The NJ CN 10482 form is a crucial document used in family law cases in New Jersey. It serves as a Case Information Statement that outlines the financial details pertinent to a case, including income, expenses, and assets. Completing this form accurately is essential, as it influences decisions related to alimony, child support, and other financial matters.
To ensure your case is handled properly, fill out the NJ CN 10482 form by clicking the button below.
The NJ CN 10482 form, also known as the Case Information Statement, plays a crucial role in family law proceedings in New Jersey. This document is essential for establishing financial details in cases involving issues such as alimony, child support, and equitable distribution of assets. It requires the parties involved to provide comprehensive information about their incomes, expenses, and assets, ensuring that all data is accurately represented. The form must be filed within 20 days after the filing of an Answer or Appearance in court. Failure to submit this form can lead to significant consequences, including the potential dismissal of pleadings. The CN 10482 also mandates the inclusion of supporting documents, such as recent tax returns and pay stubs, to substantiate the claims made within the statement. This level of detail is vital, as it helps establish a clear picture of the parties' financial situations, which is critical for fair determinations regarding support obligations and other financial matters. Furthermore, the form must be updated whenever there are changes in circumstances, such as a change in employment or living arrangements. The importance of accuracy in completing this form cannot be overstated; it serves as a foundational document in family law cases, influencing the outcomes of various disputes and negotiations.
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Appendix V
Family Part Case Information Statement
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This form and attachments are confidential pursuant to Rules 1:38-3(d)(1) and 5:5-2(f)
Attorney(s):
Office Address:
Tel. No./Fax No.
Attorney(s) for:
Plaintiff,
vs.
Defendant.
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION, FAMILY PART
COUNTY
DOCKET NO.
CASE INFORMATION STATEMENT
OF
NOTICE: This statement must be fully completed, filed and served, with all required attachments, in accordance with Court Rule 5:5-2 based upon the information available. In those cases where the Case Information Statement is required, it shall be filed within 20 days after the filing of the Answer or Appearance. Failure to file a Case Information Statement may result in the dismissal of a party’s pleadings.
INSTRUCTIONS:
The Case Information Statement is a document which is filed with the court setting forth the financial details of your case. The required information includes your income, your spouse's/partner's income, a budget of your joint life style expenses, a budget of your current life style expenses including the expenses of your children, if applicable, an itemization of the amounts which you may be paying in support for your spouse/partner or children if you are contributing to their support, a summary of the value of all assets referenced on page 8 – It is extremely important that the Case Information
Statement be as accurate as possible because you are required to certify that the contents of the form are true. It helps establish your lifestyle which is an important component of alimony/spousal support and child support.
The monthly expenses must be reviewed and should be based on actual expenditures such as those shown from checkbook registers, bank statements or credit card statements from the past 24 months. The asset values should be taken, if possible, from actual appraisals or account statements. If the values are estimates, it should be clearly noted that they are estimates.
According to the Court Rules, you must update the Case Information Statement as your circumstances change. For example, if you move out of your residence and acquire your own apartment, you should file an Amended Case Information Statement showing your new rental and other living expenses.
It is also very important that you attach copies of relevant documents as required by the Case Information Statement, including your most recent tax returns with W-2 forms, 1099s and your three (3) most recent paystubs.
If a request has been made for college or post-secondary school contribution, you must also attach all relevant information pertaining to that request, including but not limited to documentation of all costs and reimbursements or assistance for which contribution is sought, such as invoices or receipts for tuition, board and books; proof of enrollment; and proof of all financial aid, scholarships, grants and student loans obtained.
Revised to be effective September 1, 2017. CN: 10482 (Court Rules Appendix V)
Page 1 of 10
Part A - Case Information:
Issues in Dispute:
Date of Statement
Cause of Action
Date of Divorce, Dissolution of Civil
Custody
Union or Termination of Domestic
Parenting Time
Partnership (post-Judgment matters)
Alimony
Date(s) of Prior Statement(s)
Child Support
Equitable Distribution
Your Birthdate
Counsel Fees
Birthdate of Other Party
Anticipated College/Post-
Date of Marriage, or entry into Civil Union
Secondary Education
or Domestic Partnership
Expenses
Other issues (be specific)
Date of Separation
Date of Complaint
Does an agreement exist between parties relative to any issue?
Yes
No.
If Yes, ATTACH a copy (if written) or a summary (if oral).
