Form 13 "Financial Statement (Support Claims)" - Ontario, Canada

What Is Form 13?

Form 13, Financial Statement (Support Claims), is a formal document Ontario residents fill out when making a claim or responding to a claim for spousal and/or child support. Additionally, you can provide this statement alongside a claim to change support. Serve this document on the other party and then submit it to the court with other claim documentation - motions and applications.

Alternate Name:

  • Ontario Form 13.

This form was released by the Ontario Court Services on January 1, 2015, with all previous editions obsolete. You can download a fillable Form 13 Financial Statement via the link below.

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How to Prepare Form 13?

Here is how you should complete Ontario Form 13:

  1. Select the appropriate name of the court and write down its address. Indicate the court file number.
  2. Name the applicants and respondents involved in the case, enter their addresses, and identify their lawyers. Enter your legal name and address.
  3. Provide information about your income. State whether you are employed or not and check the boxes to show what documentation you are attaching to prove your income - pay stubs, tax returns, etc. Specify the amount of your gross income last year. Record all the sources of income and the amount you receive each month - your wages, commissions, benefits, social assistance income, pension, spousal support, etc. Calculate the total monthly income and compute the total annual income. Indicate non-cash benefits provided to you by your employer or business - for instance, medical insurance and company perks.
  4. Outline your expenses - automatic deductions, housing, utilities, household expenses, childcare costs, transportation, health, personal, and other expenses. Write down the total amount of monthly and yearly expenses.
  5. List your assets, briefly describe them, and indicate their amount or value. You can include the real property, vehicles, valuable possessions, investments, bank accounts, savings, insurance, money owed to you, etc.
  6. If you have any outstanding debts, choose their type, name the creditor, record the amount you currently owe and the amount of money you pay every month.
  7. Show your net worth by subtracting debts from the assets.
  8. Sign the form in the presence of a commissioner for taking affidavits or notary public.
  9. If you have other sources of income, for example, rent, fund, or annuity, there are other earners in your household, or there are extraordinary expenses related to your children, provide the details in the appropriate schedule.
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ONTARIO
Court file number
(Name of Court)
Form 13: Financial
Statement (Support Claims)
at
sworn/affirmed
Court office address
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
INSTRUCTIONS
You must complete this form if you are making or responding to a claim for child or spousal support or a claim to change support,
unless your only claim for support is a claim for child support in the table amount under the Child Support Guidelines.
You may also be required to complete and attach additional schedules based on the claims that have been made in your
case or your financial circumstances:
·
If you have income that is not shown in Part I of the financial statement (for example, partnership income, dividends, rental
income, capital gains or RRSP income), you must also complete Schedule A.
·
If you have made or responded to a claim for child support that involves undue hardship or a claim for spousal support, you
must also complete Schedule B.
·
If you or the other party has sought a contribution towards special or extraordinary expenses for the child(ren), you must
also complete Schedule C.
NOTES: You must fully and truthfully complete this financial statement, including any applicable schedules. You must also provide the other
party with documents relating to support and a Certificate of Financial Disclosure (Form 13A) as required by Rule 13 of the Family Law Rules.
If you are making or responding to a claim for property, an equalization payment or the matrimonial home, you must complete Form
13.1: Financial Statement (Property and Support Claims) instead of this form.
1. My name is
(full legal name)
I live in
(municipality & province)
and I swear/affirm that the following is true:
PART 1: INCOME
2. I am currently
employed by
(name and address of employer)
self-employed, carrying on business under the name of
(name and address of business)
unemployed since
(date when last employed)
FLR-13-E (2015/01)
Page 1 of 8
ONTARIO
Court file number
(Name of Court)
Form 13: Financial
Statement (Support Claims)
at
sworn/affirmed
Court office address
Applicant(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
INSTRUCTIONS
You must complete this form if you are making or responding to a claim for child or spousal support or a claim to change support,
unless your only claim for support is a claim for child support in the table amount under the Child Support Guidelines.
You may also be required to complete and attach additional schedules based on the claims that have been made in your
case or your financial circumstances:
·
If you have income that is not shown in Part I of the financial statement (for example, partnership income, dividends, rental
income, capital gains or RRSP income), you must also complete Schedule A.
·
If you have made or responded to a claim for child support that involves undue hardship or a claim for spousal support, you
must also complete Schedule B.
·
If you or the other party has sought a contribution towards special or extraordinary expenses for the child(ren), you must
also complete Schedule C.
NOTES: You must fully and truthfully complete this financial statement, including any applicable schedules. You must also provide the other
party with documents relating to support and a Certificate of Financial Disclosure (Form 13A) as required by Rule 13 of the Family Law Rules.
If you are making or responding to a claim for property, an equalization payment or the matrimonial home, you must complete Form
