Form e Eng
Form e Eng
Form e Eng
and
This form should only be completed in applications for a financial order (which can only be
applied for as part of a divorce, dissolution, annulment or (judicial) separation in the High Court
or family courts in England and Wales) or for applications for financial relief after an overseas
divorce/dissolution etc. If the application is for any other financial remedy please complete Form E1.
If the application is for a variation of an order for a financial remedy please complete Form E2.
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 documents to the form where they are specifically sought and you may attach other
documents where it is necessary to explain or clarify any of the information that you give.
Essential documents that must accompany this statement are detailed in the form.
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.
Solicitor’s fee
account no.
Name and address of solicitor
Form E Financial statement (01.16) © Crown Copyright 2016
1 General Information
1.1 Full name
1.2 Date of birth Date Month Year 1.3 Date of the marriage/ Date Month Year
civil partnership
1.4 Occupation
1.6 Date of the Petition for divorce/ Decree nisi/ Decree absolute/
dissolution/nullity/ conditional order/ final order
(judicial) separation (judicial) separation order (if applicable)
1.7 If you have Date Month Year 1.8 Are you living with a new Yes No
subsequently partner?
married or 1.9 Do you intend to live with a Yes No
formed a civil new partner within the next
partnership, or six months?
will do so,
state the date
1.11 Details of
Yourself Children
the state
of health of
yourself and
the children
if you think
this should
be taken into
account
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1.12 Details of the present and proposed future educational arrangements for the children.
1.13 Details of any child support maintenance calculation or any maintenance order or agreement made
in respect of any children of the family. If no calculation, order or agreement has been made, give
an estimate of the liability of the non-resident parent in respect of the children of the family under
the Child Support Act 1991.
1.14 If this application is to vary an order, attach a copy of the order and give details of the part that is
to be varied and the changes sought. You may need to continue on a separate sheet.
1.15 Details of any other court cases between you and your spouse/civil partner, whether in relation
to money, property, children or anything else.
Case No Court Type of proceedings
1.16 Your present residence and the occupants of it and on what terms you occupy it
(e.g. tenant, owner-occupier).
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2 Financial Details Part 1 Real Property (land and buildings) and
Personal Assets
2.1 Complete this section in respect of the family home (the last family home occupied by you and
your spouse/civil partner) if it remains unsold.
Type of mortgage
4
2.2 Details of your interest in any other property, land or buildings. Complete one page for each
property you have an interest in.
Type of mortgage
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2.3 Details of all personal bank, building society and National Savings Accounts that you hold or have
held at any time in the last twelve months and which are or were either in your own name or in
which you have or have had any interest. This applies whether any such account is in credit or in
debit. For joint accounts give your interest and the name of the other account holder. If the account
is overdrawn, show a minus figure.
Name of bank or Type of account Account Name of other Balance at Total current
building society, (e.g. current) number account holder the date of value of your
including branch name (if applicable) this statement interest
2.4 Details of all investments, including shares, PEPs, ISAs, TESSAs, National Savings Investments
(other than already shown above), bonds, stocks, unit trusts, investment trusts, gilts and other
quoted securities that you hold or have an interest in. (Do not include dividend income as this will
be dealt with separately later on.)
Name Type of Investment Size of Holding Current Name of any other Total current
value account holder value of your
(if applicable) interest
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2.5 Details of all life insurance policies including endowment policies that you hold or have an interest in.
Include those that do not have a surrender value. Complete one page for each policy.
Name of company
Policy type
Policy number
2.6 Details of all monies that are OWED TO YOU. Do not include sums owed in director’s or partnership
accounts which should be included at section 2.11.
Brief description of money owed and by whom Balance Total current value
outstanding of your interest
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2.7 Details of all cash sums held in excess of £500. You must state where it is held and the currency it
is held in.
Add together all the figures in boxes C1 to C6 to give the TOTAL current
value of your interest in personal assets: TOTAL C £
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2 Financial Details Part 2 Capital: Liabilities and Capital Gains Tax
2.10 If any Capital Gains Tax would be payable on the disposal now of any of your real property or
personal assets, give your estimate of the tax liability.
TOTAL value of ALL your potential Capital Gains Tax liabilities: (D2) £
Add together D1 and D2 to give the TOTAL value of your liabilities: TOTAL D £
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2 Financial Details Part 3 Capital: Business assets and directorships
2.11 Details of all your business interests. Complete one page for each business you have an interest in.
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2 Financial Details Part 4 Capital: Pensions and Pension
Protection Fund (PPF) Compensation
2.13 Give details of all your pension rights and all PPF compensation entitlements, including prospective
entitlements. Complete a separate page for each pension or PPF compensation entitlement.
EXCLUDE:
• Basic State Pension
INCLUDE (complete a separate page for each one):
• Additional State Pension (SERPS and State Second Pension (S2P))
• Free Standing Additional Voluntary Contribution Schemes (FSAVC) separate from the scheme
of your employer
• Membership of ALL pension plans or schemes
• PPF compensation entitlement for each scheme you were a member of which has transferred to PPF
2.14 Give details of any other assets not listed in Parts 1 to 4 above.
INCLUDE (the following list is not exhaustive):
• Any personal or business assets not yet disclosed
• Unrealisable assets
• Share option schemes, stating the estimated net sale proceeds of the shares if the options
were capable of exercise now, and whether Capital Gains Tax or income tax would be payable
• Business expansion schemes
• Futures
• Commodities
• Trust interests (including interests under a discretionary trust), stating your estimate of the
value of the interest and when it is likely to become realisable. If you say it will never be
realisable, or has no value, give your reasons
• Any asset that is likely to be received in the foreseeable future
• Any asset held on your behalf by a third party
• Any asset not disclosed elsewhere on this form even if held outside England and Wales
You are reminded of your obligation to disclose all your financial assets and interests of ANY nature.
