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FA-4139V

Financial Disclosure Statement

Wisconsin · Wisconsin Court System · Effective December 16, 2022

This form asks a person to give the court a complete picture of their money situation, including things they own, things they owe, how much money they make, and how much money they spend. It is a voluntary form that can be filled out by either party.

The court describes it as: This form is used by a party to provide the court and other parties a comprehensive disclosure of their financial situation, including assets, liabilities, income and expenses. Available in Spanish. Voluntary form.

Open the official PDFfrom Wisconsin Court System

Where this fits in a case

Motions

Stage: Motions

This form is used by a party to provide the court with a full report of their finances. It must be filed with the court by a certain time, but no later than 90 days after a Summons and Petition is served or a Joint Petition is filed.

Either party may file.

Official instructions

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

Common questions

Who should fill out this form?
The form has sections for both Petitioner/Joint Petitioner A and Respondent/Joint Petitioner B, suggesting either party can complete it.
Is there a deadline for filing this form?
The form must be filed with the court by the time set by the court, but no later than 90 days after the Summons and Petition is served or a Joint Petition is filed.
What happens if I don't file this form?
If a party fails to complete and file this form or attachments, the court can accept the statement from the other party as the basis for its decisions.

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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