Missouri Statement of Income and Expenses Form
To help spouses involved in a divorce case and the court overlooking that case to decide the amount of money that every party involved in the divorce (if any) should receive, the Missouri Statement of Income and Expenses Form can be used.
DownloadExtracted Text for Proper Search
Statem ent of Inc om e and E xpens es - Page 1 of 6 IN THE CIRCUIT COURT O F ____ ___ ___ ___ ___ __ _____ __, M ISSOURI In r e the Mar riage o f _________________ _____________ __________________ __ _________ (First) (Middl e) (Las t) (Jr./Sr./III) Petitioner , Case N o. _______ ____ _ -and - Division N o. _________ ___ _________________ _____________ __________________ __ _________ (First) (Middl e) (Las t) (Jr./Sr./III) Respondent . Statem ent of I ncom e and E xpenses Are you Petition er or the R espon den t? (Check one o f these b oxes ) I am the Petitio ne r. ( The pa rty th at filed the or igina l pe tition) I am the R esponde nt. (The pa rty tha t answers the or igina l pe tition f iled by hi s or he r spous e) Are you the H usband or the Wi fe? (Chec k one of the se b oxes ) I am the Wi fe. I am the H usba nd. You m ust fill in t he amount s for bot h y ou a nd y our hu sba nd o r w ife. I f you do not know the exa ct amount for your spous e, y ou s hou ld estim ate the amount to th e be st o f your ability . DO NOT LEAV E THE SE AM OUN TS B LANK . Wh y d oe s the cou rt r equire this infor m ation ? The amount of inc om e and e xpe nses of each p arty is significant in a dissolution o f m arriag e pro ceed ing for sev eral reason s. F irst, if there are une manc ipated c hildren bor n of the m arriag e, t he cou rt m ust de termine the amount of child suppo rt to b e pa id by on e pa rty to t he othe r pa rty. Missour i Sup reme C our t Rule 88. 01 a nd F orm 14 pr ov ide the ba sis for the calculation of a pr esum ed a mount of suppo rt. The amount s you e nter on this “Statem ent of Inc om e and E xpe nses” m ay be us ed by the cou rt in c alculating the amount of child s upp ort. Form CAFC050 -04/01/200 9 (County where court is located) Statem ent of Inc om e and E xpens es - Page 2 of 6 Second, the amount s entered on t his “Statement of Inc om e and E xpe nses” m ay be us ed by the cou rt in de termining w he the r on e party is entitled t o m aintena nce. M aintenanc e is spou sal suppo rt paid by one pa rty to the ot her. Ma inten anc e w as f ormerly cal led alimony . If a pa rty doe s no t recei ve m aintena nce a t the time of dissolution, a nd the judg ment is no t sub ject to m odi fication, the pa rty cannot com e ba ck to cour t to reque st m aintena nc e in the future. A pa rty m ay be ent itled t o m ainten anc e i f the pa rty lack s sufficient prope rty to p rov ide for hi s or he r reason abl e ne eds or if the party is un able to s up por t hi m or he rself throug h a pp ropr iate employm ent. S ee R SMo. §452.335. Third, inc om e and e xpe nse amount s m ay be us ed by the cou rt in de termining the amount of attorne y’s fees to b e aw arde d a pa rty. The cou rt has the pow er to or de r one pa rty to pa y the othe r pa rty’s attorney’s fees. RSMo. §452.35 5. If you c annot accu rately est imate t he incom e and e xpe nses o f your sp ous e, there are m ethods av ailable to discov er exa ctly how m uc h your spous e earns and s pe nds . Th ese m ethods are us ua lly be yond t he ability of non- lawyers, a nd it is strong ly sugg ested t hat if you do not ha ve an a ccurate estimate of how m uc h your spous e earns and s pends, a nd the se issues w ou ld be relevant to y our case, then y ou s houl d c on tact a law yer to a ssist you. The cou rt m ay requi re y ou to f ile