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
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.
[Insert list of assets]
[Insert details of income]
[Insert list of debts and liabilities]
[Insert list of Weekly Expenditure]
[Insert details of pension]
Form 51 inserted by S.I. 385 of 2011, effective 13 August 2011.