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EJ-165Optional

Financial Statement

California · Judicial Council of California · Effective January 1, 2007

This form asks for a detailed look at your money situation, including your income, property you own, and your monthly expenses. It is used to show the court if certain property should be allowed to keep its value when money is being taken to pay a judgment.

The court describes it as: Describes your financial situation if you claim property is exempt from collection based on your financial status. Is attached to form EJ-160.

Open the official PDFfrom Judicial Council of California

Where this fits in a case

Motions

Stage: Motions

This form is used when a judgment has already been made and money is being taken from wages to pay that judgment. It is attached to form EJ-160.

Either party may file.

Official instructions

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

Common questions

Who must sign this form if the person is married?
If you are married, this form must be signed by your spouse unless you and your spouse are living separate and apart.
What information does this form ask for?
It asks for details about your monthly income, property you and your spouse own, your monthly expenses, and any debts you owe.
Is there a fee mentioned for filing this form?
The provided text does not mention any filing fees for this form.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2007.

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