Family Law Planner
Financial Disclosure
UNSIGNED DRAFT FOR ATTORNEY REVIEW
Identifying details withheld from this copy. Other free text is unchanged and may identify people.
Source: owner-supplied SAFLII Financial Disclosure Form, 20 pages. All questions and continuation records are included; output page count varies. Not sent to HRA, signed, commissioned, exchanged or filed.
- Fill in this form fully and accurately.
- Use N/A where a section does not apply.
- Disclose all relevant financial circumstances.
- Incomplete or false disclosure may have court consequences.
- The statement requires an oath or affirmation before a commissioner.
- Specified supporting documents and explanatory continuation sheets must accompany the applicable final statement.
- Seek legal advice if you are unsure.
- No click in this app constitutes that oath.
Case and parties
Cover, page 1
- Case number
- Not entered
- Applicant name
- Not entered
- Respondent name
- Not entered
- Party making disclosure
- Not entered
- Statement filed by
- Not entered
- Filing attorney name
- Not entered
- Filing attorney address
- Not entered
- Court / division (for confirmation)
- Not entered / unknown
Dates and reporting periods
Preparation details
Historic income and the next 12 months are different periods. All forecast schedules use the projection period recorded here.
- Disclosure as-at date
- Not entered / unknown
- Historic financial year starts
- Not entered / unknown
- Historic financial year ends
- Not entered / unknown
- Next 12 months start
- Not entered / unknown
- Next 12 months end
- Not entered / unknown
General information
1.1–1.10, page 2
- 1.1 Full name
- Not entered
- 1.2 Date of birth
- Not entered
- 1.3 Residential address
- Not entered
- 1.4 Identity and/or passport number
- Not entered
- 1.5 Date of marriage
- Not entered
- 1.6 Marriage type
- Not entered / unknown
- Other marriage type (detail)
- Not entered / unknown
- 1.7 Matrimonial property regime
- Not entered / unknown
- Other / unsure property-regime detail
- Not entered / unknown
- 1.8 Occupation
- Not entered / unknown
- 1.9 Date of separation
- Not entered
- 1.10 Date summons was issued
- Not entered
Children of the family
1.11, page 2
Include applicable children of the family; a count of children under 18 does not replace these particulars.
Children of the family · Record 1
- Child full name
- Not entered
- Child date of birth
- Not entered
- With whom does the child live?
- Not entered
Other proceedings
1.12, page 2
Other proceedings · Record 1
- Case number
- Not entered
- Court
- Not entered / unknown
- Type of proceedings
- Not entered / unknown
- Pending / finalised status and context
- Not entered / unknown
Family home
2.1, page 3 · A
The last family home, if still unsold. Record mortgages below. Whole-property value/equity and the value of YOUR interest are separate figures; no ownership share is inferred.
Family home · Record 1
- Property address
- Not entered
- Erf number
- Not entered
- Registered owners
- Not entered
- Ownership (your understanding)
- Not entered / unknown
- Your legal / beneficial interest
- Not entered / unknown
- Whole-property current market value
- Not entered / unknown
- Who pays the bond instalments?
- Not entered / unknown
- In what proportions?
- Not entered / unknown
- Whole-property equity
- Not entered / unknown
- Checked value of YOUR interest
- Not entered / unknown
- Valuation obtained within the last six months
- Not entered / unknown
- Recent statements for every mortgage
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Mortgages
- Mortgage bank / lender 1
- Not entered / unknown
- Mortgage account reference
- Not entered
- Outstanding mortgage balance
- Not entered / unknown
- Monthly instalment (additional note)
- Not entered / unknown
Other property
2.2, pages 3–4 · B
One entry per other property, including abroad. Do not count the family home again. Confirm sale costs and your own interest; the source B label repeats “family home” in error.
Other property · Record 1
- Property address
- Not entered
- Erf number
- Not entered
- Registered owners
- Not entered
- Your legal / beneficial interest
- Not entered / unknown
- Mortgage lender(s)
- Not entered / unknown
- Mortgage account reference(s)
- Not entered
- Whole-property current market value
- Not entered / unknown
- Who pays the bond instalments?
- Not entered / unknown
- In what proportions?
- Not entered / unknown
- Whole-property equity
- Not entered / unknown
- Outstanding mortgage balance(s)
- Not entered / unknown
- Estimated sale costs
- Not entered / unknown
- Checked value of YOUR interest
- Not entered / unknown
- Valuation obtained within the last six months
- Not entered / unknown
- Recent statements for every mortgage
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Bank accounts
2.3, page 4 · C1
Include accounts held at any time in the last 12 months, including closed and overdrawn accounts. Use a minus sign for overdrafts. Do not deduct overdrafts again as liabilities.
