Except as noted below, at least 5 days before any temporary or final hearing in any action for temporary or permanent child support, alimony, equitable division of property, modification of child support or alimony or attorney’s fees, all parties shall serve upon the opposing party the affidavit specifying his or her financial circumstances in the form set forth herein. In cases involving child support, the worksheet(s) and schedules required by OCGA § 19-6-15 and only as promulgated by the Georgia Child Support Commission shall be completed and served upon the opposing party contemporaneously with the filing of the affidavit required above. In emergency actions, the affidavit, worksheet(s) and schedules may be served on or before the date of the hearing or at any other time as the Court orders.
In cases filed with complete separation agreements or consent orders resolving all issues but the issue of divorce, the parties are not required to serve financial affidavits, unless otherwise ordered by the Court. In cases involving child support, the parties must attach to the proposed final judgment a completed worksheet or worksheets and any applicable schedules. In addition, the separation agreement must include the parties’ gross and adjusted incomes.
The Office of Child Support Services is exempt from filing financial affidavits.
Notice of the date of any temporary hearing shall be served upon the adverse party at least 15 days before the date of the hearing, unless otherwise ordered by the Court.
The parties shall serve upon each other the affidavit and worksheet(s) and schedules (where applicable) at least 5 days prior to any mediation or other alternative dispute resolution proceeding.
In any case in which a party has previously served the affidavit, worksheet(s) and schedules and thereafter amends the affidavit or worksheet(s) and schedules, any such amendments shall be served upon the opposing party at least 5 days prior to final hearing or trial.
On the request of either party, and upon good cause shown to the Court, the affidavits, worksheets, schedules, and any other financial information may be sealed, upon order of the Court.
Only the last four digits of social security numbers, tax identification numbers, or financial account numbers shall be included in any document served or filed with the Court pursuant to this rule. No birth date should be included, only the year of birth. See also OCGA § 9-11-7.1.
A Certificate of Service shall be filed with the Clerk of Court certifying proper service of the affidavit required above and worksheet(s) and schedules (where applicable). Each party shall submit to the Court the original affidavit and worksheet(s) and schedules (where applicable) at the time of hearing or trial.
Failure of any party to furnish the above financial information may subject the offending party, in the discretion of the Court, to the penalties of contempt and may result in continuance of the hearing until the required financial information is furnished and may result in other sanctions or remedies deemed appropriate in the Court’s discretion.
Notwithstanding the time limits contained in this rule, the Court may decide a matter without strict adherence to a time limitation, if the financial information was known or reasonably available to the other party, or if a continuance would result in a manifest injustice to a party.
The affidavit shall be under oath and in substantially the following form:
In the Superior Court of ______________ County, Georgia
:
______________________, Plaintiff :
v. : Civil Action No. ___________
:
______________________, Defendant :
DOMESTIC RELATIONS FINANCIAL AFFIDAVIT
1. AFFIANT’S NAME:______________________________ Age _________
Spouse’s Name: _______________________________ Age _________
Date of Marriage: _____________________ Date of Separation __________________
Names and year of birth of children for whom support is to be determined in this action:
Name Year of Birth Resides with
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Names and year of birth of affiant’s other children:
Name Year of Birth Resides with
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. SUMMARY OF AFFIANT’S INCOME AND NEEDS
(a) Gross monthly income (from item 3A) $ ______________ (b) Net monthly income (from item 3B) ______________
(c) Average monthly expenses (item 5A) $ ______________ Monthly payments to creditors + ______________ Total monthly expenses and payments to creditors (item 5C) ______________
3. A. AFFIANT’S GROSS MONTHLY INCOME (complete this section or attach Child Support Schedule A) (All income must be entered based on monthly average regardless of date of receipt.)
Salary or Wages $ ______________ ATTACH COPIES OF 2 MOST RECENT WAGE STATEMENTS $ ______________ Commissions, Fees, Tips $ ______________ Income from self-employment, partnership, close corporations, and independent contracts (gross receipts minus ordinary $ ______________ and necessary expenses required to produce income) $ ______________ ATTACH SHEET ITEMIZING YOUR CALCULATIONS $ ______________ $ ______________ Rental Income (gross receipts minus ordinary and $ ______________ necessary expenses required to produce income) $ ______________ ATTACH SHEET ITEMIZING YOUR CALCULATIONS $ ______________ $ ______________ Bonuses $ ______________ $ ______________ Overtime Payments $ ______________ $ ______________ Severance Pay $ ______________ $ ______________ Recurring Income from Pensions or Retirement Plans $ ______________ $ ______________ Interest and Dividends $ ______________ $ ______________ Trust Income
Income from Annuities
Capital Gains
Social Security Disability or Retirement Benefits
Workers’ Compensation Benefits
Unemployment Benefits
Judgments from Personal Injury or Other Civil Cases
Gifts (cash or other gifts that can be converted to cash)
Prizes/Lottery Winnings
Alimony and Maintenance From Persons Not in This Case
Assets Which are Used for Support of Family
Fringe Benefits (if significantly reduce living expenses)
Any Other Income (do NOT include means-tested $ ______________ public assistance, such as TANF or food stamps)
GROSS MONTHLY INCOME $ ______________
B. Affiant’s Net Monthly Income from Employment $ ______________ (deducting only state and federal taxes and FICA)
Affiant’s Pay Period (i.e., weekly, monthly, etc.) ______________
Number of Exemptions Claimed ______________
4. ASSETS
(If you claim or agree that all or part of an asset is non-marital, indicate the non-marital portion
under the appropriate spouse’s column and state the amount and the basis: pre-marital, gift,
inheritance, source of funds, etc.).
