EJ-144 - Financial Statement—Consumer Debt

Summary

Financial Statement—Consumer Debt

Text

Form ID: EJ-144
Title: Financial Statement—Consumer Debt
Effective Date: 2025-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/EJ-144
Primary Download URL: https://www.courts.ca.gov/documents/ej144.pdf
Form Detail Page:
Financial Statement—Consumer Debt
(EJ-144)
In a case where the judgment concerns consumer debt, respond to an order requiring you to come to court for a debtor’s examination by providing your financial information in writing to the judgment creditor.
Get form EJ-144
Effective: January 1, 2025
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How-to instructions for Debt Collection
PDF Text:
Form Adopted for Mandatory Use  
Judicial Council of California 
EJ-144 [New January 1, 2025]
FINANCIAL STATEMENT—CONSUMER DEBT Code of Civil Procedure, § 708.111 
www.courts.ca.gov
SERVE ON JUDGMENT CREDITOR. DO NOT FILE WITH COURT EJ-144
ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NO.:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (name):
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
FOR COURT USE ONLY
FINANCIAL STATEMENT—CONSUMER DEBT
CASE NUMBER:
Instructions to the judgment debtor for completing this form:  
Use this form if you have been ordered to appear for examination (come to court to provide information about your income and assets) and you 
want to provide your financial information in writing instead of coming to court. You can use this form only if you are the judgment debtor, the 
judgment concerns consumer debt, and the judgment was awarded on or after January 1, 2025. (Code Civ. Proc., § 708.111.)  
If you are the judgment debtor (the person completing this form), do not file this form with the court. Instead, you must serve (give) this form on 
the judgment creditor no later than 15 days before the examination. 
If you complete this form, you must also complete Notice of Financial Statement—Consumer Debt  (form EJ-143). Read Information on Debtor's 
Examinations Regarding Consumer Debt (form EJ-140-INFO/SC-136-INFO) for more instructions on using this form and form EJ-143. 
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1. I have read Exemptions From the Enforcement of Judgments (form EJ-155) and Current Dollar Amounts of Exemptions From 
Enforcement of Judgments (form EJ-156) and (check one)
a. none of the money I earn (income) or money or property I own (assets) is exempt ("exempt" means it cannot be 
collected by a judgment creditor).
b. all of my money and property is exempt.
c. some of my money and property is exempt. The exempt money or property is (describe the money or property; you do 
not need to include the dollar amount or value):
Some or all of my money or property is exempt because it is needed to support me, my spouse, or persons who depend on 
me and my spouse for support. (As used in this form, "spouse" includes registered domestic partners. (Code Civ. Proc.,  
§ 17(b)(12).))
2.
Page 1 of 4

EJ-144 [New January 1, 2025] FINANCIAL STATEMENT—CONSUMER DEBT
EJ-144
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
3. My monthly income (if more space is needed to complete any of the lettered subdivisions below,  
a page labeled Attachment 3, and label the information on the attachment with the relevant subdivision letter) 
check here and attach
a. My gross monthly income from employment is ................................................................................... 3a. $
b. My monthly payroll deductions are (specify purpose and amount)
(1) Federal and state withholding, FICA, and SDI ............................................ $
(2) $
(3) $
(4) $
(5) $
(6) $
My TOTAL monthly payroll deduction amount is (add (1) through ..................................................... b.$
c. My monthly take-home pay is (a minus b): ......................................................................................... c.$
d. My monthly income from all sources other than employment is (list the source and amount of any income you get each month 
from sources other than employment, including spousal/child support, retirement, social security, disability, unemployment, 
military basic allowance for quarters (BAQ), veterans payments, dividends, interest, trust income, annuities, net business or 
rental income, reimbursement for job-related expenses, gambling or lottery winnings, etc.): 
(1) $
(2) $
(3) $
(4) $
(5) $
(6) $
d. $My TOTAL other income is (add (1) through (6)): ...............................................................................
e. TOTAL MONTHLY INCOME (c plus d) ................................................................................................ e.$
4. If you claimed in item 2 that some or all of your money or property is exempt because it is needed to support you, your spouse, or  
persons who depend on you or your spouse for support, list your spouse and all persons other than you who depend, in whole or in 
part, on you or your spouse for support. Also list their total monthly take-home income and the sources of that income.  
(If more space is needed, check here and attach a page labeled Attachment 4.)
Name Age Relationship to Me
Spouse
Monthly Take-Home 
Income and Source
a.
b.
c.
d.
e.
f.
g.
Page 2 of 4

