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Estado de Massachusetts (Commonwealth of Massachusetts) 
Comarca (Division) _________________         Tribunal de Justiça (The Trial Court)         N° do Processo (Docket No.) _________________ 
Vara de Família e Sucessões (Probate and Family Court Department)  
DECLARAÇÃO DE BENS E RENDIMENTOS (FINANCIAL STATEMENT) 
(Formulário simplificado) (Short Form) 
 

INSTRUÇÕES: se seu rendimento anual  for igual ou superior a US$75.000,  você tem de preencher o FORMULÁRIO 
COMPLETO da declaração de bens e rendimentos, a não ser que o/a juiz/juíza ordene o contrário.  
(INSTRUCTIONS: if your income equals or exceeds $75,000.00 annually, you must complete the LONG FORM financial statement, unless otherwise ordered by the court). 

__________________ 
   PORTUGUESE 

__________________________________________        vs       ____________________________________________    

                     Réu ou Ré/Requerido/a (Defendant/Petitioner) 

 
 
1. DADOS PESSOAIS  (PERSONAL INFORMATION) 

Autor ou Autora/Requerente (Plaintiff/Petitioner) 
 

 

 

 

 

 
  

   Seu nome completo (Your Name) _____________________________________________________     N° do seguro social (Social Security No.)  _________________ 

 

 

 
    Endereço (Address) ________________________________________________________________  __________________________  _______________ _________ 
 
    Fone  ______________________________  Data de nascimento  _________________________  N° de menores residindo com você ___________________ 
                               (Date of Birth)           Mês/dia/ano (Month/Day/Year)             (No. of children living with you) 
     (Tel. No.)  

                           Cidade/Município (City/Town)          Estado (State) 

                          Número e nome da rua (Street  Address) 

   CEP (Zip) 

    

 

 

 

 

 

 

   Profissão (Occupation) _____________________________________ Empregador (Employer) ___________________________________________________________ 

 

 

 
    Endereço do empregador (Employer's Address) ___________________________________________  _______________________  ______________  _________ 
 
       Número e nome da rua (Street address)                  Cidade/Município (City/Town)        Estado (State)       CEP (Zip) 
    Fone (Tel. No.) ________________________________      Você tem seguro saúde? (Do you have health insurance coverage?)       Sim (Yes) (cid:0)

    Não (No) (cid:0)

 

 

 

 

 

 

 

   Se a resposta for positiva, qual o nome da sua seguradora?  (if yes, name of health insurance provider) ______________________________________________________ 

. RENDIMENTOS BRUTOS SEMANAIS/RECEBIMENTOS DE TODAS AS FONTES (GROSS WEEKLY INCOME/RECEIPTS FROM ALL SOURCES) 

   a) Pagamento básico proveniente de trabalho (Base pay from)  (cid:0)  Assalariado (Salary)  (cid:0)  Por hora (Wages)  

$_______________________________ 

   b) Horas extras (Overtime) 

   c) Trabalho de meio-expediente (Part-time job) 

$_______________________________ 

$_______________________________ 

   d) Trabalho autônomo  (Self-employment )  (anexe formulário A preenchido) (attach a completed schedule A)  

$_______________________________ 

   e) Gorjetas (Tips) 

 

$_______________________________ 

   g) (cid:0)  Dividendos (Dividends) 

(cid:0)  Juros (Interest) 

   h) (cid:0)  Fideicomissos (Trusts)   

(cid:0)  Anuidades (Annuities) 

$_______________________________ 

 

$_______________________________ 

   i)  (cid:0)  Pensões (Pensions)  

(cid:0)  Fundos de aposentadoria  (Retirement funds) 

$_______________________________ 

   j) Seguro social (Social Security)  

 Pensão alimentícia  

 Seguro de acidentes de trabalho   

   k) (cid:0)  Auxílio doença (cid:0)  Seguro desemprego   (cid:0)
             (Disability)  
         (Unemployment insurance)        (Worker's compensation) 
    l) Assistência pública (assistência social, pagamentos do A.F.D.C.) 
         [Public Assistance (Welfare, A. F.D.C.payments)] 
    m) (cid:0)
             (Child Support )   
    n) Valores relativos ao arrendamento de imóveis (anexar formulário B preenchido) 
         [Rental from income producing property (attach a completed Schedule B)] 
    o) Comissão de direitos autorais, uso de marcas e patentes, tecnologia, exploração de recursos naturais 
         (Royalties and other rights) 
    p) Contribuições financeiras de parceiros e/ou familiares  
         (Contributions from household member/s) 
    q) Outros - especificar (Other - specify)          

