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Financial Information Statement Form 7B

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District of Columbia Court of Appeals
Financial Information Statement
(In Forma Pauperis)

Applicant’s Name:

Case No.:

1. MY MONTHLY INCOME

(If your pay changes considerably from month to month, each of the amounts reported in item 1 should be your average for the past 12 months.)

a. My gross monthly pay is:

b. My payroll deductions are (specify purpose and amount):

(1) $

(2) $

(3) $

(4) $

My TOTAL payroll deduction amount is:

c. My monthly take-home pay is (a. minus b.):

d. Other money I get each month is (specify source and amount, include spousal support, child support, scholarships, retirement or pensions, social security, disability, unemployment, veterans payments, dividends, and net rental income):

(1) $

(2) $

(3) $

The total amount of other money is:

e. MY TOTAL MONTHLY INCOME IS (c. plus d.):

2. PERSONS LIVING IN MY HOME

Number of persons living in my home:

Below list all persons living in your home, including your spouse, who depend in whole or in part on you for support or on whom you depend in whole or in part for support:

Name
Age
Relationship
Gross Monthly Income

1. $

2. $

3. $

4. $

5. $

The TOTAL amount of income from others living in my home is:

3. PROPERTY. I own or have an interest in the following property:

a. Cash:

b. Bank accounts:

c. Cars:

d. Stocks:

e. Real estate (identify each property and note the fair market value and any loan balance):

f. Other personal property (describe below):

4. MY MONTHLY EXPENSES. My monthly expenses are the following:

a. Rent/house payment & maintenance:

b. Food & household supplies:

c. Utilities and telephone:

d. Clothing:

e. Laundry and cleaning:

f. Medical/dental payments:

g. Insurance (life, health, accident):

h. School and child care required for employment:

i. Court-ordered child or spousal support:

j. Transportation and auto expenses (insurance, gas, repair):

k. Installment payments (specify purpose and amount)

(1)

(2)

(3)

l. Amounts deducted due to wage assignments and earnings withholding orders:

m. Other expenses (specify):

(1)

(2)

(3)

n. My Total monthly expenses are (add a. through m.):

5. Other facts that support this application are

(describe unusual medical needs, expenses for recent family emergencies, or other unusual circumstances or expenses to help the court understand your budget; if more space is needed, attach a page labeled Attachment 5):

Signature:

Date:

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What the Financial Information Statement Form 7B Is and When It's Used

Financial Information Statement Form 7B is a standardized disclosure used in U.S. administrative, judicial, and underwriting contexts to capture an individual's or household's detailed income, assets, liabilities, monthly expenses, and recurring obligations. The form provides a structured, auditable summary that supports decisions such as child or spousal support calculations, benefit eligibility determinations, loan underwriting, and means-testing for agency programs. It can be completed on paper or electronically where permitted; completeness and supporting documentation improve reliability and reduce follow-up requests from reviewing authorities.

Why a Clear, Complete Form 7B Matters

A properly completed Form 7B centralizes financial facts and supporting documents, improving accuracy and transparency during adjudication or review. Standardized reporting reduces disputes, speeds case processing, and helps reviewers apply consistent formulas and statutory rules when computing obligations or eligibility.

Why a Clear, Complete Form 7B Matters

Who Typically Prepares and Reviews Form 7B

Agencies, courts, lenders, and attorneys commonly prepare or request Form 7B when assessing financial status for adjudication or benefits.

  • Family and civil courts — judges, clerks, and case managers who rely on the form for hearings and financial evaluations.
  • Attorneys and paralegals — prepare and review statements for clients during litigation, settlement, or mediation.
  • Lenders and underwriters — verify income, assets, and liabilities during credit or loan decisioning and affordability reviews.

Keep signed copies and supporting schedules in case files and for appeals; agencies and courts commonly require originals or certified electronic records.

Roles That Sign or Certify Form 7B

Court Clerk

Court clerks receive and log completed Form 7B submissions, verify receipt against scheduling orders, and may flag missing signatures or attachments for return to the filing party. Their review focuses on procedural completeness rather than financial accuracy.

Financial Attorney

Attorneys preparing Form 7B consolidate client records, ensure legal disclosures are complete, attach supporting exhibits, and certify accuracy under penalty of perjury when required by jurisdictional rules.

Core Sections and Elements to Expect on Form 7B

A professional Form 7B organizes financial data into standard sections so reviewers can quickly reconcile income, assets, liabilities, and monthly cash flow for reliable determinations.

Personal Details

Name, date of birth, contact, and identifying numbers as required; these fields link the statement to case or account records and must match government ID where applicable.

Income Summary

Itemize wage income, self-employment receipts, benefits, pensions, and other recurring income with gross and net figures and pay frequencies.

Asset Schedule

List bank accounts, investments, real property, vehicles, and retirement balances with current values and account identifiers when required by the requesting authority.

Liabilities

Detail mortgages, loans, credit lines, tax liens, and other debts with balances and monthly payment obligations for accurate net-asset calculation.

Monthly Expenses

Summarize housing, utilities, transportation, childcare, medical, and insurance costs to support cash-flow and affordability assessments.

Supporting Documents

Attach pay stubs, bank statements, tax returns, and loan statements to substantiate entries and reduce the likelihood of discovery requests.

Step-by-Step: Filling and Submitting Form 7B

Follow a clear sequence to reduce errors: collect documents, enter numbers, verify totals, and submit in the requested format.

  • 01
    Gather documents: Collect pay stubs, bank statements, tax returns, and loan statements first.
  • 02
    Enter data: Complete fields carefully, following MM/DD/YYYY and currency formats.
  • 03
    Attach proofs: Upload or staple supporting documents as the receiving party requires.
  • 04
    Sign and file: Sign the form and submit via the designated court or agency channel.

