Fillable Form FL-150
FL-150 Form is an Income and Expanse Declaration, with a detailed data on what you earned or spend which is completed by both petitioner and respondent.
What is Form FL-150?
Form FL-150, Income and Expense Declaration, is a California divorce form that requires both the petitioner and the respondent to detail their earnings and spending.
Form FL 150 must be submitted with copies of the two most recent months’ pay stubs. If you are self-employed, you must attach the last two years’ income tax returns, including Schedule C (profits and loss statements). Be sure to blacken out any social security numbers that may appear on your pay stubs or income tax returns.
You should take your tax returns to court just in case the court demands them. This may save you an additional court date by avoiding the necessity to continue the hearing to a different date.
Once the FL-150 Form is completed, make copies for each of the parties. The original is filed with the court. Then a copy must be served to each party by having someone, other than you and over the age of 18, mail or personally serve the other party with a copy.
There is no fee for filing Form FL-150.
How to fill out Form FL-150?
Using PDFQuick, you can electronically fill out and download a PDF copy of the FL 150 Form in minutes. Fill it out by following the instructions below.
Party Without Attorney or Attorney
State Bar Number
If you are represented by an attorney, enter your attorney’s state bar number.
Name
If you are represented by an attorney, enter your attorney’s name. Otherwise, enter your name.
Firm Name
If you are represented by an attorney, enter your attorney’s firm name.
Street Address
If you are represented by an attorney, enter the street address where your attorney’s firm is established. Otherwise, enter the street address where you reside.
City
If you are represented by an attorney, enter the city where your attorney’s firm is established. Otherwise, enter the city where you reside.
State
If you are represented by an attorney, enter the state where your attorney’s firm is established. Otherwise, enter the state where you reside.
ZIP Code
If you are represented by an attorney, enter the ZIP code where your attorney’s firm is established. Otherwise, enter the ZIP code where you reside.
Telephone Number
If you are represented by an attorney, enter your attorney’s telephone number. Otherwise, enter your telephone number.
Fax Number
If you are represented by an attorney, enter your attorney’s fax number. Otherwise, enter your fax number.
Email Address
If you are represented by an attorney, enter your attorney’s email address. Otherwise, enter your email address.
Attorney For
Enter your name.
County
Enter which county in the Superior Court of California.
Street Address
Enter the street address.
Mailing Address
Enter the mailing address.
City and ZIP Code
Enter the city and ZIP code.
Branch Name
Enter the branch name.
Petitioner
Enter the petitioner’s name.
Respondent
Enter the respondent’s name.
Other Party/Parent/Claimant
Enter the name of the other party, parent, or claimant.
Case Number
Enter the case number, if known.
Item 1 – Employment
Provide information on your current job, or if unemployed, your most recent job.
Attach copies of your pay stubs for the last two months. Do not forget to black out your social security number on your pay stubs.
Line A
Enter your employer’s name.
Line B
Enter your employer’s address.
Line C
Enter your employer’s phone number.
Line D
Enter your occupation.
Line E
Enter the date when you started the job, following the format: Month, Year.
Line F
If unemployed, enter the date the job ended, following the format: Month, Year.
Line G
Enter the number of hours you work per week.
Line H
Enter the gross amount (before taxes) of your salary.
Mark the appropriate box indicating when you receive your salary. You may select:
NOTE: If you have more than one job, attach an 8 1/2-by-11-inch sheet of paper and list the same information as above for your other jobs. Write “Question 1–Other Jobs” at the top.
Item 2 – Age and Education
Line A
Enter your age.
Line B
Mark the appropriate box indicating if you have completed highschool or the equivalent. You may select:
If you marked the “No” box, enter the highest grade you completed.
Line C
Enter the number of college years you completed.
Mark the “Degree(s) obtained” box, then specify the type of degree in the space provided.
Line D
Enter the number of graduate school years you completed.
Mark the “Degree(s) obtained” box, then specify the type of degree in the space provided.
Line E
Mark the appropriate box indicating if you have:
Item 3 – Tax Information
Line A
Mark the box and enter the tax year you last filed for taxes.
Line B
Mark the appropriate box indicating your tax filing status. You may select:
Line C
Mark the appropriate box indicating where you file your state tax returns. You may select:
Line D
Enter the number of exemptions (including yourself) you claim on your taxes.
Item 4 – Other Party’s Income
Enter the estimated gross monthly income (before taxes) of the other party in this case. Then, provide a concise explanation on which the estimated amount is based on.
Number of Pages Attached
If you need more space to answer any questions on this form, attach an 8 1/2-by-11-inch sheet of paper and enter the question number before your answer.
Enter the number of pages attached to this form.
Date
Enter the date you signed this form.
Type or Print Name
Enter your name.
Signature of Declarant
Affix your signature.
Petitioner
Enter the name of the petitioner.
Respondent
Enter the name of the respondent.
Other Party/Parent/Claimant
Enter the name of the other party, parent, or claimant.