Bank accounts · Record 1
- Bank name
- Not entered / unknown
- Account type
- Not entered / unknown
- Account number / reference
- Not entered
- Statement date
- Not entered / unknown
- Balance at the statement date
- Not entered / unknown
- Open / closed
- Not entered / unknown
- Ownership
- Not entered / unknown
- Checked value of YOUR interest
- Not entered / unknown
- Statements covering the last six months
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Investments and securities
2.4, pages 4–5 · C2
Capital interests only; dividend, interest and rental income belong in the income schedules. Do not assume the entire holding belongs to you.
Investments and securities · Record 1
- Investment / institution name
- Not entered / unknown
- Investment type
- Not entered / unknown
- Size of holding
- Not entered / unknown
- Investment number / reference
- Not entered
- Current value of the stated holding
- Not entered / unknown
- Ownership
- Not entered / unknown
- Checked value of YOUR interest
- Not entered / unknown
- Latest investment statement
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Life insurance and endowments
2.5, page 5 · C3
Include policies with no surrender value. A confirmed zero is valid; life-cover benefit is not a surrender value.
Life insurance and endowments · Record 1
- Insurer / policy name
- Not entered / unknown
- Policy type
- Not entered / unknown
- Policy number
- Not entered
- Current surrender value
- Not entered / unknown
- Current beneficiaries
- Not entered
- Ownership
- Not entered / unknown
- Checked surrender value of YOUR interest
- Not entered / unknown
- Full policy schedule
- Not entered / unknown
- Surrender valuation, if applicable
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Money owed to you
2.6, page 5 · C4
The source asks for sums over R2,000, including trust loan accounts. Business loan accounts belong with business interests, without duplication.
Money owed to you · Record 1
- Description of money owed
- Not entered / unknown
- By whom owed
- Not entered
- Balance outstanding
- Not entered / unknown
- Ownership
- Not entered / unknown
- Checked amount owed to YOU
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Cash held
2.7, page 5 · C5
The source asks for cash sums over R2,000. Keep original currency and amount separate from the checked rand equivalent. No live rate is fetched.
Cash held · Record 1
- Where held
- Not entered
- Amount in original currency
- Not entered / unknown
- Currency
- Not entered / unknown
- Checked ZAR value of YOUR interest
- Not entered / unknown
- Exchange rate used
- Not entered / unknown
- Rate date
- Not entered / unknown
- Rate / valuation source and basis
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Personal belongings
2.8, pages 5–6 · C6
Items individually worth over R5,000: vehicles at trade value; collections, pictures, jewellery, furniture and contents at current market value, not replacement cost.
Personal belongings · Record 1
- Item / description
- Not entered / unknown
- Whole-item value (if relevant)
- Not entered / unknown
- Ownership
- Not entered / unknown
- Current value of YOUR interest
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Other liabilities
2.9, page 6 · D
Include credit/store cards, loans and hire purchase, even cards with nil or credit balances. Exclude mortgages and overdrafts already accounted for above. Do not turn a credit balance into negative debt.
Other liabilities · Record 1
- Creditor / card
- Not entered / unknown
- Type of credit
- Not entered / unknown
- Total amount owed
- Not entered / unknown
- Card balance / nil or in-credit explanation
- Not entered / unknown
- Responsibility
- Not entered / unknown
- Checked amount YOU owe
- Not entered / unknown
- Monthly repayment / earlier repayment note
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Business assets and directorships
2.10, page 7 · E
One entry per business. E uses the checked interest value, without adding the loan account twice. The source does not require a new formal valuation at this stage.
Business assets and directorships · Record 1
- Business name
- Not entered
- Business description
- Not entered / unknown
- Sole trader / partner / CC member / shareholder / other
- Not entered / unknown
- Extent of partnership / shareholding
- Not entered / unknown
- Sums the business owes you through loan / capital / current accounts
- Not entered / unknown
- Where those accounts appear
- Not entered / unknown
- Estimated current value of YOUR business interest
- Not entered / unknown
- Valuation basis and loan-account treatment
- Not entered / unknown
- Annual accounts for last two financial years
- Not entered / unknown
- Available valuation support / accountant letter
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Pension and retirement interests
2.11, pages 8–9 · F
Include retirement annuities, pension and preservation funds. The app does not calculate statutory pension interest or a spouse’s entitlement.