13.1: Financial Statement (Property and Support Claims) instead of this form.
1. My name is
(full legal name)
I live in
(municipality & province)
and I swear/affirm that the following is true:
PART 1: INCOME
2. I am currently
employed by
(name and address of employer)
self-employed, carrying on business under the name of
(name and address of business)
unemployed since
(date when last employed)
FLR-13-E (2015/01)
Page 1 of 8
Form 13: Financial Statement (Support Claims)
(page 2)
Court file number
3. I attach proof of my year-to-date income from all sources, including my most recent
:
(attach all that are applicable)
pay cheque stub
social assistance stub
pension stub
workers' compensation stub
employment insurance stub and last Record of Employment
statement of income and expenses/ professional activities (for self-employed individuals)
other (e.g. a letter from your employer confirming all income received to date this year)
4. Last year, my gross income from all sources was $
(do not subtract any taxes that have been
deducted from this income).
5.
I am attaching all of the following required documents to this financial statement as proof of my income over
the past three years, if they have not already been provided:
·
a copy of my personal income tax returns for each of the past three taxation years, including any materials that were filed
with the returns.
(Income tax returns must be served but should NOT be filed in the continuing record, unless they are filed with a
motion to refrain a driver’s license suspension.)
·
a copy of my notices of assessment and any notices of reassessment for each of the past three taxation years;
·
where my notices of assessment and reassessment are unavailable for any of the past three taxation years or where I have
not filed a return for any of the past three taxation years, an Income and Deductions printout from the Canada Revenue
Agency for each of those years, whether or not I filed an income tax return.
Note: An Income and Deductions printout is available from Canada Revenue Agency. Please call customer service at 1-800-959-8281.
OR
I am an Indian within the meaning of the Indian Act (Canada) and I have chosen not to file income tax returns for the past
three years. I am attaching the following proof of income for the last three years
:
(list documents you have provided)
(In this table you must show all of the income that you are currently receiving whether taxable or not.)
Income Source
Amount Received/Month
1. Employment income (before deductions)
$
2. Commissions, tips and bonuses
$
)
3. Self-employment income (Monthly amount before expenses: $
$
4. Employment Insurance benefits
$
5. Workers' compensation benefits
$
6. Social assistance income (including ODSP payments)
$
7. Interest and investment income
$
8. Pension income (including CPP and OAS)
$
9. Spousal support received from a former spouse/partner
$
10. Child Tax Benefits or Tax Rebates (e.g. GST)
$
11. Other sources of income (e.g. RRSP withdrawals, capital gains)
(*attach Schedule A and divide
$
annual amount by 12)
12. Total monthly income from all sources:
$
13. Total monthly income X 12 = Total annual income:
$
FLR-13-E (2015/01)
Page 2 of 8
Form 13: Financial Statement (Support Claims)
(page 3)
Court file number
14. Other Benefits
Provide details of any non-cash benefits that your employer provides to you or are paid for by your business such as medical insurance
coverage, the use of a company car, or room and board.
Item
Details
Yearly Market Value
$
$
$
$
PART 2: EXPENSES
Expense
Monthly Amount
Expense
Monthly Amount
Automatic Deductions
Utilities, continued
CPP contributions
$
Telephone
$
EI premiums
$
Cell phone
$
Income taxes
$
Cable
$
Employee pension contributions
$
Internet
$
Union dues
$
SUBTOTAL
$
SUBTOTAL
$
Household Expenses
Housing
Groceries
$
Rent or mortgage
$
Household supplies
$
Property taxes
$
Meals outside the home
$
Property insurance
$
Pet care
$
Condominium fees
$
Laundry and Dry Cleaning
$
Repairs and maintenance
$
SUBTOTAL
$
SUBTOTAL
$
Childcare Costs
Utilities
Daycare expense
$
Water
$
Babysitting costs
$
Heat
$
SUBTOTAL
$
$
Electricity
FLR-13-E (2015/01)
Page 3 of 8
Form 13: Financial Statement (Support Claims)
(page 4)
Court file number
Expense
Monthly Amount
Expense
Monthly Amount
Transportation
Personal, continued
Public transit, taxis
$
Education
$
(specify)
Entertainment/recreation (including
Gas and oil
$
$
children)
$
$
Car insurance and license
Gifts
Repairs and maintenance
$
SUBTOTAL
$
Parking
$
Other expenses
Car Loan or Lease Payments
$
Life Insurance premiums
$
SUBTOTAL
$
$
RRSP/RESP withdrawals
Health
Vacations
$
Health insurance premiums
$
School fees and supplies
$
Dental expenses
$
Clothing for children
$
$
$
Medicine and drugs
Children’s activities
Eye care
$
Summer camp expenses
$
SUBTOTAL
$
Debt payments
$
Personal
Support paid for other children
$
Other expenses not shown above
$
$
Clothing
(specify)
Hair care and beauty
$
SUBTOTAL
$
Alcohol and tobacco
$
Total Amount of Monthly Expenses
$
Total Amount of Yearly Expenses
$
PART 3: ASSETS
Type
Details
Value or Amount
State Address of Each Property and Nature of Ownership
1
$
$
Real Estate
2
$
3
Year and Make
1
$
Cars, Boats, Vehicles
2
$
3
$
FLR-13-E (2015/01)
Page 4 of 8
Form 13: Financial Statement (Support Claims)
(page 5)
Court file number
Address Where Located
1
$
Other Possessions of
Value (e.g.
$
2
computers, jewellery,
collections)
3
$
Type – Issuer – Due Date – Number of Shares
Investments (e.g.
1
$
bonds, shares, term
$
2
deposits and mutual
$
funds)
3
Name and Address of Institution
Account Number
1
$
Bank Accounts
2
$
3
$
Type and Issuer
Account Number
Savings Plans
1
$
R.R.S.P.s
2
$
Pension Plans
R.E.S.P.s
3
$
Type – Beneficiary – Face Amount
Cash Surrender Value
1
$
Life Insurance
2
$
3
$
Name and Address of Business
$
1
Interest in Business
(*attach separate yearend
2
$
statement for each
business)
3
$
Name and Address of Debtors
Money Owed to You
1
$
(for example, any court
$
2
judgments in your
favour, estate money
3
$
and income tax refunds)
Description
1
$
Other Assets
2
$
$
3
Total Value of All Property
$
FLR-13-E (2015/01)
Page 5 of 8
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