 Pensão (valores recebidos de ex-cônjuge ou ex-parceiro) 

   [Alimony (actually received)] 

     
   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$_______________________________ 

$_______________________________ 

$_______________________________ 

$_______________________________ 

$_______________________________ 

$_______________________________ 

$_______________________________ 

      ______________________________________________________________________ 

$_______________________________ 

     ______________________________________________________________________ 

$_______________________________ 

 
 
  
 
 

 
 
 
 
 

r) Total dos rendimentos brutos semanais/receitas 
     (Total Gross Weekly Income/Receipts) 
    (somar as linhas a, b, c, d, e, f, g, h, I, j, k , l , m , n , o , p , q)   
    (add items a-q) 

$_______________________________ 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 of 4 

 

 

 

 

 
 
 
 

J-D 301 S (7/07) _ Financial Statement (Short Form). OCIS. December, 2010  

    _

   

  2

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

 

 
 

    C

 

   f)  (cid:0)  Comissões (Commissions)     

(cid:0)  Bônus (Bonuses) 

$_______________________________                                                       

(cid:0)
 

 

 

 

 

 

 

 

 

__________________ 
   PORTUGUESE 

Estado de Massachusetts (Commonwealth of Massachusetts) 
Comarca (Division) _________________         Tribunal de Justiça (The Trial Court)        N° do Processo (Docket No.) _________________ 
Vara de Família e Sucessões (Probate and Family Court Department)  
DECLARAÇÃO DE BENS E RENDIMENTOS (FINANCIAL STATEMENT) 
(Formulário simplificado) (Short Form) 
 

3.  DISCRIMINAÇÃO DAS DEDUÇÕES RETIDAS NA FONTE (ITEMIZED DEDUCTIONS FROM GROSS INCOME) 

   a) Deduções sobre rendimentos, imposto federal ( ___________________________ isenções declaradas)   
        [Federal income tax deductions (claiming__exemptions)]     
    b) Deduções sobre rendimentos, imposto estadual ( __________________________ isenções declaradas)   
        [State income tax deductions (claiming __exemptions)] 
    c) F.I.C.A. e Medicare (F.I.C.A. and Medicare) 
    
    d) Seguro saúde (Medical Insurance) 
    
    e) Contribuições sindicais (Union Dues) 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$_____________________ 

$_____________________ 

$_____________________ 

$_____________________ 

$_____________________ 

) Total das Deduções (somar as linhas a, b, c, d, e) [Total Deductions (a through e)]  $_____________________ 

.  TOTAL RENDIMENTO SEMANAL LÍQUIDO REAJUSTADO (ADJUSTED NET WEEKLY INCOME) 

 

 

linha 2(r) menos linha 3(f) [2(r) minus 3(f)] 

 

$_____________________ 

. OUTRAS DEDUÇÕES RETIDAS NA FONTE POR TRABALHO ASSALARIADO/POR HORA  
     (OTHER DEDUCTIONS FROM SALARY/WAGES) 

   a) Sistema de crédito cooperativo (Credit Union)  (cid:0)  Pagamento de empréstimo (Loan repayment)  (cid:0) 

 Poupança (Savings) 

$_____________________ 

   b) Poupança (Savings) 

   c) Aposentadoria (Retirement) 

 

 

 

 

 

 

 

 

   d) Outro – Especificar (Por exemplo: pensão alimentícia, pagamento diferido ou fundo de aposentadoria 401K)  
          [Other-Specify (i.e. Child Support, Deferred Compensation or 401K)] 
 

e) Total das Deduções (somar as linhas  a, b, c, d) [Total Deductions (a through d)] 

 

 

 

 

 

 

 

 

 

 

 

. RENDIMENTO LÍQUIDO SEMANAL  (NET WEEKLY INCOME)  

Linha 4 menos linha 5(e)  [4  minus 5(e)] 

$_____________________ 

. RENDIMENTO BRUTO AUFERIDO NO ANO PASSADO (GROSS YEARLY INCOME FROM PRIOR YEAR) 
     (anexe cópias de todos formulários W-2 e 1099 do ano passado) (attach copy of all W-2 and 1099 forms for prior year) 
 

 

 

 

 

Número de anos de contribuição junto ao Seguro Social  _____________ 
(Number of years you have paid into Social Security) 

