Rock Island County, IL · Rock Island County

No notary required

Financial Affidavit Regarding the Payments of Fines

This financial affidavit lets a person in a Rock Island County court case report income, expenses, assets, and debts related to payments of fines.

At a glance

Issued by
City of Rock Island County · Rock Island County, Rock Island County, Illinois
Notarization
Not required: file this form without a notary.
Official source
rockislandcountyil.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

The form records financial information for a person involved in a case in the Circuit Court of the Fourteenth Judicial Circuit in Rock Island County. It asks about income, monthly expenses, assets, liabilities, and the amount owed in fines, costs, and restitution in other courts. The document does not state when the court requires this affidavit.

Who needs it

A person in a Rock Island County circuit court case who needs to provide details about income, expenses, assets, and liabilities may use this affidavit.

How to submit it

Submit it to the Circuit Court office named on the form; check the county website for current contact details.

About notarization

This document has no notary block; the signer signs and dates it under penalty of perjury and is sworn before a hearing officer or clerk.

How to submit this form

  1. 1

    Download the Affidavit

    Download the Financial Affidavit Regarding the Payments of Fines PDF.

  2. 2

    Complete the Form

    Enter the requested personal information and details about income, expenses, assets, liabilities, and fines.

  3. 3

    Review and Sign

    Review your entries, then sign and date the declaration under penalty of perjury.

  4. 4

    Submit to the Circuit Court

    Submit the completed affidavit to the Circuit Court office named on the form.

Frequently asked questions

What information does the financial affidavit request?
It requests personal and contact details, income, monthly expenses, assets, liabilities, and amounts owed for fines, costs, and restitution in other courts.
Do I need a notary for the Financial Affidavit Regarding the Payments of Fines?
No notary block is provided. The signer signs and dates the declaration under penalty of perjury and is sworn before a hearing officer or clerk.
How do I submit the financial affidavit?
Submit it to the Circuit Court office named on the form. Check the Rock Island County website for current contact details.

Need something notarized?

This Financial Affidavit Regarding the Payments of Fines doesn’t need a notary, but Illinois residents can notarize other documents online with a commissioned online notary.