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Family Law and Practice LPC LG03 D1c
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Family Law and Practice LPC LG03 D1c
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Financial statement To be completed by the relevant party• For a financial order under the Name of court Case No.
Matrimonial Causes Act 1973/
Civil Partnership Act 2004
Name of Applicant
• For financial relief after an overseas
divorce etc under Part 3 of the
Matrimonial and Family Proceedings Name of Respondent
Act 1984/Schedule 7 to the Civil
Partnership Act 2004
of (please tick appropriate boxes)
Spouse Civil partner
Dated D D / M M / Y Y Y Y
The parties are
and
Who is the Who is the
Spouse civil partner Spouse civil partner
Petitioner Applicant Respondent in the Petitioner Applicant Respondent in the
divorce dissolution nullity divorce dissolution nullity
(judicial) separation financial relief application (judicial) separation financial relief application
Applicant in this matter Respondent in this matter
This form should only be completed in applications for a financial order (which can only be
applied for as part of a divorce, dissolution, annulment or (judicial) separation in the High Court
or family courts in England and Wales) or for applications for financial relief after an overseas
divorce/dissolution etc. If the application is for any other financial remedy please complete Form E1.
If the application is for a variation of an order for a financial remedy please complete Form E2.
Please fill in this form fully and accurately. Where any box is not applicable, write ‘N/A’.
You have a duty to the court to give a full, frank and clear disclosure of all your financial and other
relevant circumstances.
A failure to give full and accurate disclosure may result in any order the court makes being set aside.
If you are found to have been deliberately untruthful, criminal proceedings may be brought against
you for fraud under the Fraud Act 2006.
The information given in this form must be confirmed by a statement of truth. Proceedings for
contempt of court may be brought against a person who makes or causes to be made, a false
statement in a document verified by a statement of truth.
You must attach documents to the form where they are specifically sought and you may attach other
documents where it is necessary to explain or clarify any of the information that you give.
Essential documents that must accompany this statement are detailed in the form.
If there is not enough room on the form for any particular piece of information, you may continue on an
attached sheet of paper.
If you are in doubt about how to complete any part of this form you should seek legal advice.
This statement is filed by
Solicitor’s fee
account no.
Name and address of solicitor
Form E Financial statement (01.16) © Crown Copyright 2016
, 1 General Information
1.1 Full name
1.2 Date of birth Date Month Year 1.3 Date of the marriage/ Date Month Year
civil partnership
1.4 Occupation
1.5 Date of the Date Month Year
separation Tick here if not applicable
1.6 Date of the Petition for divorce/ Decree nisi/ Decree absolute/
dissolution/nullity/ conditional order/ final order
(judicial) separation (judicial) separation order (if applicable)
Date Month Year Date Month Year Date Month Year
1.7 If you have Date Month Year 1.8 Are you living with a new Yes No
subsequently partner?
married or 1.9 Do you intend to live with a Yes No
formed a civil new partner within the next
partnership, or six months?
will do so,
state the date
1.10 Details of Date of birth
any children With whom does
Full names
of the family the child live?
Date Month Year
1.11 Details of
Yourself Children
the state
of health of
yourself and
the children
if you think
this should
be taken into
account
2
, 1.12 Details of the present and proposed future educational arrangements for the children.
Present arrangements Future arrangements
1.13 Details of any child support maintenance calculation or any maintenance order or agreement made
in respect of any children of the family. If no calculation, order or agreement has been made, give
an estimate of the liability of the non-resident parent in respect of the children of the family under
the Child Support Act 1991.
1.14 If this application is to vary an order, attach a copy of the order and give details of the part that is
to be varied and the changes sought. You may need to continue on a separate sheet.
1.15 Details of any other court cases between you and your spouse/civil partner, whether in relation
to money, property, children or anything else.
Case No Court Type of proceedings
1.16 Your present residence and the occupants of it and on what terms you occupy it
(e.g. tenant, owner-occupier).
Address Occupants Terms of occupation
3
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