CourtPDF

Income & Expense Declaration PDF (Free Template)

Create a simple income and expense declaration PDF you can print for court, mediation, or legal aid meetings.

Published November 21, 2025

Many courts and mediators ask for a snapshot of your monthly income and expenses—not a full tax return. This free declaration template helps you list income sources, monthly bills, and a short sworn statement in a PDF you can print or email.

When to use this

  • You are representing yourself in family court and need a basic income and expense summary.
  • Legal aid or a mediator has asked you for a snapshot of your budget.
  • You are preparing to negotiate support, maintenance, or payment plan terms.

How to do it (fast)

  1. Enter your name, address, and case details (if you have a case number).
  2. List every income source and estimate the monthly amount for each.
  3. Add your main monthly expenses such as rent, utilities, transportation, and child-related costs.
  4. Download the PDF, sign the declaration section, and bring it to court or share it with your attorney.

Why this helps

  • Gives judges and mediators a clear, organized picture of your financial situation.
  • Helps you avoid forgetting key income or expense items during a stressful hearing.
  • Pairs well with bank statements, pay stubs, and tax summaries if the court needs more detail.

Related tools

Not legal advice. Courts set their own rules. Keep your original records.