Financial Statement For A Variation Of An Order For A Financial Remedy .

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Financial Statement for a variation of an order for a financial remedy (other than for variation to capitalise an order for periodical payments) Name of court Case No. Name of Applicant Name of Respondent (please tick the appropriate boxes) This is the Financial Statement of the Applicant Respondent Child in this application If the application is for the variation of an order for periodical payments where the applicant seeks the dismissal (immediate or otherwise) of the periodical payments order and its substitution with one or more of a lump sum order, a property adjustment order, a pension sharing order or a pension compensation sharing order, use Form E, and not this form. This Form E2 should only be completed if you are applying for any other variation of an order for a financial remedy. If you are applying for a financial order or financial relief after an overseas divorce or dissolution etc. in the family court or High Court you should complete Form E. If you are applying for a financial remedy other than a financial order or financial relief after an overseas divorce or dissolution etc. in the family court or High Court you should complete Form E1. Please fill in this form fully and accurately. Where any box is not applicable, write ‘N/A’. You have a duty to the court to give a full, frank and clear disclosure of all your financial and other relevant circumstances. A failure to give full and accurate disclosure may result in any order the court makes being set aside. If you are found to have been deliberately untruthful, criminal proceedings may be brought against you for fraud under the Fraud Act 2006. The information given in this form must be confirmed by a statement of truth. Proceedings for contempt of court may be brought against a person who makes or causes to be made, a false statement in a document verified by a statement of truth. You must attach the documents listed in the Schedule to the form where applicable and you may attach other documents where it is necessary to explain or clarify any of the information that you give. If there is not enough room on the form for any particular piece of information, you may continue on an attached sheet of paper. If you are in doubt about how to complete any part of this form you should seek legal advice. This statement is filed by (give name and address of solicitor) Solicitor’s fee account no. Form E2 Financial Statement for a variation of an order for a financial remedy (01.23) 1 Crown Copyright 2023

1. Personal details First names Surname Marital status Date of birth D D / M M / Y Y Y Y Address Postcode 2. Dependents (People you support financially) Children living with you Children not living with you Names Date of birth D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y Names Date of birth D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y D D / M M / Y Y Y Y Amount of any maintenance being paid Other dependents Names (give details – including whether you have these responsibilities on a permanent basis) 2 Details

3. Please attach a copy of the order you are seeking to vary and give details of the part that is to be varied and the changes sought. You may need to continue on a separate sheet. 4. Employment I am employed as a self employed as a unemployed a pensioner My employer is: Name Address Postcode Employment other than main job Self employment annual turnover I am not in arrears with my national insurance contributions, income tax and VAT I am in arrears and I owe Give details of contracts and other work in hand Give details of any sums due in respect of work done 3

5. Bank accounts and savings I have no bank building society or savings accounts I have bank or building society accounts: Name of accounts I have Average balance over last six months savings accounts: Name of account(s) 4 Amount in account ( )

6. Property I live in my own property privately rented property lodgings other, please state jointly owned property council property/ housing association Value of owned (or jointly owned) property When filling in sections 7, 8 and 9, please give amounts on a weekly or monthly basis. Do not mix weekly and monthly figures. 7. Income Amount are per week ( ) month ( ) My usual take home pay (including overtime, commission and bonus pay) Income from employment Net profits after tax and National Insurance from self employment Income Support Child benefit(s) Other state benefit(s) My pension(s) Others living in my home give me Other income (please give details) Total 5 0.00

8. Expenses Do not include any payments made by other members of the household out of their own income I have regular expenses as follows: (do not include payments on any arrears) Amount are per week ( ) month ( ) Mortgage Rent Council Tax Gas Electricity Water charges TV rental/licence HP repayments Mail order Housekeeping, food, school meals Travelling expenses Children’s clothing and pocket money Maintenance Payments Car Expenses Insurance – House Insurance – other (please give details) Others (but do not include credit dept payments or court orders) Total payments 0.00 9. Court Oders Please include fines, compensation etc. Court Case number Amount outstanding 6 Payment per month Total 0.00

10. Money you owe on essential bills Please state the amount of any arrears owing and the amount of any payments you make towards these arrears. Amount are per month ( ) week ( ) Total amount outstanding Amount of payment Rent Mortgage Council Tax Water Rates Fuel Debts (Gas Electricity Other) Maintenance arrears Total priority debts Total 0.00 0.00 11. Other commitments Give details of any payments on credit cards, other loans, storecards, loans from family etc. Type of payment Total amount outstanding Total Amount of payment 0.00 0.00 12. Child(ren)’s resources Income Totals Property 0.00 7 Other 0.00 0.00

13. Orders sought Please specify what kind of orders you are asking the court to make, by indicating whether you are seeking to vary or discharge the order or suspend any provision of the order temporarily and/or remit the payment of any arrears due under the order. 8

Statement of Truth *delete as appropriate *[I believe] [the Applicant/Respondent believes] that the facts stated in this statement are true *I am duly authorised by the Applicant/Respondent to sign this statement and confirm that the information given above is a full, frank, clear and accurate disclosure of my financial and other relevant circumstances. Print full name Address for service Postcode Name of Applicant’s/ Respondent’s solicitor’s firm Dated Signed D D / M M / Y Y Y *(Applicant/Respondent) (Litigation friend) *(Applicant’s/Respondent’s solicitor) Position or office held (if signing on behalf of firm or company) Proceedings for contempt of court may be brought against a person who makes or causes to be made, a false statement in a document verified by a statement of truth. Address all communications to the Court Manager of the Court and quote the case number. If you do not quote this number, your correspondence may be returned. 9 Y

Schedule of Documents to accompany Form E2 The following list shows the documents you must attach to your Form E2 if applicable. You may attach other documents where it is necessary to explain or clarify any of the information that you give in the Form E2. Form E2 paragraph Please tick Document Attached 5 Personal bank, building society and National Savings accounts: copies of statements for the last 6 months for each account that has been held in the last twelve months, either in your own name or in which you have or have had any interest. 7 Employment income: your P60 for the last financial year in respect of each employment that you have. 7 Employment income: your last three payslips in respect of each employment that you have. 7 Employment income: your last form P11D if you have been issued with one. 7 Self-employment or partnership income: a copy of your last tax assessment or if that is not available, a letter from your accountant confirming your tax liability. State relevant Form E2 paragraph Description of other documents attached: 10 Not applicable To follow

If there is not enough room on the form for any particular piece of information, you may continue on an . attached sheet of paper. If you are in doubt about how to complete any part of this form you should seek legal advice. This statement is filed by (give name and address of solicitor) Solicitor's fee account no.

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