1.Name and Addresses of Parties: Your Name
Street Address
City
State/Zip
Email:
Other Party’s Name
2.Name, Address, Birthdate and Person with whom children reside: a. Child(ren) From This Relationship
Child’s Full Name
Address
Birthdate
Person’s Name
b. Child(ren) From Other Relationships
Part B - Miscellaneous Information:
1. Information about Employment (Provide Name & Address of Business, if Self-employed)
Name of Employer/Business
2. Do you have Insurance obtained through Employment/Business?
Type of Insurance:
Medical
No; Dental
No; Prescription Drug
No; Life
No; Disability
No
Other (explain)
Is Insurance available through Employment/Business?
Explain:
Page 2 of 10
3.ATTACH Affidavit of Insurance Coverage as required by Court Rule 5:4-2 (f) (See Part G)
4.Additional Identification:
Confidential Litigant Information Sheet: Filed
5.ATTACH a list of all prior/pending family actions involving support, custody or Domestic Violence, with the Docket Number, County, State and the disposition reached. Attach copies of all existing Orders in effect.
Part C. - Income Information:
Complete this section for self and (if known) for other party. If W-2 wage earner, gross earned income refers to Medicare wages.
1. Last Year’s Income
Yours
Joint
Other Party
1.
Gross earned income last calendar (year)
$
2.
Unearned income (same year)
3.
Total Income Taxes paid on income (Fed., State,
F.I.C.A., and S.U.I.). If Joint Return, use middle
column.
4.
Net income (1 + 2 - 3)
ATTACH to this form a corporate benefits statement as well as a statement of all fringe benefits of employment. (See Part G)
ATTACH a full and complete copy of last year’s Federal and State Income Tax Returns. to show total income plus a copy of the most recently filed Tax Returns. (See Part G) Check if attached:
ATTACH W-2 statements, 1099’s, Schedule C’s, etc.,
W-2
Other
2. Present Earned Income and Expenses
(if known)
Average gross weekly income (based on last 3 pay periods –
ATTACH pay stubs)
Commissions and bonuses, etc., are:
included
not included*
not paid to you.
*ATTACH details of basis thereof, including, but not limited to, percentage overrides, timing of payments, etc.
ATTACH copies of last three statements of such bonuses, commissions, etc.
Deductions per week (check all types of withholdings):
Federal
State
F.I.C.A.
3. Net average weekly income (1 - 2)
S.U.I.
3. Your Current Year-to-Date Earned Income
Provide Dates: From
To
1. GROSS EARNED INCOME: $
Number of Weeks
2. TAX DEDUCTIONS: (Number of Dependents:
)
a.
Federal Income Taxes
b.
N.J. Income Taxes
c.
Other State Income Taxes
d.
e.
Medicare
f.
S.U.I. / S.D.I.
g.
Estimated tax payments in excess of withholding
h.
i.
TOTAL
Page 3 of 10
3. GROSS INCOME NET OF TAXES $
4. OTHER DEDUCTIONS
If mandatory, check box
Hospitalization/Medical Insurance
Life Insurance
Union Dues
401(k) Plans
Pension/Retirement Plans
Other Plans - specify
Charity
Wage Execution
Medical Reimbursement (flex fund)
j.
Other:
5. NET YEAR-TO-DATE EARNED INCOME:
NET AVERAGE EARNED INCOME PER MONTH:
NET AVERAGE EARNED INCOME PER WEEK
4. Your Year-to-Date Gross Unearned Income From All Sources
(including, but not limited to, income from unemployment, disability and/or social security payments, interest, dividends,
rental income and any other miscellaneous unearned income)
Source
How often paid
Year to date amount
TOTAL GROSS UNEARNED INCOME YEAR TO DATE
5. Additional Information:
How often are you paid?
What is your annual salary?
Have you received any raises in the current year?
If yes, provide the date and the gross/net amount.
Do you receive bonuses, commissions, or other compensation, including distributions, taxable or non-
taxable, in addition to your regular salary?
If yes, explain:
5.
Does your employer pay for or provide you with an automobile (lease or purchase), automobile expenses,
gas, repairs, lodging and other.
If yes, explain.:
Page 4 of 10
6.
Did you receive bonuses, commissions, or other compensation, including distributions, taxable or non-
taxable, in addition to your regular salary during the current or immediate past 2 calendar years?
If yes, explain and state the date(s) of receipt and set forth the gross and net amounts received:
7.
Do you receive cash or distributions not otherwise listed?
If yes, explain.
8.
Have you received income from overtime work during either the current or immediate past calendar year?