Case Number
Enter the case number, if known.
Item 5 – Income
Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax return to the court hearing. Do not forget to black out your social security number on your pay stubs and tax return.
Line A
Enter the gross amount (before taxes) of the salary or wages you received last month.
For the average monthly amount, add up all the salary or wages you received in the last 12 months and divide the total by 12.
Line B
Enter the gross amount (before taxes) of the overtime pay you received last month.
For the average monthly amount, add up all the overtime pay you received in the last 12 months and divide the total by 12.
Line C
Enter the amount of commissions or bonuses you received last month.
For the average monthly amount, add up all the commissions or bonuses you received in the last 12 months and divide the total by 12.
Line D
Mark the “currently receiving” box if you’re currently receiving public assistance (for example: Temporary Assistance for Needy Families (TANF), Supplemental Security Income (SSI), General Assistance or General Relief (GA/GR). Then, enter the amount of public assistance you received last month.
For the average monthly amount, add up all the public assistance you received in the last 12 months and divide the total by 12.
Line E
Mark the appropriate box from which of the following you receive spousal support:
Mark the “federally taxable” box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change maintains the spousal support payments as taxable income to the recipient and tax-deductible to the payor.
Enter the amount of spousal support you received last month. For the average monthly amount, add up all the spousal support you received in the last 12 months and divide the total by 12.
Line F
Mark the appropriate box from which of the following you receive partner support:
Enter the amount of partner support you received last month. For the average monthly amount, add up all the partner support you received in the last 12 months and divide the total by 12.
Line G
Enter the amount of pension or retirement fund payments you received last month.
For the average monthly amount, add up all the pension or retirement fund payments you received in the last 12 months and divide the total by 12.
Line H
Enter the amount of Social Security retirement (not Supplemental Security Income (SSI)) you received last month.
For the average monthly amount, add up all the Social Security retirement you received in the last 12 months and divide the total by 12.
Line I
Mark the appropriate box from which of the following you receive disability support:
Enter the amount of disability support you received last month. For the average monthly amount, add up all the disability support you received in the last 12 months and divide the total by 12.
Line J
Enter the amount of unemployment compensation you received last month.
For the average monthly amount, add up all the unemployment compensation you received in the last 12 months and divide the total by 12.
Line K
Enter the amount of workers’ compensation you received last month.
For the average monthly amount, add up all the workers’ compensation you received in the last 12 months and divide the total by 12.
Line L
Enter other amounts of income, like military allowances or royalty payments you received last month and specify its type in the space provided.
For the average monthly amount, add up all the other income you received in the last 12 months and divide the total by 12.
Item 6 – Investment Income
Attach a schedule showing gross receipts less cash expenses for each piece of property.
Line A
Enter the amount of dividends or interest you received last month.
For the average monthly amount, add up all the dividends or interest you received in the last 12 months and divide the total by 12.
Line B
Enter the amount of rental property income you received last month.
For the average monthly amount, add up all the rental property income you received in the last 12 months and divide the total by 12.
Line C
Enter the amount of trust income you received last month.
For the average monthly amount, add up all the trust income you received in the last 12 months and divide the total by 12.
Line D
Enter other amounts of investment income you received last month and specify its type in the space provided.
For the average monthly amount, add up all the other investment income you received in the last 12 months and divide the total by 12.
Item 7 – Income from Self-Employment…
Mark the appropriate box if you are:
Enter the number of years you’re in the business. Then, enter the name and type of business.
NOTE: Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Do not forget to black out your social security number. If you have more than one business, provide the information above for each of your businesses in an additional sheet.
Item 8 – Additional Income
Mark the box if you received one-time money, such as lottery winning or inheritance, in the last 12 months and specify its kind in the space provided.
Item 9 – Change in Income
Mark the box if your financial situation has changed significantly over the last 12 months. Then, enter a brief explanation in the space provided.
Item 10 – Deductions
Line A
Enter the amount of your required union dues deducted last month.
Line B
Enter the amount of your required retirement payments (not Social Security, Federal Insurance Contributions Act (FICA), 401(k), or Individual Retirement Account (IRA)) deducted last month.
Line C
Enter the amount of medical, hospital, dental, and other health insurance premiums (total monthly amount) deducted last month.
Line D
Enter the amount of child support that you paid for your children from other relationships last month.
Line E
Enter the amount of spousal support that you paid by court order from a different marriage last month.
Mark the “federally tax deductible” box if the spousal support order or judgment was executed by the parties and the court before January 1, 2019, or if a court-ordered change maintains the spousal support payments as taxable income to the recipient and tax-deductible to the payor.
Line F
Enter the amount of partner support that you paid by court order from a different domestic partnership last month.
Line G
Enter the amount of necessary job-related expenses not reimbursed by your employer. Attach an explanation labeled “Question 10g”.
Item 11 – Assets
Line A
Enter the total amount of cash and checking accounts, savings, credit union, money market, and other deposit accounts you own.
