Opinion ID: 2762444
Heading Depth: 4
Heading Rank: 1

Heading: Unemployed

Text: Describe your efforts to find employment, how soon you expect to be employed, and the pay you expect to receive: __________________________________________________________ ____________________________________________________________________________ b. ____ Employed by: ____________________________________________________________ Address: ____________________________________________________________________ City, State, Zip code: ________________________________ Telephone Number: _________ Pay rate: $ ______ ( ) every week ( ) every other week ( ) twice a month ( ) monthly ( ) other: ________________________________________________________ If you are expecting to become unemployed or change jobs soon, describe the change you expect and why and how it will affect your income: _________________________________ ________________________________________________________________________ ____ Check here if you currently have more than one job. List the information above for the second job(s) on a separate sheet and attach it to this affidavit. c. _____ Retired. Date of retirement: _______________________________________________ Florida Family Law Rules of Procedure Form 12.902(c), Family Law Financial Affidavit (Long Form) (01/15) - 33 - Employer from whom retired: ___________________________________________________ Address: _____________________________________________________________________ City, State, Zip code: _______________________________ Telephone Number: __________ LAST YEAR’S GROSS INCOME: Your Income Other Party’s Income (if known) YEAR_____ $ _______ $ _______ PRESENT MONTHLY GROSS INCOME: All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid monthly. Attach more paper, if needed. Items included under “other” should be listed separately with separate dollar amounts. 1. $______ Monthly gross salary or wages 2. _______ Monthly bonuses, commissions, allowances, overtime, tips, and similar payments 3. _______ Monthly business income from sources such as self-employment, partnerships, close corporations, and/or independent contracts (Gross receipts minus ordinary and necessary expenses required to produce income.)(Attach sheet itemizing such income and expenses.) 4. _______ Monthly disability benefits/SSI 5. _______ Monthly Workers’ Compensation 6. _______ Monthly Unemployment Compensation 7. _______ Monthly pension, retirement, or annuity payments 8. _______ Monthly Social Security benefits 9. _______ Monthly alimony actually received (Add 9a and 9b) 9a. From this case: $________ 9b. From other case(s): ________ 10. _______ Monthly interest and dividends 11. _______ Monthly rental income (gross receipts minus ordinary and necessary expenses required to produce income) (Attach sheet itemizing such income and expense items.) 12. _______ Monthly income from royalties, trusts, or estates 13. _______ Monthly reimbursed expenses and in-kind payments to the extent that they reduce personal living expenses (Attach sheet itemizing each item and amount.) 14. _______ Monthly gains derived from dealing in property (not including nonrecurring gains) Any other income of a recurring nature (identify source) 15. _______________________________________________________________________________ 16. _______________________________________________________________________________ 17. $_________ TOTAL PRESENT MONTHLY GROSS INCOME (Add lines 1 through 16). PRESENT MONTHLY DEDUCTIONS: All amounts must be MONTHLY. See the instructions with this form to figure out money amounts for anything that is NOT paid monthly. 18. $______Monthly federal, state, and local income tax (corrected for filing status and allowable dependents and income tax liabilities) a. Filing Status