9.
Have you been awarded or granted stock options, restricted stock or any other non-cash compensation or
entitlement during the current or immediate past calendar year?
10.
Have you received any other supplemental compensation during either the current or immediate past calendar
year?
If yes, state the date(s) of receipt and set forth the gross and net amounts received. Also describe the nature
of any supplemental compensation received.
11.
Have you received income from unemployment, disability and/or social security during either the current or
immediate past calendar year?
If yes, state the date(s) of receipt and set forth the gross and net amounts received.
12.List the names of the dependents you claim:
13.
Are you paying or receiving any alimony?
If yes, how much and from or to whom?
14.
Are you paying or receiving any child support?
If yes, list names of the children, the amount paid or received for each child and to whom paid or from whom
received.
15.
Is there a wage execution in connection with support?
If yes explain.
16.
Does a Safe Deposit Box exist and if so, at which bank?
17.
Has a dependent child of yours received income from social security, SSI or other government program
during either the current or immediate past calendar year?
If yes, explain the basis and state the date(s) of receipt and set forth the gross and net amounts received
18.Explanation of Income or Other Information:
Page 5 of 10
Part D - Monthly Expenses (computed at 4.3 wks/mo.)
Joint Marital or Civil Union Life Style should reflect standard of living established during marriage or civil union. Current expenses should reflect the current life style. Do not repeat those income deductions listed in Part C – 3.
Joint Life Style
Current Life Style
Family, including
Yours and
children
SCHEDULE A: SHELTER
If Tenant:
Rent
Heat (if not furnished)
Electric & Gas (if not furnished)
Renter’s Insurance
Parking (at Apartment)
Other charges (Itemize)
If Homeowner:
Mortgage
...........................Real Estate Taxes (if not included w/mortgage payment)
...........................Homeowners Ins. (if not included w/mortgage payment)
Other Mortgages or Home Equity Loans
......................................................
Heat (unless Electric or Gas)
Electric & Gas
Water & Sewer
Garbage Removal
Snow Removal
..............................................
Lawn Care
Maintenance/Repairs
..........................................................Condo, Co-op or Association Fees
Other Charges (Itemize)
Tenant or Homeowner:
Telephone
Mobile/Cellular Telephone
Service Contracts on Equipment
Cable TV
Plumber/Electrician
Equipment & Furnishings
Internet Charges
Home Security System
Other (itemize)
SCHEDULE B: TRANSPORTATION
Auto Payment
Auto Insurance (number of vehicles:
Registration, License
Maintenance
Fuel and Oil
Commuting Expenses
Page 6 of 10
SCHEDULE C: PERSONAL
Food at Home & household supplies
Prescription Drugs
Non-prescription drugs, cosmetics, toiletries & sundries
School Lunch
Restaurants
Clothing
Dry Cleaning, Commercial Laundry
Hair Care
Domestic Help
Medical (exclusive of psychiatric)*
Eye Care*
Psychiatric/psychological/counseling*
Dental (exclusive of Orthodontic*
Orthodontic*
Medical Insurance (hospital, etc.)*
Club Dues and Memberships
Sports and Hobbies
Camps
Vacations
Children’s Private School Costs
Parent’s Educational Costs
Children’s Lessons (dancing, music, sports, etc.)
Babysitting
Day-Care Expenses
Entertainment
Alcohol and Tobacco
Newspapers and Periodicals
Gifts
Contributions
Payments to Non-Child Dependents
Prior Existing Support Obligations this family/other families
(specify)
Tax Reserve (not listed elsewhere)
Savings/Investment
Debt Service (from page 7) (not listed elsewhere)
Parenting Time Expenses
Professional Expenses (other than this proceeding)
Pet Care and Expenses
Other (specify)
*unreimbursed only
Please Note: If you are paying expenses for a spouse or civil union partner and/or children not reflected in this budget, attach a schedule of such payments.
Schedule A: Shelter
Schedule B: Transportation
Schedule C: Personal
Grand Totals
Page 7 of 10
Part E - Balance Sheet of All Family Assets and Liabilities
Statement of Assets
Title to
Date of purchase/acquisition.
