Form I-8 "Financial Resource Form" - New York

What Is Form I-8?

This is a legal form that was released by the New York State Office of Victim Services - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • The latest edition provided by the New York State Office of Victim Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form I-8 by clicking the link below or browse more documents and templates provided by the New York State Office of Victim Services.

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Download Form I-8 "Financial Resource Form" - New York

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ANDREW M. CUOMO
ELIZABETH CRONIN ESQ.
Governor
Director
FINANCIAL RESOURCE FORM
Claimant’s Name:
Claim #:
You must fill out ALL sections and lines on the form. If none, enter zero (0).
***N/A is not an acceptable response ***
I.
INCOME
NAME OF INVESTMENT OR
FROM
DESCRIPTION
PAYER
MONTHLY INCOME
Salary, Wages
Pensions
Annuities
Savings, Rents
Social Security
Public Funds
II.
ASSETS
NAME - LOCATION -
DESCRIPTION
OR PAYER
AMOUNT VALUE
Savings
Stocks, Bonds
Proceeds from Life Insurance
Real Property (house, etc.)
III.
LIABILITIES
LENDING
BALANCE
MONTHLY
DESCRIPTION
INSTITUTION
OWED
PAYMENT
Mortgage
Rent
Loans
Personal Loans
Other
IV.
REASONABLE MONTHLY LIVING EXPENSES NOT INCLUDING RENT/MORTGAGE
{this figure should include
school tuition, child support,
$
and alimony}
How many dependents do you have? __________
I affirm that the information provided above is true.
Claimant’s Signature
Date
*I-8*
Alfred E. Smith State Office Building, 80 South Swan Street, Albany, NY 12210 │ 800-247-8035 │ovs.ny.gov
ANDREW M. CUOMO
ELIZABETH CRONIN ESQ.
Governor
Director
FINANCIAL RESOURCE FORM
Claimant’s Name:
Claim #:
You must fill out ALL sections and lines on the form. If none, enter zero (0).
***N/A is not an acceptable response ***
I.
INCOME
NAME OF INVESTMENT OR
FROM
DESCRIPTION
PAYER
MONTHLY INCOME
Salary, Wages
Pensions
Annuities
Savings, Rents
Social Security
Public Funds
II.
ASSETS
NAME - LOCATION -
DESCRIPTION
OR PAYER
AMOUNT VALUE
Savings
Stocks, Bonds
Proceeds from Life Insurance
Real Property (house, etc.)
III.
LIABILITIES
LENDING
BALANCE
MONTHLY
DESCRIPTION
INSTITUTION
OWED
PAYMENT
Mortgage
Rent
Loans
Personal Loans
Other
IV.
REASONABLE MONTHLY LIVING EXPENSES NOT INCLUDING RENT/MORTGAGE
{this figure should include
school tuition, child support,
$
and alimony}
How many dependents do you have? __________
I affirm that the information provided above is true.
Claimant’s Signature
Date
*I-8*
Alfred E. Smith State Office Building, 80 South Swan Street, Albany, NY 12210 │ 800-247-8035 │ovs.ny.gov