Typical Routing and Processing Flow for Form 7B

A standard submission flow shows how the form moves from preparer to reviewer, enabling auditability and timely decisions.

  • Prepare: Populate form fields and compile attachments.
  • Validate: Confirm totals and attach supporting documents.
  • Submit: Send to the court, agency, or lender via their accepted channel.
  • Archive: Store signed copies and audit records for the retention period.

Recommended Electronic Workflow Settings

Configure electronic workflows to capture consent, preserve an audit trail, and require critical attachments before submission.

Field Configuration
Authentication method Email plus SMS one-time passcode or SSO for stronger identity assurance
Field validation Require numeric currency fields and MM/DD/YYYY date format with automatic checks
Attachments allowed Accept PDF, DOCX, and image scans; enforce required document lists
Notifications Email confirmations and reviewer alerts for uploaded submissions

Technical Requirements for Electronic Completion and Storage

Electronic completion and secure distribution require compatible file formats, authentication, and audit-trail retention to meet administrative rules.

  • File formats: PDF, DOCX, XLSX supported for upload and archival
  • Integrations: Salesforce, NetSuite, Microsoft 365, Google Workspace and cloud storage integrations
  • Authentication: Email link, SMS OTP, knowledge-based auth, or SSO as configured

Choose platforms that preserve a tamper-evident audit trail, support required authentication, and allow export in standard formats for long-term retention and disclosure to authorized reviewers.

Security and Compliance Considerations

Encryption: TLS 1.2/1.3 in transit and AES-256 at rest
HIPAA: HIPAA-compliant with Business Associate Agreement required
ESIGN / UETA: Compliant with ESIGN and state UETA frameworks
SOC & ISO: SOC 2 Type II and ISO 27001 certifications available
21 CFR Part 11: Supports controls for FDA-regulated records where required
Accessibility: WCAG 2.0 Level AA accessibility support

Consequences of Incorrect or Incomplete Form 7B

Perjury risk: Possible criminal penalties
Tax penalties: Backup withholding or IRS notices
Court sanctions: Fines, contempt, or evidentiary exclusions
Processing delays: Requests for clarification or return
Rejection: Agency may refuse incomplete submissions
Credit impact: Underwriting errors affect loan decisions

Common Preparation Pitfalls to Avoid

  • Inconsistent dates and pay periods across attachments, which lead to miscalculated monthly income and reviewer follow-up requests.
  • Omitting account identifiers or failing to attach supporting statements, causing auditors to question reported balances and request supplemental proof.
  • Using approximations without disclosure; rounding without explanation can create material discrepancies in net-worth calculations and slow adjudication.
  • Unsigned pages, missing initials where required, or using scanned signatures without acceptable authentication, all of which may invalidate a submission.

Typical Deadlines and Processing Expectations

Deadlines for submitting Form 7B depend on court orders, agency rules, or lender requests; processing times vary by reviewer workload and evidence completeness.

Court submission deadline:

Set by the case schedule; comply with the court's filing order

Agency review period:

Administrative reviews typically take 7–30 business days depending on volume

Correction window:

Reviewers often allow 14–30 days for supplemental documentation

Tax reporting impact:

Discrepancies may trigger IRS review under standard timelines

Electronic acknowledgment:

Expect automated receipts or audit certificates upon successful e-submission

Key Milestones in the Form 7B Review Lifecycle

Milestones help track progress from preparation through final determination and record retention.

01

Preparation complete

All fields completed and attachments compiled for submission

02

Submission

Form filed with court, agency, or lender via accepted channel

03

Verification

Reviewer checks figures, requests clarifications, or accepts the record

04

Final determination

Decision issued or underwriting finalized and file archived

Representative eSignature Platform Pricing and Limits

Because Form 7B can be completed electronically, compare common vendor starting prices and plan limits when selecting a platform that supports required authentication and retention.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan
HIPAA Compliant Yes Yes Yes No No

Realistic Use Examples for Form 7B

These two case examples illustrate how Form 7B is used in distinct workflows and why accuracy matters for outcomes.

Family Court Support Review

A parent completes Form 7B and attaches three months of pay stubs and bank statements

  • The court requests one follow-up clarification about reported bonuses
  • After prompt correction and validation, the court issues a revised support order reflecting documented income and verified deductions.

Loan Underwriting

An applicant submits Form 7B with tax returns and asset statements to a lender

  • The underwriter identifies a missing mortgage payoff statement
  • Once the statement is supplied, the lender finalizes loan terms based on verified debt-to-income calculations and archived the complete file.

Practical Tips for Accurate, Efficient Form 7B Completion

Follow these practices to reduce review time and minimize the risk of return, correction requests, or sanctions.

Use consistent dates and periods
Report income and expenses using consistent pay-period conventions and attach pay stubs or bank statements that match those periods to prevent arithmetic discrepancies during review.
Attach supporting exhibits
Include clearly labeled attachments (pay stubs, account statements, tax transcripts) and reference each exhibit in the form to accelerate verification and limit follow-up requests.
Verify identity and signatures
Confirm signer identity and use required authentication or notarization when jurisdiction rules or the receiving party demand it; mismatched names delay processing.
Keep an editable copy
Retain a signed electronic master copy with an audit trail and editable fields to allow timely and auditable amendments if the reviewer requests corrections.

Frequently Asked Questions About Form 7B

Answers to common questions about electronic completion, required attachments, legal validity, and corrections for Form 7B.


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