$_____________________ 

$_____________________ 

$_____________________ 

$_____________________ 

$_____________________ 

  f

 

 

 

 

 

 
 

.  DESPESAS SEMANAIS (WEEKLY EXPENSES) 

 

 

 

 

 

 

 

 

 

 
 

$_____________________ 
 
$_____________________ 
 
$_____________________ 
 
$_____________________ 
 
$_____________________ 
 
$_____________________ 
 
$_____________________ 
 
$_____________________ 
 
$_____________________  

    a) Aluguel ou hipoteca (PIT)   
        [Rent or Mortage (PIT)]  
 
    b) Seguro de proprietário/inquilino   
        (Homeowners/Tenant Insurance) 
 
    c) Manutenção e consertos    
 
        (Maintenance and Repair) 
 
    d) Calefação  
 
        (Heat)   
 
    e) Eletricidade e/ou gás  
 
        (Electricity and/or Gas) 
 
    f) Telefone  
 
       (Telephone) 
 
    g) Água/esgoto  
 
        (Water/Sewer) 
 
    h) Alimentação  
        (Food)   
 
    i) Artigos de manutenção para o lar 
       (House Supplies) 
    j) Lavanderia e lavagem a seco 
       (Laundry and Cleaning) 
    k) Vestuário  
 
        (Clothing) 
 
 
 
9.  HONORÁRIOS ADVOCATÍCIOS (COUNSEL FEES) 

$_____________________ 

$_____________________ 

 
 
 
 
 
 

 
 
 

 
 
 

 
 
 

 

 

 

 

 

 

 

 

 

 

 
 

 
 

   l) Seguro de vida    
      (Life Insurance) 
 
   m) Seguro saúde    
         (Medical Insurance)   
   n) Despesas médicas não cobertas por seguro  
       (Uninsured Medicals)   
   o) Extras e artigos de higiene e asseio pessoal 
       (Incidentals and Toiletries) 
   p) Despesas com veículos 
       (Motor Vehicle Expenses) 
   q) Prestação de financiamento de veículo 
       (Motor Vehicle Payment) 
   r) Creche e/ou babá 
       (Child Care) 
   s) Outros (especificar) 
       [Other (explain)] 
   _______________________ 

 
 
 

 
 
 

 
 
 

 

 

 

 

$_____________________ 

$_____________________ 
 
$_____________________ 

 

$_____________________ 

$_____________________ 

$_____________________ 

$_____________________ 
 
$_____________________ 

 

                  $_____________________ 

   _______________________ 

 

$_____________________ 

t) Total das despesas semanais (Total Weekly Expenses)  
   (Somar as linhas a, b, c, d, e, f, g, h, i, j. k, l, m, n, o, p, q, r, s) (a through s) 
      

$_____________________ 

    a) Depósito inicial efetuado quando da contratação do/s advogado/s  [Retainer amount(s) paid to your attorney(s)]  

$_____________________ 

    b) Honorários legais incorridos até esta data, contra o/s depósito/s inicial/ais [Legal fees incurred, to date, against retainer(s)] 

$_____________________ 

    c) Previsão do total das despesas deste litígio:  

 

 

          

               de $_____________________   a  $_____________________ 

    

2 of 4 

J-D 301 S (7/07) _ Financial Statement (Short Form). OCIS. December, 2010  

 

   

  4

 

  5

   

   

   

   

  6

  7

  8

 

    C

 

        (Anticipated range of total legal expense to litigate this action)  

 
Estado de Massachusetts (Commonwealth of Massachusetts) 
Comarca (Division) _________________         Tribunal de Justiça (The Trial Court)        N° do Processo (Docket No.) _________________ 
Vara de Família e Sucessões (Probate and Family Court Department)  
RELATÓRIO FINANCEIRO (FINANCIAL STATEMENT) 
(Formulário simplificado) (Short Form) 
 

10. BENS (ASSETS) (se for necessário, anexar outra folha) (attach additional sheet if necessary) 

__________________ 
   PORTUGUESE 

         Localização (Location) _____________________________________________________________ 

         Escritura do imóvel em nome de (Title held in the name of)  _________________________________ 

) Imóvel (Real Estate) 

  a

         Valor de mercado  $_________________________  - Hipoteca $_________________________= Patrimônio líquido  
            (Mortgage) 
             (Fair Market Value) 

                     (Equity) 

     

 

 

 

$_____________________ 

     b) Veículos (Motor Vehicles) 

