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FinancialAffdrosc13fs

FinancialAffdrosc13fs

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03/18/2014

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Name:
Nombre
Mailing Address:
Direcci\u00f3n postal
City, State, Zip Code:
Ciudad, Estado, C\u00f3digo postal
Daytime Phone Number:
N\u00famero telef\u00f3nico de d\u00eda
Evening Phone Number:
N\u00famero telef\u00f3nico de tarde
Representing:
Self
Petitioner
Respondent
En representaci\u00f3n:\ue000 Propia\ue000 Peticionante
\ue000 Dema n d a d o /a
State Bar Number:
N\u00famero de inscripci\u00f3n en el colegio de abogados
SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY
TRIBUNAL SUPERIOR DE ARIZONA EN EL CONDADO DE MARICOPA
Case No.
No. de caso
Petitioner
ATLAS No.
Peticionante
N\u00famero de ATLAS
AFFIDAVIT OF FINANCIAL INFORMATION
(DECLARACI\u00d3N JURADA DE INFORMACI\u00d3N
Respondent
FINANCIERA)
Affidavit of
Demandado/a
(Name of Person Filing this Affidavit)
(Declaraci\u00f3n jurada de XXX (Nombre de la persona
que presentar esta declaraci\u00f3n jurada)
IMPORTANT INFORMATION ABOUT THIS DOCUMENT
INFORMACI\u00d3N IMPORTANTE ACERCA DE ESTE DOCUMENTO

WARNING TO BOTH PARTIES: This Affidavit is an important document. You must fill out this Affidavit completely, and provide accurate information. You must provide copies of this Affidavit and all other required documents to the other party and to the judge. If you do not do this, the court may order you to pay a fine.

ADVERTENCIA A AMBAS PARTES: Esta Declaraci\u00f3n jurada es un documento importante. Debe completar esta Declaraci\u00f3n jurada en su totalidad y proporcionar informaci\u00f3n exacta. Debe proporcionar copias de esta Declaraci\u00f3n jurada y todos los otros documentos necesarios a las otras partes y al juez. Si no lo realiza, el tribunal puede ordenarle que pague una multa.

I have read the following document and know of my own knowledge that the facts and financial information stated below are true and correct, and that any false information may constitute perjury by me. I also understand that, if I fail to provide the required information or give misinformation, the judge may order sanctions against me, including assessment of fees for fines under Rule 31, Arizona Rules of Family Law Procedure.

\u00a9Superior Court of Arizona in Maricopa County
Page 1 of 14
DROSC13fs
January 19, 2006
Use current version
ALL RIGHTS RESERVED
FOR CLERK\u2019S USE ONLY
Case No.

He le\u00eddo el siguiente documento y s\u00e9 de mi propio conocimiento que los hechos e informaci\u00f3n financiera que se establece posteriormente son correctos y verdaderos, y que cualquier informaci\u00f3n falsa puede constituir perjuria de mi parte. Entiendo tambi\u00e9n que si fallo al proporcionar la informaci\u00f3n solicitada o brindar informaci\u00f3n err\u00f3nea, el juez puede ordenar sanciones contra m\u00ed, incluyendo c\u00e1lculo de honorarios por multas bajo la Norma 11 de las Normas de procedimiento civil de Arizona.

Date
Signature of Person Making Affidavit
Fecha
Firma de la persona que hace la declaraci\u00f3n jurada
1. GENERAL INFORMATION:
INFORMACI\u00d3N GENERAL:
A. Name:
Date of Birth:
Nombre
Fecha de nacimiento
B. Current Address:
Direcci\u00f3n actual
C. Date of Marriage:
Date of Divorce:
Fecha de matrimonio
Fecha de divorcio
\u00a9Superior Court of Arizona in Maricopa County
Page 2 of 14
DROSC13fs
January 19, 2006
Use current version
ALL RIGHTS RESERVED
INSTRUCTIONS
1.

Complete the entire Affidavit in black ink. If the spaces provided on this form are inadequate, use separate sheets of paper to complete the answers and attach them to the Affidavit. Answer every question completely! You must complete every blank. If you do not know the answer to a question or are guessing, please state that. If a question does not apply, write \u201cNA\u201d for \u201cnot applicable\u201d to indicate you read the question. Round all amounts of money to the nearest dollar.

Llene completamente la Declaraci\u00f3n jurada en ingl\u00e9s en tinta negra. Si los espacios en este
formulario son inadecuados, utilice hojas adicionales para completar las respuestas y adjuntarlas
a la Declaraci\u00f3n jurada. Responda a todas las preguntas en su totalidad en ingl\u00e9s. Debe
completar cada espacio en blanco. Si no sabe la respuesta a una pregunta o est\u00e1 adivinando,
establ\u00e9zcalo all\u00ed mismo. Si no aplica una pregunta, escriba \u201cNA\u201d por \u201cno aplica\u201d para indicar
que ley\u00f3 la pregunta. Redondee todos los montos a la cifra entera m\u00e1s cercana.

2.
Answer the following statements YES or NO. If you mark NO, explain your answer on a
separate piece of paper and attach the explanation to the Affidavit.
Responda a los siguientes enunciados S\u00cd o NO. Si marca NO, explique su respuesta en ingl\u00e9s en
una hoja adicional y presente la explicaci\u00f3n con la Declaraci\u00f3n jurada.
[ ] YES [ ] NO
1.I listed all sources of my income.
S\u00ed
No
Enumer\u00e9 todas mis fuentes de ingreso
[ ] YES [ ] NO
2.I attached copies of my two (2) most recent pay stubs.
S\u00ed
No
Adjunt\u00e9 copias de mis dos (2) comprobantes de pago m\u00e1s recientes.)
[ ] YES [ ] NO
3.I attached copies of my federal income tax return for the last three
Si
No
(3) years, and I attac hed my W-2 and 1099 forms from all sources
of income.

Adjunt\u00e9 copias de mi devoluci\u00f3n de impuesto de ingreso federal para los \u00faltimos tres (3) a\u00f1os, y adjunt\u00e9 mis formularios W-2 y l099 de todas mis fuentes de ingreso.

D. Last date when you and the other party lived together:
\u00daltima fecha en que usted y la otra parte vivieron juntos
\u00a9Superior Court of Arizona in Maricopa County
Page 3 of 14
DROSC13fs
January 19, 2006
Use current version
ALL RIGHTS RESERVED

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