Line B
Enter the total amount of stocks, bonds, and other assets you could easily sell.
Line C
Enter the total amount of all your other property by estimating their fair market value minus the debts you owe. Mark the appropriate boxes if all your other property is or are:
Petitioner
Enter the name of the petitioner.
Respondent
Enter the name of the respondent.
Other Party/Parent/Claimant
Enter the name of the other party, parent, or claimant.
Case Number
Enter the case number, if known.
Item 12 – People Living With You
Enter the name, age, how the person is related to you, and the person’s gross monthly income, of the people living with you in the appropriate columns.
Mark the appropriate box on the last column indicating if the person living with you is paying some of the household expenses. You may select:
Item 13 – Average Monthly Expenses
Mark the box that applies to the average monthly expenses stated here. You may select:
Line A
Mark the appropriate box if your home is:
Enter the amount of rent in the space provided. If the mortgage, enter the average principal and average interest in the spaces provided.
Enter the amounts of real property taxes, home owner’s or renter’s insurance (if not included above), and maintenance and repair in the appropriate spaces.
Line B
Enter the amount of healthcare costs not paid by insurance.
Line C
Enter the amount of child care expenses.
Line D
Enter the amount of groceries and household supplies expenses.
Line E
Enter the amount of eating out expenses.
Line F
Enter the amount of utilities (gas, electric, water, trash) expenses.
Line G
Enter the amount of telephone, cell phone, and e-mail expenses.
Line H
Enter the amount of laundry and cleaning expenses.
Line I
Enter the amount of clothes expenses.
Line J
Enter the amount of education expenses.
Line K
Enter the amount of entertainment, gifts, and vacation expenses.
Line L
Enter the amount of auto and transportation (insurance, gas, repairs, bus) expenses.
Line M
Enter the amount of insurance (life, accident). Do not include auto, home, and health insurance.
Line N
Enter the amount of savings and investments.
Line O
Enter the amount of charitable contributions.
Line P
Enter the amount of monthly payments listed in Item 14. Itemize below in Item 14 and enter the total here.
Line Q
Enter other expenses and specify their type in the space provided.
Line R
Enter the total expenses. Do not include the average principal and interest listed in Line A (mortgage).
Line S
Enter the amount of expenses paid by others.
Item 14 – Installment Payments and Debts Not Listed Above
Enter the name of the person who you paid, the reason, amount, balance, and the date of your last payment in the appropriate columns.
Item 15 – Attorney Fees
This information is required if either party is requesting attorney fees.
Line A
Enter the amount of fees and costs you paid your attorney.
Line B
Enter the source of the money.
Line C
Enter the amount of fees and costs you still owe to your attorney.
Line D
Enter your attorney’s hourly rate.
Date
Enter the date you signed the form.
Type or Print Name
Enter your name.
Signature of Declarant
Affix your signature.
Petitioner
Enter the name of the petitioner.
Respondent
Enter the name of the respondent.
Other Party/Parent/Claimant
Enter the name of the other party, parent, or claimant.
Case Number
Enter the case number, if known.
Child Support Information
Fill out this section only if your case involves child support.
Item 16 – Number of Children
Line A
Enter the number of children under the age of 18 you have with the other parent in this case.
Line B
Enter the percentage the children spent between you and the other parent in this case. If you’re not sure about the percentage or it has not been agreed on, enter a concise description of your parenting schedule in the space provided.
Item 17 – Children’s Health-Care Expenses
Line A
Mark the appropriate box indicating if you have health insurance available to you for the children through your job. You may select:
Line B
If you marked the “I do” box, enter the name of the insurance company.
Line C
If you marked the “I do” box, enter the address of the insurance company.
Line D
If you marked the “I do” box, enter the monthly cost for the children’s health insurance. Do not include the amount your employer pays.
Item 18 – Additional Expense for the Children in this Case
Line A
Enter the amount of childcare you pay per month so you can work or get job training.
Line B
Enter the amount of children’s health care you pay per month that is not covered by your insurance.
Line C
Enter the amount of travel expenses for visitation you pay per month.
Line D
Enter the amount of children’s educational or other special needs you pay per month. Specify other special needs in the space provided.
Item 19 – Special Hardships
By filling in this section, you ask the court to consider the following special financial circumstances. Attach documentation of any item listed here, including court orders.
Line A
Enter the amount of extraordinary health expenses (not included in Item 18 Line B) you pay per month and for how many months.
Line B
Enter the amount of major losses you pay per month that is not covered by insurance (for example: fire, theft, other insured loss) and for how many months.
Line C
Enter the amount of expenses you pay per month for your minor children who are from other relationships and are living with you and for how many months.
Enter the name and ages of those children and the amount of child support you receive for those children.
Enter an explanation of why the expenses listed in Item 19 create an extreme financial hardship for you.
Item 20 – Other Information
Enter other information you want the court to know concerning support in your case.