Santa Barbara — SC-1038 Financial Affidavit

Source: https://www.santabarbara.courts.ca.gov/system/files/sc1038.pdf

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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA FOR COURT USE ONLY

Santa Barbara Division Santa Maria Division Lompoc Division

118 East Figueroa St. 312 East Cook St. Bldg. G 115 Civic Center Plaza Santa Barbara, CA 93101 Santa Maria, CA 93454 Lompoc, CA 93436

PLAINTIFF: People of the State of California

DEFENDANT:

CASE NUMBER:

FINANCIAL AFFIDAVIT

Please complete this form to determine your ability to pay according to the court order.

Full Name Last: First: Middle: Suffix:

Current Address Street: City: State: Zip:

Reference Numbers Date of Birth: Driver’s License: Social Security #:

Telephone Numbers Home: Cell: Relative Telephone:

Employer Information Name:

Street Address:

City: State: Zip:

Telephone:

Monthly Income and Expenses Monthly Net Income: $ Monthly Total Expenses: $ Basic Expenses Additional Expenses Rent: $ Credit Cards: $

Utilities: $ Loans: $

Food (General Supplies): $ Charities: $

Car Insurance (Car Note): $ Other: $

Child Support (Child Care): $ Misc: $

I am requesting a reduction in my monthly installment payment amount.

I certify under penalty of perjury under the laws of the State of California that the information given by me in this affidavit is true and correct, and reflects my financial situation and that I have no other income whatsoever. Further, the court has my expressed permission to verify the information furnished through credit bureaus and other tools, including references as needed.

SIGN

Signature: ____________________________________ Date: _____________________

SC-1038 [Mod October 2021] FINANCIAL AFFIDAVIT * * * * * CONFIDENTIAL * * * * * Print Form Clear Form