         Valor de mercado  $_________________________  - Empréstimo $______________________ = Patrimônio líquido  
             (Fair Market Value) 
          Valor de mercado  $_________________________  - Empréstimo $______________________ = Patrimônio líquido  
              (Fair Market Value) 

         (Motor Vehicle Loan) 

         (Motor Vehicle Loan) 

   (Equity) 

   (Equity) 

    

   

 

 

 

 

 

 

 

$_____________________ 

$_____________________ 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

      

       

       

       

       

       

       

       

      

      

$ 

$ 

$ 

$ 

$ 

         _____________________________________________________________________________ 

     d) Fundo/s de aposentadoria com imposto diferido [Tax Deferred Annuity Plan(s)] 

 
 
 
 
      e) Seguro de vida: Valor de resgate líquido atualizado (Life Insurance: Present Cash Value) 
 

 

 

 

 

 

 

 

 

f) Cadernetas de poupança & contas correntes, aplicações no mercado financeiro, certificados de                                    

depósitos bancários,  mantidos individual ou conjuntamente, em nome de terceiros sendo você o 
beneficiário ou em seu nome tendo seu/s dependente/s menor/es como beneficiários [Savings & Checking 
Accounts, Money Market Accounts, Certificates of Deposit-which are held individually, jointly, in the name of another person for your 
benefit, or held by you for the benefit of your minor child(ren)] 

         Nome da instituição financeira ou nome do plano e número da conta  
             (Financial Institution or Plan Name and Account Number) 

$_____________________ 

$_____________________   

$_____________________ 

         _____________________________________________________________________________ 

$_____________________ 

         _____________________________________________________________________________ 

$_____________________      

         _____________________________________________________________________________ 

$_____________________    

      g) Outros (por ex.: ações, obrigações, cobranças) [Other (e.g. stocks, bonds, collections)] 

         _____________________________________________________________________________ 

         _____________________________________________________________________________ 

$_____________________     

$_____________________     

h) Valor total dos bens (somar linhas a, b, c, d, e, f, g) [Total Assets (a through g)] 

 

             

1. DÍVIDAS (Não liste as despesas declaradas no item 8 acima) [LIABILITIES (Do not list expenses shown in item 8 above)] 

______________________________________________________________________________________________________________________________________ 

 
 
______________________________________________________________________________________________________________________________________ 

              Saldo devedor  
                   (Amount  Due) 

 Pagamento Semanal 
(Weekly Payment) 

Natureza da dívida    
 
(Nature of Debt) 

Data de incidência  
(Date Incurred) 

Credor  
(Creditor) 

      
               

 

_________________________________________________________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________________________________________________________ 

_________________________________________________________________________________________________________________________________________________________________________________ 

 

 

 

 

 

 

 

 

 

 

 

 

      

          $  

      

          $  

      

          $  

      

          $  

) Total devido (Total Liabilities)  

              

               $  

3 of 4 

 

 

 

 

  e

 

 

 

 

 

 

 

 

 

 

 

 

         _____________________________________________________________________________ 

$_____________________ 

         _____________________________________________________________________________ 

$_____________________ 

J-D 301 S (7/07) _ Financial Statement (Short Form). OCIS. December, 2010  

     c) IRA, Keogh, pensão, participação nos lucros, outros planos de aposentadoria  
           (IRA, Keogh, Pension, Profit Sharing, Other Retirement Plans)  

         Nome da instituição financeira ou nome do plano e número da conta 
            (Financial Institution or Plan Name and Account Number) 

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

  1

) 

  a

) 

  b

) 

  c

) 

  d

 

    C

 

__________________ 
   PORTUGUESE 

 
Estado de Massachusetts (Commonwealth of Massachusetts) 
Comarca (Division) _________________         Tribunal de Justiça (The Trial Court)        N° do Processo (Docket No.) _________________ 
Vara de Família e Sucessões (Probate and Family Court Department)  
RELATÓRIO FINANCEIRO (FINANCIAL STATEMENT) 
(Formulário simplificado) (Short Form) 
 
CERTIFICADO 
(CERTIFICATION) 
 
Eu, abaixo assinado, certifico sob pena de perjúrio que as informações prestadas sem omissões, nesta declaração 
de  bens e rendimentos e, se incluídos, no/s Anexo/s são verdadeiras e corretas.  
(I certify under the penalties of perjury that the information stated on this Financial Statement and the attached schedules, if any, is complete, true, and accurate). 

