Circuit Court Forms

1. I say that I am the Applicant/Respondent [delete as appropriate] in the above entitled proceedings and I make this Affidavit from facts within my own knowledge save where otherwise appears and where so appearing I believe the same to be true.

2. I say that I have set out in the First Schedule hereto all the assets to which I am legally or beneficially entitled and the manner in which such property is held.

3. I say that I have set out in the Second Schedule hereto all income which I receive and the sources of such income.

4. I say that I have set out in the Third Schedule hereto all my debts and liabilities and the persons to whom such debts and liabilities are due.

5. I say that my weekly outgoings amount to the sum of . and I say that the details of such outgoings have been set out in the Fourth Schedule hereto.

6. I say that to the best of my knowledge, information and belief, all pension information known to me relevant to the within proceedings is set out in the Fifth Schedule hereto.

FIRST SCHEDULE
[Insert list of assets]

SECOND SCHEDULE
[Insert details of income]

THIRD SCHEDULE
[Insert list of debts and liabilities]

FOURTH SCHEDULE
[Insert list of Weekly Expenditure]

FIFTH SCHEDULE
[Insert details of pension]

Form 37A amended by S.I. 358 of 2008, effective 1 October 2008.