Certificate Of Compliance With Mandatory Financial Disclosures As Required By CRCP 16.2(e)(7)
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Certificate Of Compliance With Mandatory Financial Disclosures As Required By CRCP 16.2(e)(7) Form. This is a Colorado form and can be use in Domestic Relations Statewide.
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Tags: Certificate Of Compliance With Mandatory Financial Disclosures As Required By CRCP 16.2(e)(7), JDF 1104, Colorado Statewide, Domestic Relations
District Court Denver Juvenile Court
_______________________________ County, Colorado
Court Address:
In re:
The Marriage of:
Parental Responsibilities concerning:
______________________________________________________
Petitioner:
and
Co-Petitioner/Respondent:
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:
FAX Number:
Division
E-mail:
Atty. Reg. #:
Courtroom
CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES
I, the Petitioner Co-Petitioner/Respondent (check one) hereby certify that I have sent the other party the following
Mandatory Disclosures as required by C.R.C.P. 16.2(e)(7).
See JDF 1125: Mandatory Disclosure – Form 35.1 for explanation on what is required by the disclosures being
listed. Check those that you have furnished to the other party. (Note: Only the Sworn Financial Statement and
Child Support Worksheet should be filed with the Court.)
Sworn Financial Statement
Income Tax Returns (most recent 3 years)
Personal Financial Statements (last 3 years)
Business Financial Statements (last 3 years)
Real Estate Documents (Appraisal, Title, etc.)
Personal Debt (Loans, Title, Credit Card Statements, etc.)
Investments
Employment Benefits
Retirement Plans
Bank/Financial Institution Accounts
Income Documentation (Pay Stubs, etc.)
Employment and Education – Related child
Care Documentation
Insurance Documentation
Extraordinary Children’s Expense
Documentation
If I have not provided information, it is because:
__________________________________________________________________________________________
__________________________________________________________________________________________
I hereby certify that, to the best of my knowledge, information, and belief, the disclosures I have made are
complete and correct as of this date.
________________________________________________
Petitioner/Co-Petitioner/Respondent Signature
Date
________________________________________________
Attorney Signature, if any
Date
CERTIFICATE OF SERVICE
I certify that on _______________________ (date) an original was filed with the Court and a true and accurate copy of the
CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES was served on the other party by:
Hand Delivery, E-filed, Faxed to this number ____________________, or by placing it in the United States mail,
postage pre-paid, and addressed to the following:
To: ___________________________________
___________________________________
___________________________________
(Your signature)
JDF 1104
R6/08
CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES
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