Last updated: 12/3/2025
Financial Statement For Summary Support Actions {11223}
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Description
NON-DISSOLUTION (FD) FINANCIAL STATEMENT FOR SUMMARY SUPPORT ACTIONS. This is a required financial disclosure form used in the Superior Court of New Jersey, Chancery Division – Family Part, for FD matters involving child support, medical support, and related non-dissolution issues. The form collects a filer’s weekly gross income, exemptions, dependent information, childcare expenses, benefits paid to children, and details on health insurance. It also includes a full listing of assets and liabilities, with subtotals for categories such as real property, bank accounts, personal property, retirement assets, and debts. Parties must attach tax returns, recent pay stubs, and proof of income or deductions. The certification section confirms accuracy under penalty of law. www.FormsWorkflow.com





