SCCA 430 · Financial Declaration

STATE OF SOUTH CAROLINA
COUNTY OF
Plaintiff,
vs.
Defendant.

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IN THE FAMILY COURT OF THE

JUDICIAL CIRCUIT

FINANCIAL DECLARATION

OF

Docket No.

HUSBAND/FATHER

WIFE/MOTHER

Address
Age
Occupation
Employer
Employer Address

Address
Age
Occupation
Employer
Employer Address

Gross Monthly Income	Husband/Father	Wife/Mother
TOTAL GROSS MONTHLY INCOME

Payroll Deductions from Monthly Income	Husband/Father	Wife/Mother
TOTAL MONTHLY DEDUCTIONS
NET MONTHLY INCOME ⁴

SCCA 430 (Revised 11/2024) 1 of 5

Estimate monthly expenses. Specify which party is the custodial parent and list name and relationship of all members of household whose expenses are included:

MONTHLY EXPENSES ⁵	Husband/Father	Wife/Mother
SUBTOTAL:

SUBTOTAL:
TOTAL MONTHLY EXPENSES

Installment Loan Payments Section Bulk-edit

Creditor	For	Monthly Payment	Balance	Owed by ¹⁶
TOTAL

SCCA 430 (Revised 11/2024) 2 of 5

Other Debts and Obligations not payable in monthly installments

Creditor	For	Date Payable	Balance	Owed by ¹⁶

Are you currently in Bankruptcy? YES NO

Are any obligations listed above, including mortgage and note payments, in arrears? YES NO

If yes, please list the obligations in arrears:

All Marital Property Known to Parties

Assets	Husband/Father	Wife/Mother	Joint	Total
TOTAL ASSETS

Any Non-Marital Property Known to Parties

Description of Asset	Title Owner	Date of Acquisition	Source of Funds to Acquirer	Estimate Present Market Value

Financial Accounts Section ¹⁸

Owner	Name of Institution	Type of Account	Balance

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Voluntary Retirement Accounts and Pension Accounts Section

Type of Account	Value

Publicly Held Stocks, Bonds, Securities, Mutual Funds Section (Non-Retirement) ¹⁹

Name of Company	Number of Shares / Type of Account	Value

Real Estate Section ²⁰

Owner	Address	Value	Mortgage Balance	Mortgage Equity

Other Property Section ¹⁷

Owner	Description of Asset	Value	Loan Balance	Equity

Signature

Sworn to before me this day of , 20 .

________________________________ (SEAL)

Notary Public for South Carolina

Printed Name: My Commission Expires:

Custodial Parent (if applicable):

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Assets & Debts Working Chart

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Endnotes

A recent paystub should be attached. To compute Principal Earnings: if paid semi-monthly, multiply gross paycheck by 2; if biweekly, multiply by 26 and divide by 12; if weekly, multiply by 52 and divide by 12. Round to the nearest whole dollar.
To compute Overtime/Tips/Commission/Bonuses, take an average of monthly earnings from these sources from the past three years (or length of employment if shorter).
To compute State, Local, and Social Security Tax deductions, use the same formula as endnote 1, or consult an accountant.
Net Monthly Income = Total Gross Monthly Income − Total Monthly Deductions.
Do not include any expense in Monthly Expenses that has already been included in payroll deductions.
Food Expense includes groceries, toiletries, cleaning supplies, and casual eating out.
Auto Expenses include gasoline, oil changes, tune-ups, tire replacement, maintenance, and related items.
Maintenance for Household includes appliance/household repairs, landscaping, house cleaning, pest control, pool service, alarm service, and related items.
Clothing Expense includes shoes, clothing purchases, repair, alterations, and related items.
Laundry Expense includes laundry service, dry cleaning, and related items.
Children's Incidental Expenses include allowance, summer camp, baby sitters, lessons, activities, participatory sports, and related items.
School Expense includes tuition, supplies, field trips, dues, tutors, locker rentals, school lunches, and related items.
Entertainment includes movies, theater, vacations, sporting events, music, video, and related items.
Adult Incidental Expenses include cosmetics, hair/nail care, books, magazines, newspapers, business dues, memberships, pets, charity, religious dues or tithes, gifts, bank charges, hobbies, and related items.
All Installment Loan Payments is the total itemized in the Installment Loan Payments Section, which should include all loan payments not already listed as a monthly expense (e.g., home equity loan, credit cards).
Indicate which spouse legally owes the payment (husband, wife, or joint).
Other property includes automobiles, boats (minus loan balance), furniture, furnishings, china, silver, jewelry, collectibles, and other personal property.
Itemize Financial Accounts (checking, savings, credit union, money market, certificate of deposit) in the Financial Accounts Section.
Itemize Publicly Held Stocks, Bonds, Securities, Stock Options and Mutual Funds (excluding retirement) in the Publicly Held Stocks Section.
Itemize each parcel of Real Estate in the Real Estate Section.

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