 

ata _________________________ 
(Date)     Mês/dia/ano (Month/day/year)  

Assinatura _____________________________________________________________________________ 
(Signature) 

INSTRUCTIONS: In any case where an attorney is appearing for a party, said attorney 
 
MUST complete the Statement by Attorney. 
 
 (INSTRUÇÕES: Em processos nos quais uma das partes tem um/a advogado/a representando-o/a,  tal advogado/a TEM de completar a declaração abaixo). 

STATEMENT BY ATTORNEY 

 

(DECLARAÇÃO DO/A ADVOGADO/A) 
 
I the undersigned attorney, am admitted to practice law in the Commonwealth of Massachusetts--am admitted pro 
hoc vice for the purposes of this case-and am an officer of the court. As the attorney for the party on whose behalf 
this Financial Statement is submitted, I hereby state to the court that I have no knowledge that any of the 
information contained herein is false.  
(Eu, abaixo assinado/a, advogado/a, sou autorizado/a a exercer a atividade de advocacia no estado de Massachusetts --- fui admitido/a pro hac vice neste processo e sou subordinado/a ao Tribunal de 
Justiça. Como advogado/a da parte em nome da qual se submete esta declaração de bens e rendimentos, declaro pela presente às autoridades competentes não ter conhecimento de que esta 
contenha informações falsas). 

  B.B.O. # ____________________________________ 
   (N°de Inscrição) 

 

 

 

 

 

    _____________________________________________ 
 
 
 
    _____________________________________________ 
         
       (Print name) 
 

    
(Signature of attorney) 
                (Assinatura do/a advogado/a) 
 
 

          
                   (Nome em letra de forma) 

 

 

 

                      (Street address) 
                  (Número e nome da rua) 
 

      _____________________________________________ 
 
 
 
    _____________________________________________ 
 
                               (Cidade/Município) (Estado) (CEP) 

                 (City/Town) (State) (Zip) 

 

 

 

 

  Te l. No. ____________________________________ 
   (Telefone:) 

 
 
 
 
 
 
 

   

 
 
 
 
 
 

   

 

     

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 

 

 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 

 

 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 

 

 
 

 
 
 
 
 
 
 
 

 
 
 
 
 
 
 

 

 
 

ate    _________________________ 
(Data)     Month/day/year (Mês/dia/ano) 
 
 
 
 
 
 

 
 
 
 
 
 

 
 
 
 
 
 

 
 
 
 
 
 

 
 
 
 
 
 
 

 

 
 

 
 
 
 
 
 
 

 

 
 

 
 
 
 
 
 
 

 

 
 

 
   

 

4 of 4 

J-D 301 S (7/07) _ Financial Statement (Short Form). OCIS. December, 2010  

   D

      

   

   D

 
 
 
 
 
 
 

 

   

 

    C

Declaração de bens e rendimentos / Financial Statement - Short Form

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.mass.gov (2023-03)
Page(s): 4
Fields(s): 135
Average fields per page: 33
Reading Level: Grade 13
LIST Grouping(s): GO-00-00-00-00.