2.15 Details of earned income from employment. Complete one page for each employment.
2.16 You will have already given details of your business and provided the last two years accounts at
section 2.11. Complete this section giving details of your income from your business. Complete one
page for each business.
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2 Financial Details
Part 8 Income: Income from investments
e.g. dividends, interest or rental income
2.17 Details of income received in the last financial year (the year ended last 5th April), and your
estimate of your income for the current financial year. Indicate whether the income was paid gross
or net of income tax. You are not required to calculate any tax payable that may arise.
Nature of income and the asset from Income received Estimated income
which it derived Paid gross or net in the last financial for the next
year 12 months
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2 Financial Details
Part 9 Income: Income from state
benefits (including state pension
and child benefit)
2.18 Details of all state benefits that you are currently receiving.
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2 Financial Details Part 10 Income: Any other income
Reference of
Description the section on Value
this statement
Value of your assets LESS the value of your liabilities (Totals A+B+C+E+F+G – D) £
2.21 Summary of your estimated income for the next 12 months (Parts 6 to 10).
Reference of
Description the section on Value
this statement
Estimated net total of income from employment H
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3 Financial Requirements Part 1 Income needs
3.1 Income needs for yourself and for any children living with you or provided for by you. ALL figures
should be annual, monthly or weekly (state which). You must not use a combination of these
periods. State your current income needs and, if these are likely to change in the near future,
explain the anticipated change and give an estimate of the future cost.
The income needs below are: Weekly Monthly Annual
(delete those not applicable)
I anticipate my income needs are going to change because
3.1.2 Income needs for children living with you or provided for by you.
INCLUDE:
• Only those income needs that are different to those of your household shown above
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3 Financial Requirements Part 2 Capital needs
3.2 Set out below the reasonable future capital needs for yourself and for any children living with you or
provided for by you.
Item Cost
3.2.2 Capital needs for children living with you or provided for by you.
INCLUDE:
• Only those capital needs that are different to those of your household shown above
Item Cost
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4 Other Information
4.1 Details of any significant changes in your assets or income.
At both sections 4.1.1 and 4.1.2, INCLUDE:
• ALL assets held both within and outside England and Wales
• The disposal of any asset
4.1.2 Significant changes in assets or income likely to occur during the NEXT 12 months.
4.2 Brief details of the standard of living enjoyed by you and your spouse/civil partner during the
marriage/civil partnership.
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4.3 Are there any particular contributions to the family property and assets or outgoings, or to family life,
or the welfare of the family that have been made by you, your partner or anyone else that you think
should be taken into account? If there are any such items, briefly describe the contribution and state
the amount, when it was made and by whom.
INCLUDE:
• Contributions already made
• Contributions that will be made in the foreseeable future
4.4 Bad behaviour or conduct by the other party will only be taken into account in very exceptional
circumstances when deciding how assets should be shared after divorce/dissolution. If you feel it
should be taken into account in your case, identify the nature of the behaviour or conduct below.
4.5 Give details of any other circumstances that you consider could significantly affect the extent of
the financial provision to be made by or for you or any child of the family.
INCLUDE (the following list is not exhaustive):
• Earning capacity
• Disability
• Inheritance prospects
• Redundancy
• Retirement
• Any agreement made between you and your spouse/civil partner before or after your
marriage/civil partnership stating whether or not you rely upon the agreement giving your
reasons
• Any plans to marry, form a civil partnership or live with a new partner
• Any contingent liabilities
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4.6 If you have subsequently married or formed a civil partnership (or intend to) or are living with
another person (or intend to), give brief details, so far as they are known to you, of his or her
income, assets and liabilities.
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5 Order Sought
5.1 If you are able at this stage, specify what kind of orders you are asking the court to make.
Even if you cannot be specific at this stage, if you are able to do so, indicate:
a) If the family home is still owned, whether you are asking for it to be transferred to yourself or
your spouse/civil partner or whether you are saying it should be sold
b) Whether you consider this is a case for continuing spousal maintenance/maintenance for your
civil partner or whether you see the case as being appropriate for a ‘clean break’ (A ‘clean
break’ means a settlement or order which provides amongst other things, that neither you nor
your spouse/civil partner will have any further claim against the income or capital of the other
party. A ‘clean break’ does not terminate the responsibility of a parent to a child.)
d) If you are seeking a transfer or settlement of any property or assets, identify the property or
assets in question
5.2 If you are seeking a variation of an ante-nuptial or post-nuptial settlement or a relevant settlement
made during, or in anticipation of, a civil partnership, identify the settlement, by whom it was made,
its trustees and beneficiaries and state why you allege it is a settlement which the court can vary.
5.3 If you are seeking an avoidance of disposition order, or if you have already applied for such an
order, identify the property to which the disposition relates and the person or body in whose favour
the disposition is alleged to have been made.
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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.
Postcode
Name of Applicant’s/
Respondent’s
solicitor’s firm
Signed Dated D D / M M / Y Y Y Y
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.
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Schedule of Documents to accompany Form E
The following list shows the documents you must attach to your Form E 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 E.