EJ-144 [New January 1, 2025] FINANCIAL STATEMENT—CONSUMER DEBT
EJ-144
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
5. My money and property (If you claimed in item 2 that some or all of your money or property is exempt because it is needed to 
support you, your spouse, or persons who depend on you or your spouse for support, include both your money and the money and 
property of your spouse and dependents. If more space is needed to complete any of the lettered subdivisions below, 
 
subdivision letter.)
check here and attach a page labeled Attachment 5, and label the information on the attachment with the relevant
a. Cash .................................................................................................................................................... 5a. $
b. Checking, savings, and credit union accounts (list bank name and amount):
(1) $
(2) $
(3) $
b. $TOTAL value of financial accounts is (add (1) through (3)): ................................................................
c. Cars, boats, and other vehicles:
Make/Year
Amount Still 
Owed
Fair Market 
Value
(1) $ $
(2) $ $
(3) $ $
d. Real estate:
Address
Amount Still 
Owed
Fair Market 
Value
(1) $ $
(2) $ $
e. Other personal property (jewelry, furniture, furs, stocks, bonds, life insurance policies, business ownership interests, etc.):
Describe
Amount Still 
Owed
Fair Market 
Value
(1) $ $
(2) $ $
(3) $ $
6. My monthly expenses (If you claimed in item 2 that some or all of your money or property is exempt because it is needed to 
support you, your spouse, or persons who depend on you or your spouse for support, include both your expenses and the 
expenses of your spouse and dependents. If more space is needed to complete any of the lettered subdivisions below, 
 
subdivision letter.)
a. Rent or house payment and maintenance ................................................................................ 6a.$
b. Food and household supplies .................................................................................................... b.$
c. Utilities and telephone ............................................................................................................... c.$
d. Clothing ...................................................................................................................................... d.$
e. Medical and dental payments .................................................................................................... e.$
f. Insurance (life, health, accident, etc.) ........................................................................................ f. $
g. School, childcare ...................................................................................................................... g.$
h. Child, spousal support (another marriage) ................................................................................. h.$
i. Transportation, gas, auto repair, and insurance (list car payments in item 9) ........................... i. $
j. Installment payments (insert total and itemize below in item 9) ................................................. j. $
k. Laundry and cleaning ................................................................................................................. k.$
l.
l(1) $
Any other monthly expenses (list each below)
(1)
(2)
(3)
l(2) $
l(3) $
m. TOTAL MONTHLY EXPENSES (add a through l): .................................................................... m.$
check here and attach a page labeled Attachment 6, and label the information on the attachment with the relevant
Page 3 of 4

EJ-144 [New January 1, 2025] FINANCIAL STATEMENT—CONSUMER DEBT Page 4 of 4
EJ-144
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
7. My debts (If you claimed in item 2 that some or all of your money or property is exempt because it is needed to support you, your 
spouse, or persons who depend on you or your spouse for support, include both your debts and the debts owed by your spouse 
and dependents. If more space is needed, check here and attach a page labeled Attachment 7.)
Creditor's Name For Monthly Payments Balance Owed
Owed By 
 (state person's name)
a.
b.
c.
d.
e.
f.
8. Other relevant facts about your financial situation (for example, unusual medical needs, school tuition, expenses for recent family 
emergencies, or other unusual expenses to help your creditor and the judge understand your budget) (Describe; if more space is 
needed, check here and attach a page labeled Attachment 8):
9. If you claimed in item 2 that some or all of your money or property is exempt from enforcement of judgment because it is needed to 
support you, your spouse, or any persons who depend on you or your spouse for support, your spouse must also sign this form, 
unless you and your spouse live separate and apart.
My spouse has signed below.
My spouse and I are living separate and apart.
I have no spouse.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
 (SIGNATURE)
(TYPE OR PRINT NAME OF SPOUSE)
 SIGNATURE OF SPOUSE)

Retrieval chunks

• #1

  Form ID: EJ-144 Title: Financial Statement—Consumer Debt Effective Date: 2025-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/EJ-144 Primary Download URL: https://www.courts.ca.gov/documents/ej144.pdf Form Detail Page: Financial Statement—Consumer Debt (EJ-144) In a case where the…

• #2

  a. none of the money I earn (income) or money or property I own (assets) is exempt ("exempt" means it cannot be collected by a judgment creditor). b. all of my money and property is exempt. c. some of my money and property is exempt. The exempt money or property is (describe the money or property; you do not need …

• #3

  4. If you claimed in item 2 that some or all of your money or property is exempt because it is needed to support you, your spouse, or persons who depend on you or your spouse for support, list your spouse and all persons other than you who depend, in whole or in part, on you or your spouse for support. Also list the…

• #4

  a. Rent or house payment and maintenance ................................................................................ 6a.$ b. Food and household supplies .................................................................................................... b.$ c. Utilities and telephone ...........................…

• #5

  8. Other relevant facts about your financial situation (for example, unusual medical needs, school tuition, expenses for recent family emergencies, or other unusual expenses to help your creditor and the judge understand your budget) (Describe; if more space is needed, check here and attach a page labeled Attachment…