improve accuracy, speed review, and reduce the risk of challenges during family-law proceedings.

Verify source documents and dates
Cross-check entries against original pay stubs, bank statements, and tax transcripts. Note payment dates and identify one-time items separately. Accurate source reconciliation reduces discovery demands and speeds judicial review and reduces hearing continuances.
Use consistent reporting periods for all figures
Report monthly and annual amounts using the same baseline (e.g., monthly averaged over 12 months). Clearly state assumptions for irregular income and use schedules to itemize complex sources to aid court calculations.
Attach supporting exhibits and a cover sheet
Include numbered exhibits with referenced page ranges and a one-page summary explaining totals and key adjustments. A cover sheet listing exhibits and contact information reduces clerk and opposing counsel follow-up.
Confirm notarization and service rules
Verify whether a notary or witnesses are required in your county and use remote online notarization only if recognized by the state's notary statutes and local court rules.

Real-World Examples Showing How the Short Form Is Used

Two practical examples show how the short form is used in common family-law scenarios for support and fee determinations.

Case Study 1

A self-represented parent files the short form to request temporary child support while awaiting a full financial exchange in court.

  • Judge uses figures for provisional support.
  • Because pay stubs and bank statements were attached and entries matched tax returns, the court approved a temporary monthly support amount pending final disclosures and income verification without further evidentiary hearings.

Case Study 2

An attorney submits the short form during mediation to streamline settlement negotiations over alimony and asset division.

  • Parties use figures to model settlement splits.
  • Attaching schedules of retirement valuations and mortgage statements clarified net equity, allowing parties to exchange proposals quickly and reach an agreed division without multiple court-refereed accounting sessions.

eSignature Plan Comparison for Filing and Signing the Affidavit

Compare common enterprise eSignature plans and features relevant to filing and signing the Florida Family Law Financial Affidavit (Short Form).

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo (annual billing) $15/user/mo (annual billing) $14/user/mo (annual billing) $19/user/mo (annual billing) $15/user/mo (annual billing)
Free Trial 7-day free trial, no credit card Trial terms vary by vendor Trial terms vary by vendor Trial terms vary by vendor Trial terms vary by vendor
Bulk Send Available on Business Premium and above Available on select plans Available on enterprise plans Available on paid plans Not available on basic plans
Audit Trail Comprehensive audit trail included Comprehensive audit trail included Comprehensive audit trail included Comprehensive audit trail included Comprehensive audit trail included
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No envelope cap for paid plans Limit 100 envelopes/user/year on some plans Varies by plan Varies by plan Varies by plan

Frequently Asked Questions and Troubleshooting

Common questions about signing, notarization, attachments, corrections, and records retention for the Florida Family Law Financial Affidavit (Short Form).


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