Date of
If claim that asset is exempt,
Value $
Description
Property
Evaluation
state reason and value of
Put * after exempt
(P, D, J)1
Mo./Day/ Yr.
what is claimed to be exempt
1.Real Property
2.Bank Accounts, CD’s (identify institution and type of account(s))
3.Vehicles
4.Tangible Personal Property
5.Stocks, Bonds and Securities (identify institution and type of account(s))
6.Pension, Profit Sharing, Retirement Plan(s), 40l(k)s, etc. (identify each institution or employer)
7.IRAs
8.Businesses, Partnerships, Professional Practices
9.Life Insurance (cash surrender value)
10.Loans Receivable
11.Other (specify)
TOTAL GROSS ASSETS: $
TOTAL SUBJECT TO EQUITABLE DISTRIBUTION: $
TOTAL NOT SUBJECT TO EQUITABLE DISTRIBUTION: $
1 P = Plaintiff; D = Defendant; J = Joint
Page 8 of 10
Statement of Liabilities
Name of
Responsible
If you contend liability should
Monthly
Total
Date
Party
not be shared, state reason
Payment
Owed
(P, D, J)
1.Real Estate Mortgages
2.Other Long Term Debts
3.Revolving Charges
4.Other Short Term Debts
5.Contingent Liabilities
TOTAL GROSS LIABILITIES:
(excluding contingent liabilities)
NET WORTH:
(subject to equitable distribution)
TOTAL NOT SUBJECT TO EQUITABLE DISTRIBUTION:
Page 9 of 10
Part F - - Statement of Special Problems
Provide a Brief Narrative Statement of Any Special Problems Involving This Case: As example, state if the matter involves complex valuation problems (such as for a closely held business) or special medical problems of any family member, etc.
Part G - Required Attachments
Check If You Have Attached the Following Required Documents
1. A full and complete copy of your last federal and state income tax returns with all schedules and attachments. (Part C-1)
2. Your last calendar year’s W-2 statements, 1099’s, K-1 statements.
3. Your three most recent pay stubs.
4. Bonus information including, but not limited to, percentage overrides, timing of payments, etc.; the last three statements of such bonuses, commissions, etc. (Part C)
5. Your most recent corporate benefit statement or a summary thereof showing the nature, amount and status of retirement plans, savings plans, income deferral plans, insurance benefits, etc. (Part C)
6. Affidavit of Insurance Coverage as required by Court Rule 5:4-2(f) (Part B-3)
7. List of all prior/pending family actions involving support, custody or Domestic Violence, with the Docket Number, County, State and the disposition reached. Attach copies of all existing Orders in effect. (Part B-5)
8. Attach details of each wage execution (Part C-5)
9. Schedule of payments made for a spouse or civil union partner and/or children not reflected in Part D.
10. Any agreements between the parties.
11. An Appendix IX Child Support Guideline Worksheet, as applicable, based upon available information.
12. If a request has been made for college or post-secondary school contribution, all relevant information pertaining to that request, including but not limited to documentation of all costs and reimbursements or assistance for which contribution is sought, such as invoices or receipts for tuition, board and books; proof of enrollment; and proof of all financial aid, scholarships, grants and student loans obtained. A list of the information as promulgated by the Administrative Director of the Courts can be found on the Judiciary website.
I certify that, other than in this form and its attachments, confidential personal identifiers have been redacted from documents now submitted to the court, and will be redacted from all documents submitted in the future in accordance with Rule 1:38-7(b).
I certify that the foregoing information contained herein is true. I am aware that if any of the foregoing information contained therein is willfully false, I am subject to punishment.
DATED:
SIGNED:
Page 10 of 10
Filling out the NJ CN 10482 form is a crucial step in your legal process. After completing this form, you will need to file it with the court and serve copies to the other party involved in your case. Ensure that you gather all necessary attachments and documents to support the information you provide. Accurate and thorough completion of this form will help establish financial details relevant to your case.
What is the NJ CN 10482 form?
The NJ CN 10482 form, also known as the Case Information Statement, is a document required by the New Jersey Superior Court, specifically in the Chancery Division, Family Part. It outlines the financial details of a family law case, including income, expenses, and assets. This form is crucial for determining issues such as alimony and child support.
Who needs to file the NJ CN 10482 form?
This form must be filed by parties involved in family law cases where financial information is relevant. It is particularly important for cases involving divorce, child custody, and support issues. If you are a plaintiff or defendant in such a case, you will need to complete and submit this form.
When is the NJ CN 10482 form due?
The completed form must be filed within 20 days after the filing of the Answer or Appearance in your case. It is essential to adhere to this timeline to avoid potential dismissal of your pleadings.
What information is required on the form?
