Affidavit of No Change in Circumstances Requiring the Filing of a Final Verified Disclosure Statement
Having no change in the financial status of a petitioner or a defendant after submitting their disclosure statement requires the use of this affidavit. Use this affidavit to ensure to the court that your financial circumstances haven’t changed.
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IN RE THE MARRIAGE OF: _____ ___________________________________ PETITIONER and _____ ___________________________________ RESPONDENT q Petitioner q Res pondent submits under oath the following Affidavit pursuant to FCRPP 3, which requires full and prompt disclosure of the following information: 1. That the P reliminary Verified Disclosure Statement was filed pursuant to Court Order or Local Rule on ____________________ ___________, _________. 2. That ther e are no changes in circumstance of the q Petitioner q Res pondent since the date the Preliminary Verified Disclosure Statement was filed; and, therefore no Final Verified Disclosure Statement is required to be filed pursu ant to FCRPP 3(3). 3. I und ersta nd that making a false statement in this Affidavit may subject me to the penalties for perjury as contained in KRS Chapter 523. The maximum sentence for perjury is five (5) years imprisonment. In addition, it may be grounds to set aside any judgment entered in this case. 4. I de clare under the penalty of perjury that I have read or have had read to me the information contained on this form an d that the statements provided here are true, complete and accurate to the best of my personal knowledge. _________________________________ _________ _______________________________ Date Affiant’s Signature __________ ______________________________ Affiant’s Name (Print or Type) STATE OF ________ ____________________ ) ) SS COUNTY OF ____________________________ ) SU BSCRIBED AND SWORN TO before me this ________ day of ___________________________, _________. My Commission Expires: ___________________ __________ ______________________________ NOTARY PUBLIC/TITLE AOC- 239.2 Doc. Code: ANCC Rev. 1-15 Page 1 of 2 Commonwealth of Kentucky Court of Justice www.courts.ky.gov FCRPP 3 Affidavit of No Change in Circumstances Requiring the Filing of a Final Verified Disclosure Statement lex et justitia COMMONWEALTHOFKENTUCKY COURTOFJUSTICE Case No. ____________________ Court ____________________ County ____________________ Division ____________________ AOC-239.2 Rev. 1-15 Case No. _________________________________ Page 2 of 2 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a copy of this Affidavit of No Change in Circumstances was served by q mail, postage prepaid, or q hand-delivery, or q electronic means, in accordance with Kentucky Rule of Civil Procedure (CR) 5.02 , on (name ) _______________________________________________________________________________________ at (address ) _______________________________________________________________________________________, this the _______ day of __________ ______________, _________. __ __________________________________________ Signature q Attorney for Petitioner q Attorney for Respondent q Petitioner q Respondent Address : ____________________________________________ ____________________________________________ ____________________________________________ Phone: ( ) ________________________________ Fax: ( ) _________________________________ Email: _____________________________________
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