CR-117 - Instructions: Defendant's Statement of Assets

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Instructions: Defendant's Statement of Assets

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Form ID: CR-117
Title: Instructions: Defendant's Statement of Assets
Effective Date: 2004-01-01
Mandatory Form: no
Languages: 汉语, 한국어, español, Tiếng Việt
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-117
Primary Download URL: https://www.courts.ca.gov/documents/cr117.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/cr117c.pdf, https://www.courts.ca.gov/documents/cr117k.pdf, https://www.courts.ca.gov/documents/cr117s.pdf, https://www.courts.ca.gov/documents/cr117v.pdf
Form Detail Page:
Instructions: Defendant's Statement of Assets
(CR-117)
Explains the step-by-step process for a defendant to use in filling out a Defendant's Statement of Assets (form CR-115).
Get form CR-117
汉语
Get form CR-117 in Chinese Simplified
(Chinese Simplified)
한국어
Get form CR-117 in Korean
(Korean)
español
Get form CR-117 in Spanish
(Spanish)
Tiếng Việt
Get form CR-117 in Vietnamese
(Vietnamese)
Effective: January 1, 2004
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How-to instructions for Criminal
PDF Text:
CR-117INSTRUCTIONS: DEFENDANT'S STATEMENT OF ASSETS
A.  Name of Victim
The name of the victim who will receive restitution
goes here.
B.  Superior Court of California
Ask the clerk of your court or defendant’s attorney 
for this information.
C.  Name of Defendant
Write defendant’s name in the space provided.
D.  Case Number
Fill in the criminal case number assigned in the
space provided.
E.  Personal Information
a.  Defendant’s name.
b.  If defendant has previously used another
     name, provide that name in the space
     provided.
c.  Defendant’s date of birth. 
d.  Defendant’s social security number.
e.  Defendant’s marital status.
f.   Defendant’s driver license number and the
     state of issuance.
g.  Defendant’s home address. 
h.  Defendant’s home telephone number.
i.   Defendant’s employer's telephone number.
F.  Income and Occupation
List defendant’s sources of income and occupation. 
Include defendant’s job title and the name of the
division or office where defendant works or worked.
G.  Address of Employer
a.  Write the name and address of defendant’s
     business or employer.
b.  If defendant is not employed, write the
     names and addresses of all sources of
     income.
H.  Pay Period
Specify how often defendant is paid, that is, daily, weekly, monthly.
I.   Gross Pay
Specify defendant’s gross pay each pay period.
J.  Take-Home Pay
Specify defendant’s take-home, that is, after-taxes pay for each pay period.
K.  Spouse’s Income
If defendant is married and defendant’s spouse is employed, specify the name and address of his or her employer, job title, and
division or office.
L.  Other Sources of Income
If defendant has additional sources of income that have not been listed, write them here.
M.  Cash
Write the amount of money defendant has in cash.
N.  Accounts
Complete the required information regarding any money held in defendant’s name in accounts in banks and any other financial 
institutions.
O.  Automobiles
Complete the required information regarding any automobiles and boats defendant owns or jointly owns.
Page 1 of 2
www.courtinfo.ca.govForm Approved for Optional Use 
Judicial Council of California CR-117 
[New January 1, 2004]
INSTRUCTIONS: DEFENDANT’S 
STATEMENT OF ASSETS

P.  Real Estate
List all real estate owned in defendant’s name or
jointly
Q.  Other Personal Property
List any valuable property that has not already been 
mentioned that defendant holds in his or her name or 
jointly.
R.  Assets
List all other assets, including stocks, bonds, and
mutual funds.
S.  Assets Held for You
If anyone is holding any assets for defendant, check
the “yes” box and describe the assets along with the
name and address of each person or entity holding
the assets.
T.  Transfer of Assets
List any disposal or transfer of assets that defendant
has made since his or her arrest on this matter.
U.  Loans
If defendant has any outstanding loans, list them 
here. Give the details of the loan including why the 
loan was taken and to what institution defendant
owes money.
V.  Taxes
If defendant owes any past taxes, give the details
here.
W.  Support Arrearages
If defendant owes child or spousal support, attach
copies of the orders and statements to this form.
X.  Credit Cards
If defendant owes money on any credit cards, list
the name of each creditor and the account number.
Y.  Other Debts
If defendant has any additional debts that have not yet been listed, write them down in the space provided.
Z.  Date and Signature
Indicate the date and defendant’s name and have defendant sign in the spaces provided.
AA.  Interpreter
If an interpreter was used to complete the document, he or she must print his or her name, include his or her signature, and indicate
the date.
Page 2 of 2CR-117 [New January 1, 2004]
INSTRUCTIONS: DEFENDANT’S 
STATEMENT OF ASSETS

Retrieval chunks

• #1

  Form ID: CR-117 Title: Instructions: Defendant's Statement of Assets Effective Date: 2004-01-01 Mandatory Form: no Languages: 汉语, 한국어, español, Tiếng Việt Info Page: https://selfhelp.courts.ca.gov/jcc-form/CR-117 Primary Download URL: https://www.courts.ca.gov/documents/cr117.pdf Alternate Download URLs: https:…

• #2

  If defendant is married and defendant’s spouse is employed, specify the name and address of his or her employer, job title, and division or office. L. Other Sources of Income If defendant has additional sources of income that have not been listed, write them here. M. Cash Write the amount of money defendant has…