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FA-4138V

Income and Expense Statement

Wisconsin · Wisconsin Court System · Effective December 16, 2022

This form is an Income and Expense Statement used to list a person's income and monthly expenses for court records. It asks for details about income sources, deductions, household costs, and assets.

The court describes it as: Income and Asset Statement for post-judgment proceedings. Voluntary form. Available in Spanish.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Motions

Stage: Motions

This form is used in divorce, legal separation, and paternity cases to provide financial information to the court.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who fills out this form?
The form has sections for both Petitioner/Joint Petitioner A and Respondent/Joint Petitioner B, suggesting either party can fill it out.
What happens if I don't file this form?
The form warns that if either party fails to complete and file it as required, the court might use the other party's statement for its decisions.
Does this form require a lawyer?
The form is a voluntary document, but it is used in court cases for financial reporting.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect December 16, 2022.

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