a m ore com plete “S tatem ent of Inc ome and E xp ens es”. This w ou ld inc lude a m ore de tailed ana lysis o f incom e and e xp ens es. Please type or print clearly in black ink. A copy of this form M UST be sent to your spouse. The information in this form is open to the public. All p leadings that you file with the court are required to contain the case number and division number (if applicable). F ailure to include the case number on your pleading m ay cause your pleading to be filed in the wrong case. If your case has not yet been filed, then you do not have to enter the cause number on this form. You m us t fill in a ll bl ank s for H us band and W ife w ith an am ount even if the am ount is ze ro. 1. INCO ME WIFE HUS BAND MONT HL Y G RO SS INCO ME – Enter one -twelfth of the p arty’s ye arly gros s inc om e (Inc ome bef ore an y tax es or other withh olding) . This is the am ount of m one y you earn B EFORE an y deduc tions or tax es . Instructions to Q uestion 1 - “Gross incom e” include s, but is not limited t o, salaries, wages , com mission, dividends , severance pa y, pens ions , interest, trust incom e, annui ties, par tner ship di stributions , social security benef its, retirem ent benef its, workers’ com pens ation benef its, unem ployment com pens ation benef its, disabi lity insuranc e benef its, veterans’ benef its, and m ilitary allowanc es for subs istenc e and quar ter. Overtime c om pens ation, bonu ses, ear ning f rom secondar y em ployment , recurring c api tal gai ns, prizes, retained ear nings and signi ficant em ployment -related be nef its may be included i n whol e or in par t. If a par ty is unem ployed or found t o be under em ployed, “gross incom e” may be ba sed on i mput ed incom e. Excluded from “gross incom e” is tem por ary as sistance for needy fam ilies (TANF) payment , Medi caid benef its, suppl em ent al security incom e (SSI) benef its, food stam ps, gener al assistance benef its, other publ ic assistance benef its hav e eligibility bas ed on incom e and child suppor t received f or children not the subj ect of this proceedi ng. If a par ty receives rent s or royalties or is self-em ployed, in a sole propr ietorship, or bu siness with joint owner ship, “gross incom e” is gross receipts minus the or dinar y and nec essary expen ses incurred to pr oduc e such receipts. Depr eciation, investment tax credi ts and other nonc ash reduc tion o f gross receipts may be e xcluded f rom such or dinar y and ne cessary expen ses. Form CAFC050 -04/01/200 9 Statem ent of Inc om e and E xpens es - Page 3 of 6 2. MAINTEN ANCE R EC EIVED WIFE HUS BAND A. M AINTEN AN CE R EC EIVED EAC H MONTH IN THIS C AS E – Thes e ar e s am e nu mber s from Li ne 6A in di fferent colum ns B. M AINTEN AN CE R EC EIVED EAC H MONTH FROM O THER CASES C. T OTAL M AINTEN AN CE R EC EIVED EAC H M ONTH – Enter the total m ont hly am ount of cour t or der ed m ainten anc e t hat eac h par ty ac tual ly rec eives . (Line A plus Line B) Instructions to Q ues tion 2 – This amount refers to maintenanc e that either par ty receives. The am ount of maintenan ce to be pai d by either Husband or Wife shoul d be i ncluded i n your an swer to Ques tion 6. LINE C SHOULD BE THE SUM OF LINE A AND LINE B. 3. C HILD SUPPORT RE CEIVED F OR UNE MANCI PATED CHI LDRE N NO T OF THIS M ARRI AGE WIFE HUS BAND How m an y children d oes eac h par ty hav e i n h is or her cus tod y tha t are not the subj ec t of this proc eedi ng? CHI LD SUPPORT RE CEIVED EACH M ONT H F OR UNE MANCI PATED CHI LDRE N NO T OF THIS M AR RIAG E – Enter the m ont hly am ount of an y child supp ort that eac h par ty ac tually rec eives for unem anc ipat ed c hildren not