The form requires detailed information about your income, your spouse's or partner's income, and a budget of your joint and current living expenses. Additionally, you must provide an itemization of any support payments you make and a summary of your assets. Accurate information is crucial, as you will certify that the contents are true.
How should I document my expenses?
Expenses should be based on actual expenditures. You can use checkbook registers, bank statements, or credit card statements from the past 24 months to support your claims. This documentation helps establish your lifestyle, which is important for determining support obligations.
What happens if I fail to file the NJ CN 10482 form?
Failure to file the form may result in the dismissal of your pleadings. It is critical to complete and submit this form on time to ensure that your case can proceed without unnecessary delays.
Can I amend the NJ CN 10482 form?
Yes, you can amend the form as your circumstances change. For instance, if you move to a new residence, you should file an Amended Case Information Statement reflecting your new living expenses. Keeping this information updated is essential.
What documents should I attach to the form?
You must attach several documents, including your most recent tax returns, W-2 forms, 1099s, and three recent pay stubs. If you are requesting contributions for college expenses, include all relevant documentation related to those costs.
Is the information on the NJ CN 10482 form confidential?
Yes, the information provided on this form is confidential. It is protected under specific court rules to ensure that sensitive personal and financial information is not disclosed publicly.
Where can I obtain the NJ CN 10482 form?
The form can be obtained from the New Jersey Courts website or at your local family court. It is advisable to ensure that you are using the most current version of the form when filing.
Filling out the NJ CN 10482 form can be a daunting task, and many individuals make mistakes that can lead to complications in their case. One common error is failing to provide accurate financial information. It is crucial to ensure that all income figures, including wages, unearned income, and deductions, are correct and reflect the most recent data. Inaccurate information can lead to disputes and may negatively affect support obligations.
Another mistake often made is neglecting to attach the necessary documentation. The form requires various attachments, such as tax returns, W-2 forms, and pay stubs. Without these documents, the court may not accept the form, or it could result in delays. Individuals should take the time to gather all required paperwork before submitting the form to ensure a smooth process.
Many people also overlook the importance of updating the form as their circumstances change. Life events, such as moving to a new residence or changes in income, should be reported promptly. Failing to amend the Case Information Statement can lead to inaccuracies in support calculations and may harm one's case.
Additionally, individuals sometimes forget to review the form thoroughly before submission. Small errors, such as typos or incorrect dates, can have significant consequences. A careful review can help catch these mistakes and ensure that all information is presented clearly and accurately.
Lastly, some individuals may not fully understand the implications of the information they are providing. The form requires a certification that the information is true and accurate. Misrepresentation, whether intentional or accidental, can lead to severe legal repercussions. It is essential to approach this form with seriousness and care, understanding its importance in the legal process.
The NJ CN 10482 form is a crucial document in family law cases, particularly those involving financial matters such as alimony and child support. Along with this form, several other documents are often required to provide a complete picture of the financial circumstances of the parties involved. Here are five key forms and documents that may accompany the NJ CN 10482.
These documents, when submitted alongside the NJ CN 10482 form, create a comprehensive financial profile that the court can use to make informed decisions. Ensuring that all required forms are accurately completed and submitted on time can significantly impact the outcome of a family law case.
The NJ CN 10482 form is similar to several other legal documents that serve to provide essential information in family law cases. The following list outlines these documents and their similarities:
When filling out the NJ CN 10482 form, it's important to follow certain guidelines to ensure your submission is accurate and complete. Here’s a list of things you should and shouldn’t do:
By following these guidelines, you can help ensure that your NJ CN 10482 form is processed smoothly and efficiently.
Misconception 1: The NJ CN 10482 form is only necessary for divorce cases.
This form is used in various family law matters, not just divorce. It applies to custody disputes, alimony requests, and child support cases as well. Anyone involved in these issues may need to complete the form.
Misconception 2: Once the NJ CN 10482 form is submitted, it doesn’t need to be updated.
In reality, you must update the form as your financial circumstances change. For instance, if you move or your income fluctuates, an Amended Case Information Statement should be filed to reflect these changes.
Misconception 3: The form is not confidential.
On the contrary, the NJ CN 10482 form and its attachments are confidential. This means that sensitive financial information is protected under specific court rules, ensuring privacy for those involved.
Misconception 4: You can fill out the form without any supporting documents.
Supporting documents are crucial. You need to attach your most recent tax returns, pay stubs, and any other relevant financial information. This documentation helps verify the accuracy of the information you provide on the form.
Here are some key takeaways about the NJ CN 10482 form: