Fill and Sign the Free Mississippi Final Judgment of Absolute Divorce Form

IN THE CHANCERY COURT OF COUNTY STATE OF MISSISSIPPI IN THE MATTER OF THE DISSOLUTION OF MARRIAGE OF )))) )) AND ) CASE NO. ) )) BY JOINT COMPLAINT ) FINANCIAL STATEMENT ********************************************************************I. GENERAL INFORMATIONNAME: ADDRESS: CITY, STATE AND ZIP CODE: DATE OF BIRTH: SOCIAL SECURITY NUMBER: OCCUPATION: EMPLOYER: EMPLOYER'S ADDRESS: NAMEDATE OF BIRTHMINOR CHILDREN II. INCOME STATEMENTGROSS MONTHLY INCOMEAMOUNT1. Salary and Wages, including commissions, bonuses, allowance and overtimeNOTE: To arrive at a monthly income figure if paid weekly, multiply weekly income by 4.3, if paid bi-weekly, multiply income by 2.161. 2. Pensions and retirement2. 3. Social Security3. 4. Disability and unemployment insurance4. 5. Public assistance (welfare, AFDC payments, etc.)5. 6. Dividends and interest6. 7. Rental income7. 8. Other income 8. 9. Other income 9. 10. TOTAL MONTHLY INCOME10. ITEMIZED MONTHLY DEDUCTIONS:1. State Income Taxes1. 2. Federal Income Taxes2. 3. Social Security3. 4. Mandatory Insurance4. 5. Mandatory Retirement5. 6. Union or other dues6. 7. Other: 7. 8. Other: 8. 9. TOTAL MONTHLY DEDUCTIONS9. 10. NUMBER OF EXEMPTIONS: 11. NET MONTHLY PAY III. EXPENSE STATEMENTA. LIVING EXPENSESAS OF AS OF SelfChildrenSelfChildren1. Rent/Mortgage (Residence) 2. Real Property Taxes 4. Maintenance (Residence) 5. Food/Household Supplies 6. Water, Sewer, etc. 7. Electricity 8. Gas (Residence) 9. Telephone 10. Laundry & Cleaning 11. Clothing 12. Insurance (Not payroll deducted) 13. Medical 14. Dental 15. Child Care 16. Children's allowance 17. Payment of child support/alimony (prior marriage) 18. School Expenses 19. Entertainment 20. Incidentals & Misc. 21. Transportation other than vehicle 22. Gasoline & Oil (auto) 23. Repair (auto) 24. Insurance (auto) 25. Auto Payments 26. Church donations 27. Charitable donations 28. Newspaper/Magazines 29. Cable TV 30. Pet Expenses 31. Yard Expenses 32. Maid 33. Retirement (IRA etc.) 34. Pest Control B. TOTAL LIVING EXPENSES: 35. Installment Payments Notes, loans, charge accounts, etc. 36. 37. 38. 39. OTHER EXPENSES: 40. 41. TOTAL INSTALLMENT PAYMENTS: COMBINED TOTAL EXPENSES: IV. STATEMENT OF ASSETSA. Real Estate 1.Title in the name of: Address: Who paid cost: How cost paid: Value (estimate) Mortgage Balance Equity 2. Title in the name of: Address: Who paid cost: How cost paid: Value (estimate) Mortgage Balance Equity * List mortgage balance also under liabilities on the next page.List the amount of your monthly payment only under LIABILITIES. B. Motor Vehicles 1.Registered in the name of: Year: Model: Mileage: How cost paid: How cost paid: VALUE - Loan balance = Equity 2. Registered in the name of: Year: Model: Mileage: How cost paid: How cost paid: VALUE - Loan balance = Equity 3. Registered in the name of: Year: Model: Mileage: How cost paid: How cost paid: VALUE - Loan balance = Equity C. Other Personal Property (such as home computers, guns, lawnmowers, TVs, jewelry, household furnishings, etc.)VALUES TOTAL: D. Checking/Savings (name of Bank, Account Number and Amountin Account, including CD's, money markets, passbook accounts, etc.)Name(s) on AccountBank/Account No.Type of AccountBalance TOTAL VALUE E. Other Investments (IRA's, stock(s), mutual funds, pension plans, etc.)Bank/Account NumberType of InvestmentBalance F. Life Insurance (exclude children)InsuredCompanyFace Amount less any loansCashBeneficiary TOTAL CASH VALUE (less loans) G. All Other Assets TOTAL VALUE TOTAL OF ALL ASSETS $ V. STATEMENT OF LIABILITIESII. LIABILITIES (Include mortgage, car loan, credit cards, personal loans). (Include also under 35-4 on Page 4 of Exhibit "A") A. CreditorWhose Name(s)Current Balance DueMonthly PaymentWho Pays1. 2. 3. 4. B.TOTAL LIABILITIES ACKNOWLEDGMENT OF TRUTHFULNESS I declare to the Court that the foregoing Exhibits "A" and "B" including attachments, are true and correct and that this declaration was executed on the day of , A.D. 20 PARTY'S SIGNATURE ___________________________