of this m arriage. Instructions to Ques tion 3 – The first par t of this ques tion a sks you for the num ber of children in eac h person’s custody that are not children involved in this case. The second par t of this que stion refers to child suppor t that either par ty receives from som e third per son not a par ty to this proceedi ng. Normally this would be child suppor t received by Husband or Wife for children from a pr evious marriage or relationship. THIS AMOUNT DOES NO T INCL UDE CHI LD SUPPORT PAID F OR T HE UNE MANCIPATED CHI LDRE N O F THIS MARRI AGE. 4. T OTAL M ONT HLY INCO ME WIFE HUS BAND TOTAL I NCOME Instructions to Q ues tion 4 – Enter the total of the am ount s you ent ered i n Q uestions 1, 2c and 3 . 5. O THE R CHI LD SUPPORT O BL IGATIONS FOR UNE MANCI PATED CHI LDRE N T HAT ARE NO T OF THIS MARRI AGE WIFE HUS BAND OTHE R CHI LD SUP PORT O BLIGATIONS EAC H M ONTH – Enter the m ont hly am ount of an y other cour t or adm inistrative or der for child suppor t to t he ex tent of the am ount s ac tual ly be ing pa id t oward t he current supp ort of an y child not the s ubjec t of this pr oc eed ing. Instructions to Q ues tion 5 - Enter the am ount of any cour t order ed child s uppor t that is actual ly bei ng p aid by one of the par ties for unem anc ipat ed children not of this marriage t hat are no t in that par ty’s custody . Form CAFC050 -04/01/200 9 Statem ent of Inc om e and E xpens es - Page 4 of 6 6. M AINTENAN CE PAID WIFE HUS BAND A. M AINTEN AN CE P AID EAC H M ONTH IN THIS C ASE – Thes e ar e same num ber s from Li ne 2 A in d ifferent colum ns B. M AINTEN AN CE P AID EAC H M ONTH IN O THER CAS ES C. T OTAL M AINT ENA NC E PAID EACH MONT H – Enter the t otal mont hly am ount of cour t order ed m aintenanc e t hat each par ty ac tual ly pa ys for current m aintena nc e. (Line A plus Line B ) Instructions to Ques tion 6 – This amount refers to maintenanc e that either par ty pay s. The am ount of maintenanc e to be r eceived b y either Husband or Wife shoul d be i ncluded i n your an swer to Ques tion 2. NO TE: Q ue stions 7 thr ough 1 0 appl y onl y if the re a re une m anc ipa ted c hi ldr en of th is m arriage . If the re a re no une m ancipa ted c hi ldr en of thi s m arriage , the n y ou do not ha ve to a nswer que stions 7 thr ough 1 0 incl usive . Y ou m ust still a nswe r Que stion s 11 an d 12 . 7. CHI LD C ARE CO STS FOR UNE MANCI PATED CH ILDRE N O F THIS M ARRI AGE WIFE HUS BAND CHI LD C ARE CO STS FOR UNE MANC IPATED CHI LDRE N O F THIS MAR RIAG E EACH M ONT H – If ther e are u nem anc ipated c hildren of this m arriage, enter the mont hly am ount of work-related c hild c are co sts inc urred b y eac h p arent as a r es ult of hi s or her em ployment . Instructions to Ques tion 7 - Do no t ans wer this que stion unl ess you hav e unem anc ipat ed children o f this marriage. Enter the m ont hly am ount of an y reas onabl e work-related child care c osts incurred or to be incurred by each par ent for the unem anc ipat ed c hildren of this marriage. It is preferabl e to include the r easonabl e work-related child care c osts of the par ent en titled to receive s uppor t in the calculation o f the presum ed c hild suppor t am ount pur suant to Form 14. Include a bov e O NLY the am ount s you intend to include in your Form 14 child suppor t calculation. However, the w ork-related child c are costs may be excluded from calculation o f the pr esum ed child s uppor t am ount if an e vent that will signi ficant ly affect the am ount pai d for work-related child c are, such a s a child’s ent ry into school , will oc cur with pr edi ctabi lity within a s hor t per iod of time. 8. HEALTH I NS UR ANCE CO STS FOR UNE MANCI PATED CHI LDRE N O F THIS M ARRI AGE WIFE HUS BAND HEA LTH I NS UR ANC E CO STS FOR UNE MANCIPATED CHI LDR EN OF THIS M AR RIAG E EACH M ONT H – If ther e ar e un em anc ipat ed children of this m arriage, enter the mont hly am ount of hea lth ins uranc e cos ts for thes e c hildren on ly. Instructions to Ques tion 8 – Do not ans wer this que stion unl ess you hav e unem anc ipat ed children o f this marriage. Enter the m ont hly am ount of an y prem ium pai d to be pai d or deduc ted or to be deduc ted by an em ployer from gross mont hly incom e for heal th insuranc e pol icies for the unem anc ipat ed children of this marriage . Thes e am ount s shoul d be included on F orm 14, Line 6c . Form CAFC050 -04/01/200 9 Statem ent of Inc om e and E xpens es - Page 5 of 6 9. UNCO VERE D EXTRAORDI NARY MEDICAL CO STS FOR UNE MANCI PATED CHI LDRE N O F THIS M ARRI AGE WIFE HUS BAND UNCO VERE D EX TRAO RDINAR Y MED ICAL COST S FOR UNEM AN CIPAT ED CHI LDRE N O F THIS M AR RIAG E EAC H MO NTH– If ther e ar e unem anc ipated children of this m arriage , en ter the m ont hly am ount of m edi cal and/ or de ntal ex pens es not covered by hea lth ins uranc e f or the se c hildren onl y. Instructions to Ques tion 9 – Do not ans wer this que stion unl ess you hav e unem anc ipat ed c hildren of this marriage. Enter the m ont hly am ount of an y uni nsured ex traor dinar y medi cal costs pai d or to be pai d b y the par ent by agr eem ent or pur suant to cour t order for the unem anc ipat ed children of this marriage. Include abov e O NLY the am ount s you i ntend t o include in your Form 14 child s uppor t calculation. “Extraor dinar y medi cal costs” are pr edi ctabl e and r ecurring, such as expens es for dent al treat ment , orthodont ic treat ment , asthm a treat ment and ph ysical ther apy . Medi cal and dent al expens es incurred for singl e o ccurrenc e illnesses or injuries that are not covered or fully pai d under an y heal th insuranc e pol icy shoul d be handl ed by separ ate or der and s houl d not be included abov e. “Uninsured medi cal costs” are reas onabl e and ne cessary medi cal and dent al expen ses, as def ined by section 213 IRC, incurred for the c hildren who ar e the subj ect of this proceedi ng, to the extent that the uni nsured por tion of such ex penses, includi ng an y dedu ctibles and c o-pay ments, ex ceeds $250. 00 per year per child. See Form 14, Line 6d , Com ment A. 10 . EXT RAORDINARY EX PEN SES O F UNE MANCI PATED CHI LDRE N O F THIS M ARRI AGE WIFE HUS BAND EX TRAO RDINAR Y EX PEN SE S O F UNEM AN CIPAT ED CHI LDRE N OF THIS M AR RIAG E EACH M ONT H – If ther e ar e un em anc ipat ed children of this m arriage, enter the mont hly am ount of an y ex traor dinar y ex pe ns e f or thes e c hildren o nly. Instructions to Ques tion 10 – Do not ans wer this que stion unl ess you hav e unem anc ipated children of this marriage. Enter the m ont hly am ount of an y other ex traor dinar y child-rear ing costs pai d or to be pai d b y the par ent by agr eem ent or pur suant to cour t order for the unem anc ipat ed children of this marriage. Include abov e O NLY the am ount s you i ntend t o include in your Form 14 child s uppor t calculation. “Other extraor dinar y child-rear ing c osts” may include , but are not limited to, po st-secondar y educ ational ex pens es and private or par ochial elem ent ary, middl e and high school expens es, the cost of tutoring sessions , spec ial or private elem ent ary and secondar y school ing to meet the par ticular ed ucational needs of a child, cam ps, lessons, travel and other activities intended to enhanc e the athletic, social or cultural de velopment