Colorado Certificate of Compliance Form

In the case of wanting to prove that all the required financial disclosures in a divorce case in the State of Colorado have been provided, the following form has to be completed and submitted.

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JDF 1104    R 8/10     CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES  
	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 W ithout Attorney 	(Name and Address)	:  	 
 
Phone Number:__________  E-mail: ___________________________  
FAX Number:	___________	   Atty. Reg. #:	 ____________________	 	
Case Number:	 	 
 
 
Division _______  Courtroom  ______  	
CERTIFICATE OF COMPLIANCE WITH 	MANDATORY	 FINANCIAL DISCLOSURES	  	
*****	EA	CH PARTY	 MUST COMPLETE AND FILE THIS FORM WITH THE COURT*****	 	
 
I, the	 	Petitioner 		Co-Petiti oner/Respondent  (check one) hereby certify that I have sent the other party the following 
Mandatory Disclosures  as required by Rule 16.2(e)(7)  of the Colorado Rules of Civil Procedure.   	
 
See JDF 1125: Mandatory Disclosure  – Form 35. 1 for  explanation on what is required by the disclosures being listed.  
C heck those that you have furnished  to the other party. (Note	
:  Only the  Sworn Financial  Statement  and Child 
S upport Worksheet should be filed with the Court. ) 	
 
	Sworn F inancial Statement       		Retirement Plans  	
	Income Tax Returns  (m ost r ecent 3 years)     		Bank/Financial Institution Accounts     	
	Personal Financial Statements ( last 3 years)     		Income Documentation ( Pay S tubs, etc.)  	
	Business Financial Statements ( last 3 years )      		Employment and Education  – Related child  	
	Real Estate Documents  (Appraisal, Title, etc.)        Care Documentation  	
	Personal Debt (Loans, Title, Credit C ard Statements, etc.)  		Insurance Documentation 	
	Investments        		Extraordinary Children’s Expense  	
	Employment Benefits 	                      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/Res pondent Signature    Date 
 
        ________________________________________________  
        Attorney Signature, if any          Date 
          	
You must compl ete the Certificate of Service b elow: 	 	
CERTIFICATE OF SERVICE 	 I certify that on _______________________ (date) 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)