Gross Monthly Income. (Print your pre-tax income in the appropriate boxes below. Attach evidence of items listed, such as most recent pay stubs, federal and state tax returns for past 2 years, W-2 forms, or a work history report from the Department of Workforce Services.)

Monthly Tax Deductions (These are deductions required by law and which you do not make voluntarily. There funds withheld from your paycheck that you will report in Paragraph (7), Monthly Expenses Attach evidence of claims, such as most recent pay stubs, federal and state tax for past 2 years, W-2 forms, or a work history report from the Department of Workforce Services.)

Monthly Expenses (Include amounts other than taxes withheld from your paycheck. Attach evidence of items listed, such as pay stubs, leases, bills, receipts, etc. For expenses that change from month to month, calculate the annual total and divide by 12 months to list a monthly amount. Include amounts you pay for yourself and any children or other dependents in your household.)

Business Interests (You must attach proof of amounts listed. If the proof is not available, estimate the amount and explain how you reached that amount.)

Financial Assets (Attach evidence of items listed, including last 3 months of bank statements, contracts, etc.)

Real Property. (Attach evidence of items listed, such as mortgage statements, loan documents, most recent appraisal, basis of valuation, etc.)

Personal Property (Attach evidence of items listed, such as receipts, loan documents, basis of current value, etc.)

Debts (Do not include amount owed on property reported in Paragraphs (10) and (11). (Attach evidence of items listed, such as credit card statements, loan documents, leases, bills, etc.)

Estimated Amounts. I have estimated all or some of the amounts entered in the Paragraphs above.