Circuit Court Forms

FORM 51

AN CHÚIRT CHUARDA

THE CIRCUIT COURT

CIRCUIT                                                                                                            COUNTY OF

IN THE MATTER OF THE CIVIL PARTNERSHIP AND CERTAIN RIGHTS AND OBLIGATIONS OF COHABITANTS ACT 2010

BETWEEN

..................... Applicant

AND

.................... Respondent

AFFIDAVIT OF MEANS

I, [Insert name of Deponent], ............... [Insert occupation of Deponent], ................ of [Insert address of Deponent] ..................... being aged 18 years and upwards MAKE OATH and say as follows:—

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, property and financial resources 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, liabilities, financial obligations and financial responsibilities 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]

SWORN etc.