Pension and retirement interests · Record 1
- Fund / pension name
- Not entered / unknown
- Policy / membership number
- Not entered
- Scheme type
- Not entered / unknown
- Date the value was calculated
- Not entered / unknown
- Checked value of YOUR interest
- Not entered / unknown
- Valuation basis / question for attorney
- Not entered / unknown
- Expected valuation date if unavailable
- Not entered / unknown
- Recent fund / prescribed-value statement
- Not entered / unknown
- Request letter if valuation unavailable
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Other assets
2.12, page 9 · G
Include otherwise undisclosed domestic/foreign assets, vested/unvested options and incentives, expansion schemes, futures and commodities. Avoid duplicating an asset already listed.
Other assets · Record 1
- Asset type and description
- Not entered / unknown
- Value of the asset
- Not entered / unknown
- Total NET value of YOUR interest
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Trust interests and roles
2.13, page 9
A trust role does not automatically establish ownership. A loan account already in C4 must not be counted twice.
Trust interests and roles · Record 1
- Trust name
- Not entered / unknown
- Trust IT number
- Not entered
- Founder / trustee / beneficiary roles
- Not entered / unknown
- Separate financial interest / loan-account note
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Employment income
2.14, page 10 · H
One entry per employer. The source’s historic net figure deducts tax and UIF, not pension contributions. Do not substitute a monthly amount or historic value for a forecast.
Employment income · Record 1
- Employer name
- Not entered
- Employer address
- Not entered
- Job title
- Not entered / unknown
- Gross income last financial year (IRP5)
- Not entered / unknown
- Net income that year (gross less income tax and UIF)
- Not entered / unknown
- Bonuses / occasional payments over last 24 months, with values, not already included
- Not entered / unknown
- Benefits in kind / perks and their values
- Not entered / unknown
- Estimated NET income for the NEXT 12 MONTHS
- Not entered / unknown
- IRP5 for the last financial year
- Not entered / unknown
- Last three payslips
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Business / self-employment income
2.15, page 11 · I
The source’s Part 7 heading is inconsistent; section 2.15 / Total I concerns business income. Drawings and loan-account balances are not automatically additional income; no tax is calculated.
Business / self-employment income · Record 1
- Business name
- Not entered
- Last accounts completed to
- Not entered / unknown
- Your share of gross profit in last accounts
- Not entered / unknown
- Tax payable on that share
- Not entered / unknown
- Net income for that year (profit less tax)
- Not entered / unknown
- Dividends, benefits and perks in the last year, with values
- Not entered / unknown
- Regular drawings amount
- Not entered / unknown
- Frequency of drawings
- Not entered / unknown
- Why forecast differs from the last accounts
- Not entered / unknown
- Estimated NET annual income for NEXT 12 MONTHS
- Not entered / unknown
- Tax assessment or accountant tax-liability letter
- Not entered / unknown
- Management accounts if forecast differs significantly
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Investment / asset income
2.16, page 12 · J
Dividends, interest, rent or other asset income. The source’s Part 8 heading is inconsistent. Confirm the forecast basis; gross/mixed figures are not treated as net and no tax is inferred.
Investment / asset income · Record 1
- Asset / source label
- Not entered / unknown
- Nature of income and asset / source
- Not entered / unknown
- Historic income paid gross or net?
- Not entered / unknown
- Income in the LAST FINANCIAL YEAR
- Not entered / unknown
- Estimated income for NEXT 12 MONTHS
- Not entered / unknown
- Forecast basis
- Not entered / unknown
- Checked NET forecast if the entered forecast is gross / mixed
- Not entered / unknown
- Forecast / net reconciliation explanation
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
State benefits
2.17, page 12 · K
Include state pension, child/disability and other current benefits. An individual payment is not the annual forecast.
State benefits · Record 1
- Benefit name
- Not entered / unknown
- Amount paid each time
- Not entered / unknown
- Payment frequency
- Not entered / unknown
- Checked income for NEXT 12 MONTHS
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Other income
2.18, page 13 · L
Include pensions/living annuities and other sources received in the last 12 months even if ceased, or expected in the next 12 months. A confirmed zero forecast is different from an unknown one.
Other income · Record 1
- Source label
- Not entered / unknown
- Nature of income and asset / source
- Not entered / unknown
- Historic income paid gross or net?
- Not entered / unknown
- Income in the LAST FINANCIAL YEAR
- Not entered / unknown
- Estimated income for NEXT 12 MONTHS
- Not entered / unknown
- Forecast basis
- Not entered / unknown
- Checked NET forecast if the entered forecast is gross / mixed
- Not entered / unknown
- Forecast / net reconciliation explanation
- Not entered / unknown
- Notes
- Not entered / unknown
- Question for attorney
- Not entered / unknown
Capital summary
2.19, pages 13–14
A+B+C+E+F+G, less D. Whole values, mortgages and trust roles are not silently counted again.