of a child. An or der may include the cost of tuition, room and boar d, boo ks, fees and other reasonabl e and ne cessary ex pen ses. In det ermining t he am ount of these e xpens es, schol arships, grant s, stipends and o ther cost-reduc ing progr am s availabl e to the child shoul d be c ons ider ed.” Form 14, Line 6e, Com ment A 11 . O THER M ONTHLY EXPEN SES WIFE HUS BAND OTHE R M ONT HL Y EXPENS ES - Instructions to Ques tion 11 – Enter the total am ount of all other mont hly expens es no t listed abov e. This include s the follow ing: Rent or mortgage pay ment s, hom e m aintenanc e, condom inium or subdi vision fees , ga s, electric, water, teleph one, trash service, sewer, cabl e television, internet service, hom e s ecurity, gas and oil for autom obi les, aut om obi le m aintenanc e, taxes and l icenses for aut omobi le, pay ment s on aut om obi le loan s, life insuranc e, heal th insuranc e (other than heal th insuranc e for unem anc ipat ed children of this marriage) , disabi lity insuranc e, au tom obi le insuranc e, pens ion pay ment s, installment loan payment s, chur ch and c har itabl e cont ribut ions, food , clothing, medi cal and den tal expens es, recreat ion, laundr y and cleani ng, per sonal care, edu cational ex pen ses, other trans por tation costs, uni on d ues , addi tional tax liabi lity, gifts, vacations, new spaper s and ot her per iodi cals, pet expens es, couns eling, and any other miscellaneous ex pen ses not listed abov e. Form CAFC050 -04/01/200 9 Statem ent of Inc om e and E xpens es - Page 6 of 6 12 . T OTAL EX PE NSES WIFE HUS BAND TOTAL MO NTHLY EX PEN SE S Instructions to Q ues tion 12 - Enter the total of the am ount s you ent ered on Q ues tions 5 through 11 inclusive. I certify un der oath that I have given m y spo us e a c opy of this Statem ent of Inc om e an d E xpens es pur suant to Mi ssour i Supreme C our t Rule 43. 01( d) by: (You MUST chec k at least ONE of the follow ing four boxes) Serving a c opy with t he pe tition . Mai ling a copy t o my spous e or his or her attorney on ____ ___ ___ __ ___, 20 ___ __ at the following addr es s: __________________ _________ __________________ _________ ________________ (Street) __________________ _______ __________________ ______________ (City) (State) (Zip) Hand ing a c op y to m y spou se or hi s or her attorne y on ____ ___ ___ __ ___, 20 ___ __. Sen ding a cop y to m y spou se or hi s or her at torne y by fax to ____ ___ ___ __ ___ __ __ (telephone num ber ) on ___ ___ ___ ___ ___, 20__ ___ at ___ ___ ___ __ _ (time ). Instructions : The following information MUST be filled in before a notary public. This Statement of Inco me and Expense is required t o be ve rified before a notary public. The “Affiant” is the per son that is completing this docu ment. COUNTY O F ________ __ ) ) ss. STATE O F __________ __ ) Affiant , of lawful ag e, being dul y sworn on hi s or her oath, states that he or she is the affiant nam ed her ein a nd t hat the f ac ts stated in this Statem ent of Inc ome and Expens es are t rue ac cording t o h is or her bes t know led ge and be lief. ► _____ ___ ___ ___ ___ __ ____ ___ ___ __ ___ ____ ___ ___ __ ___ ___ ___ _____ ___ ___ __ Affiant – SIGN HE RE Affiant – PRINT YOUR N AME H ERE Subs cribed a nd s worn t o this ___ __ da y of ___ __ ___ _____ ___ __, 20 ___ _. ____ ___ ___ __ ___ ___ ___ ___ Notary Publ ic My C om mission E xpires : ____ ___ ___ __ ___ ___ ___ Form CAFC050 -04/01/200 9
If you want to remove Missouri Statement of Income and Expenses Form from this website please contact us providing the reasons together with this url: https://formsarchive.com/missouri-statement-of-income-and-expenses-form/