Description Value Separate Separate Basis of
Asset of Asset of the Claim
the Husband the Wife
Cash $_______ ________ ________ ________
Stocks, Bonds $_______ ________ ________ ________
CD’s/Money $_______ ________ ________ ________ Market Accounts
Bank Accounts $_______ ________ ________ ________ (list each account): $_______ ________ ________ ________ ________ $_______ ________ ________ ________ ________ ________
Retirement $_______ ________ ________ ________ Pensions, 401K, IRA, or Profit Sharing
Money owed you: $_______ ________ ________ ________
Tax Refund $_______ ________ ________ ________ owed you:
Real Estate: $_______ ________ ________ ________ Home: $_______ ________ ________ debt owed: $_______ ________ Other: $_______ ________ debt owed: ________ ________
Automobiles/Vehicles: ________ ________ ________ Vehicle 1: $_______ ________ ________ ________ ________ ________ debt owed: $_______ ________ ________ ________ Vehicle 2: $_______ ________ ________ ________ debt owed: $_______ ________ ________
Life Insurance $_______ ________ ________ (net cash value): ________ ________ Furniture/Furnishings: $_______ ________ ________
Jewelry: $_______ ________ ________
Collectibles: $_______ ________ $ __________ $ __________ Other Assets: $_______ ________ $ __________ _______________ $_______ ________ $ __________ _______________ $_______ ________ $ __________ _______________ $_______ ________ $ __________
Total Assets: $_______ ________ $ __________ $ __________ 5. A. AVERAGE MONTHLY EXPENSES $ __________ $ __________ HOUSEHOLD $ __________ Mortgage or Rent Payments $ __________ Property Taxes $ __________ Homeowner/Renter Insurance $ __________ Electricity Water Garbage and Sewer Telephone: Residential Line: Cellular Telephone: Gas Repairs and maintenance Lawn Care Pest Control Cable TV Misc. Household and Grocery Items
Meals Outside the Home $ __________ Other $ __________
AUTOMOBILE $ __________ Gasoline and Oil $ __________ Repairs $ __________ Auto Tags and License $ __________ Insurance $ __________ OTHER VEHICLES $ __________ (boats, trailers, RVs, etc.) $ __________ Gasoline and Oil $ __________ Repairs Tags and License $__________ Insurance $__________ $__________ CHILDREN’S EXPENSES $__________ Child Care (total monthly cost) $__________ School Tuition $__________ Tutoring Private Lessons (e.g., music, dance) $__________ School Supplies/Expenses $__________ Lunch Money $__________ Other Educational Expenses (list) $__________ ____________________ $__________ ____________________ Allowance $__________ Clothing $__________ Diapers $__________ Medical, Dental, Prescription $__________ (out of pocket/uncovered expenses) Grooming, Hygiene $__________ Gifts from Children to Others $__________ Entertainment Activities (including extra-curricular, $ __________ school, religious, cultural, etc.) $ __________ Summer Camps $ __________ AFFIANT’S OTHER EXPENSES $ __________ Dry cleaning/Laundry $ __________ Clothing $ __________ Medical, Dental, Prescription (out of pocket/uncovered expenses) Affiant’s Gifts (special holidays) Entertainment Recreational Expenses (e.g., fitness)
Vacations $ __________ Travel Expenses for Visitation $ __________ Publications $ __________ Dues, clubs $ __________ Religious and charities $ __________ Pet Expenses $ __________ Alimony Paid to Former Spouse $ __________ Child Support Paid for other children $ __________ Date of Initial Order: __________ Other (attach sheet) $ __________
OTHER INSURANCE $ __________ Health $ __________ Child(ren)’s Portion:
Dental $ __________ Child(ren)’s Portion: $ __________
Vision $ __________ Child(ren)’s Portion: $ __________
Life $ __________ Relationship of Beneficiary:___________
Disability $ __________
Other (specify): $ __________ TOTAL ABOVE EXPENSES $ __________
B. PAYMENTS TO CREDITORS
(please check one)
To Whom: Balance Due Monthly Payment Joint Plaintiff Defendant
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
TOTAL MONTHLY PAYMENTS TO CREDITORS: $ __________
C. TOTAL MONTHLY EXPENSES: $ __________
Personally appeared before me, an officer authorized to administer oaths, the undersigned affiant, who upon being sworn, swears that he/she is legally competent to make this affidavit,
that the affidavit is based upon personal knowledge, and that the contents of the affidavit are true.
___________________ Affiant
Sworn to and subscribed before me, this ________ day of ________, 20__. ____________________ Notary Public My commission expires:__________
Amended effective January 18, 1990; October 28, 1993; amended November 4, 1999, effective December 16, 1999; amended effective August 12, 2004; January 18, 2007; May 24, 2007; January 17, 2008; October 23, 2008; September 17, 2009; October 7, 2010; September 29, 2011; May 15, 2014; September 18, 2014; August 30, 2018.
Rule 24.2A. Monthly Figures Required; Week and Hour to Month Multipliers
Except as specified in the child support calculator instructions, all amounts listed must be monthly. In all domestic cases in which a conversion of economic data from weekly to monthly must be made, a conversion factor of 4.35 weeks per month shall be used.
In calculating monthly income based upon a forty hour work week, hourly salary shall be multiplied by 174 hours.