- A · Family home
- Unknown — no valid figures
- B · Other property
- Unknown — no valid figures
- C · Personal assets (C1–C6)
- Unknown — no valid figures
- E · Business interests
- Unknown — no valid figures
- F · Pensions
- Unknown — no valid figures
- G · Other assets
- Unknown — no valid figures
- Assets (A+B+C+E+F+G)
- Unknown — no valid figures
- D · Other liabilities
- Unknown — no valid figures
- Assets less liabilities
- Unknown — no valid figures
Entered, unverified own interests only. No ownership share is inferred or liability deducted twice. Empty schedules remain unknown unless marked N/A.
Income summary
2.20, page 14
H+I+J+K+L for the common next-12-month period. J/L net totals remain unresolved without an explicit net forecast or checked reconciliation. This is not disposable income or a maintenance award.
- H · Net employment
- Unknown — no valid figures
- I · Net business / self-employment
- Unknown — no valid figures
- J · Net investment income (confirmed basis)
- Unknown — no valid figures
- K · State benefits
- Unknown — no valid figures
- L · Other net income (confirmed basis)
- Unknown — no valid figures
- Net total for next 12 months
- Unknown — no valid figures
J and L use only an explicitly net forecast or checked net reconciliation. Historic figures, individual payments and gross/mixed amounts are not substituted. Empty schedules remain unknown unless marked N/A.
Monthly maintenance needs
3.1, pages 15–18
All 72 source rows are retained. Use only monthly amounts. Household is counted once in Total. Mark unused components N/A or choose Household only; blank is unknown, not zero.
All 72 source rows are retained. Use only monthly amounts. Household is counted once in Total. Mark unused components N/A or choose Household only; blank is unknown, not zero.
| Expenditure | Self | Child/ren | Total |
|---|---|---|---|
| 1. Lodging: bond repayment, levy, rental or board | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 2. Food, groceries and cleaning materials | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 3. Toiletries | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 4. Baby food | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 5. House expenditure: rates | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 6. Water | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 7. Electricity / gas / paraffin | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 8. Householders insurance | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 9. Homeowners insurance | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 10. Laundry / dry cleaning | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 11. Lunches | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 12. Telephone and ADSL / internet | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 13. Cell phone | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 14. Domestic worker | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 15. Gardener | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 16. Plants | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 17. Fresh flowers | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 18. Swimming-pool chemicals and maintenance | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 19. Clothing and shoes | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 20. School uniforms | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 21. Sporting clothing | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 22. Hair cuts, colouring and treatments | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 23. Cosmetics and make-up | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 24. Car instalments | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 25. Vehicle maintenance: services, tyres, brake pads etc. | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 26. Fuel | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 27. Vehicle licences | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 28. Vehicle insurance | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 29. Taxi | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 30. Parking including attendants | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 31. Other transport | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 32. School fees | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 33. After-school fees | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 34. Au pair / tutor | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 35. Creche / day care | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 36. Educational books | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 37. Stationery | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 38. School outings | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 39. School sports | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 40. Extramurals | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 41. Other educational expenditure | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 42. Medical aid | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 43. Doctor / dentist / other practitioner excess | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 44. Medication excess | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 45. Hospital | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 46. Other medical expenditure | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 47. Life insurance | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 48. Retirement annuity contributions | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 49. Other policies | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 50. Pocket money / allowances | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 51. Holidays | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 52. House maintenance: plumber, handyman, electrician, painter | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 53. Repair / replacement of household appliances | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 54. Kitchenware repair / replacement | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 55. Linen, towels etc. repair / replacement | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 56. Other replacement items | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 57. M-Net / DSTV | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 58. Entertainment and recreation | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 59. Personal loans | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 60. Security alarm system | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 61. Membership fees | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 62. Religious contributions | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 63. Charities | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 64. Gifts | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 65. TV licence | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 66. Reading: books | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 67. Newspapers | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 68. Periodicals / magazines | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 69. Credit / hire-purchase instalments for furniture and appliances | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 70. Pet food | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 71. Vet | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| 72. Other (give description) | Not entered / unknown | Not entered / unknown | Unknown — no valid figures |
| Column totals | Unknown — no valid figures | Unknown — no valid figures | Unknown — no valid figures |
General household is counted once in Total. All amounts are monthly recorded needs, not an award.
Other information
4.1.1, 4.1.2, 4.2; source 3.3–3.5, pages 18–19
The source describes conduct as relevant only in exceptional circumstances; the app makes no finding. Include only what you choose to discuss and use Complete privately where appropriate.
- 4.1.1 Significant changes in LAST 12 months, including disposals and foreign assets
- Not entered / unknown
- 4.1.2 Likely changes in NEXT 12 months
- Not entered / unknown
- 4.2 Standard of living: vehicles, last three family holidays, eating out and grocery shops
- Not entered / unknown
- Source 3.3 Contributions already made / foreseeable: what, amount, when and by whom
- Not entered / unknown
- Source 3.4 Conduct to discuss privately (optional)
- Not entered / unknown
- Source 3.5 Other circumstances: earning capacity, disability, inheritance prospects, retrenchment, retirement, agreements and reasons relied upon, future relationships or contingent liabilities
- Not entered / unknown
Declaration and commissioner particulars
Page 20 · UNSIGNED DRAFT
These are preparation particulars and provisional answers. This app does not sign, administer an oath, commission or file the statement. Physical execution spaces remain blank.
OATH / AFFIRMATION — unexecuted source scaffold
I, ____________________, hereby declare under oath / hereby truly affirm that to the best of my knowledge and belief the aforegoing statements are true, complete and correct.
Deponent signature: ______________________________ (left unsigned)
Before administering the oath/affirmation the commissioner asks and records the following answers in the deponent’s presence:
- Do you know and understand the contents of the above declaration?
- Do you have any objection to taking the prescribed oath?
- Do you consider the prescribed oath to be binding on your conscience?
- Deponent full name
- Not entered
- Proposed oath / affirmation
- Not entered / unknown
- Provisional answer 1: knowledge and understanding
- Not entered / unknown
- Provisional answer 2: objection to oath
- Not entered / unknown
- Provisional answer 3: binding on conscience
- Not entered / unknown
- Commissioner full name (preparation only)
- Not entered
- Commissioner rank and appointed area
- Not entered / unknown
- Commissioner address
- Not entered
- Commissioning date, if supplied (never defaulted)
- Not entered / unknown
I certify that before administering the oath / affirmation, I asked the deponent the following questions and wrote down the answers in the deponent's presence. I certify that the deponent has acknowledged that the deponent knows and understands the contents of this declaration, which was sworn to / affirmed before me, and the deponent's signature was placed thereon in my presence.
Commissioner signature: __________________________ (left unsigned)
All commissioner answers and particulars are provisional; no oath, affirmation or signing is certified by this app.
Attorney and receipt details
Page 20
User-recorded receipt details only. Printing or opening a link is not proof of delivery/service.
- Plaintiff attorney name
- Not entered
- Plaintiff attorney address
- Not entered
- Defendant attorney name
- Not entered
- Defendant attorney address
- Not entered
- Date copy received
- Not entered / unknown
- Received by / earlier recorded recipient
- Not entered
- Receipt / service note
- Not entered / unknown
Supporting-record index
Self-reported tracking only. No documents are attached; assemble the applicable records separately.
| Schedule / record | Required record | Status |
|---|---|---|
| Family home · 1 | Valuation obtained within the last six months | Not entered / unknown |
| Family home · 1 | Recent statements for every mortgage | Not entered / unknown |
| Other property · 1 | Valuation obtained within the last six months | Not entered / unknown |
| Other property · 1 | Recent statements for every mortgage | Not entered / unknown |
| Bank accounts · 1 | Statements covering the last six months | Not entered / unknown |
| Investments and securities · 1 | Latest investment statement | Not entered / unknown |
| Life insurance and endowments · 1 | Full policy schedule | Not entered / unknown |
| Life insurance and endowments · 1 | Surrender valuation, if applicable | Not entered / unknown |
| Business assets and directorships · 1 | Annual accounts for last two financial years | Not entered / unknown |
| Business assets and directorships · 1 | Available valuation support / accountant letter | Not entered / unknown |
| Pension and retirement interests · 1 | Recent fund / prescribed-value statement | Not entered / unknown |
| Pension and retirement interests · 1 | Request letter if valuation unavailable | Not entered / unknown |
| Employment income · 1 | IRP5 for the last financial year | Not entered / unknown |
| Employment income · 1 | Last three payslips | Not entered / unknown |
| Business / self-employment income · 1 | Tax assessment or accountant tax-liability letter | Not entered / unknown |
| Business / self-employment income · 1 | Management accounts if forecast differs significantly | Not entered / unknown |