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page_field__51 was page_1_field_26 (0.36 conf)
page_field__52 was page_1_field_27 (0.36 conf)
page_field__53 was page_1_field_28 (0.36 conf)
page_field__54 was page_1_field_29 (0.36 conf)
page_field__55 was page_1_field_30 (0.36 conf)
page_field__56 was page_1_field_31 (0.36 conf)
page_field__57 was page_1_field_32 (0.36 conf)
page_field__58 was page_1_field_33 (0.36 conf)
page_field__59 was page_1_field_34 (0.36 conf)
page_field__60 was page_1_field_35 (0.36 conf)
page_field__61 was page_1_field_36 (0.36 conf)
explain was other__explain (0.35 conf)
page_field__62 was page_1_field_38 (0.32 conf)
page_field__63 was page_1_field_39 (0.32 conf)
page_field__64 was page_1_field_40 (0.36 conf)
page_field__65 was page_1_field_41 (0.32 conf)
page_field__66 was page_1_field_42 (0.32 conf)
page_field__67 was page_1_field_43 (0.32 conf)
page_field__68 was page_1_field_44 (0.32 conf)
page_field__69 was page_1_field_45 (0.36 conf)
page_field__70 was page_1_field_46 (0.32 conf)
a was a (0.32 conf)
page_field__71 was page_2_field_0 (0.31 conf)
page_field__72 was page_2_field_1 (0.36 conf)
legal_expense_litigate was anticipated_range_of_total_legal_expense_to_litigate_this_action (0.37 conf)
bens_assets_se_necess_rio_anexar_outra_folha_attach_additional_sheet_necessary was 10__bens__assets_se_for_necessário__anexar_outra_folha_attach_additional_sheet_if_necessary (0.51 conf)
hipoteca was hipoteca (0.48 conf)
page_field__73 was page_2_field_5 (0.36 conf)
page_field__74 was page_2_field_6 (0.36 conf)
escritura_im_vel_em_nome_de_title_held_name was escritura_do_imóvel_em_nome_de__title_held_in_the_name_of (0.41 conf)
page_field__75 was page_2_field_8 (0.36 conf)
empr_stimo was empréstimo (0.35 conf)
page_field__76 was page_2_field_10 (0.36 conf)
page_field__77 was page_2_field_11 (0.36 conf)
page_field__78 was page_2_field_12 (0.36 conf)
page_field__79 was page_2_field_13 (0.36 conf)
page_field__80 was page_2_field_14 (0.36 conf)
financial_institution_number was financial_institution_or_plan_name_and_account_number (0.39 conf)
page_field__81 was page_2_field_16 (0.36 conf)
page_field__82 was page_2_field_17 (0.36 conf)
page_field__83 was page_2_field_18 (0.36 conf)
fundo_de_aposentadoria_com_imposto_diferido_tax_deferred_annuity_plan was d__fundo_s_de_aposentadoria_com_imposto_diferido__tax_deferred_annuity_plan_s (0.41 conf)
page_field__84 was page_2_field_20 (0.36 conf)
page_field__85 was page_2_field_21 (0.36 conf)
page_field__86 was page_2_field_22 (0.36 conf)
page_field__87 was page_2_field_23 (0.36 conf)
page_field__88 was page_2_field_24 (0.36 conf)
page_field__89 was page_2_field_25 (0.36 conf)
page_field__90 was page_2_field_26 (0.36 conf)
g_outros_por_ex_es_obriga_cobran_e_stocks_bonds_collections was g__outros__por_ex_ações__obrigações__cobranças_other__e_g__stocks__bonds__collections (0.45 conf)
page_field__91 was page_2_field_28 (0.36 conf)
page_field__92 was page_2_field_29 (0.36 conf)
page_field__93 was page_2_field_30 (0.36 conf)
page_field__94 was page_2_field_31 (0.36 conf)
page_field__95 was page_3_field_0 (0.31 conf)
page_field__96 was page_3_field_1 (0.36 conf)
page_field__97 was page_3_field_2 (0.36 conf)
assinatura was assinatura (0.46 conf)
date_dia_ano_month_day_year was date_mês_dia_ano__month_day_year (0.36 conf)
assinatura_advogado was assinatura_do_a_advogado_a (0.44 conf)
data_month_day_year_dia_ano was data_month_day_year__mês_dia_ano (0.35 conf)
nome_em_letra_de_forma was nome_em_letra_de_forma (0.52 conf)
street_n_e_nome_da_rua was street_address_número_e_nome_da_rua (0.44 conf)
cidade_munic_pio_estado_cep was cidade_município_estado_cep (0.45 conf)
city_town_state_zip was city_town_state_zip (0.39 conf)
n_de_inscri was n_de_inscrição (0.44 conf)

We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

portuguese
page_field__1
de_fam_e_es_court
r_u_defendant_petitioner
form_unless_otherwise
cep_zip
date_birth_dia_ano_month_day_year_children_living
page_field__2
cidade_munic_pio_city_town_estado_state
n_seguro_social_security
n_e_nome_da_rua_street
page_field__3
empregador_employer
fone
n_e_nome_da_street_city
data_de_nascimento
page_field__4
n_cid
voc_tem_seguro_sa_de_health_insurance_coverage_sim_yes_cid
page_field__5
endere_empregador_employer_address
page_field__6
af_f
page_field__7
page_field__8
page_field__9
page_field__10
page_field__11
page_field__12
page_field__13
page_field__14
page_field__15
page_field__16
page_field__17
page_field__18
page_field__19
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page_field__22
q_outros_especificar_specify
page_field__23
page_field__24
page_field__25
page_field__26
page_field__27
page_field__28
page_field__29
formul_rio_simplificado_short_form
page_field__30
page_field__31
page_field__32
page_field__33
page_field__34
page_field__35
page_field__36
page_field__37
page_field__38
page_field__39
page_field__40
page_field__41
page_field__42
page_field__43
page_field__44
page_field__45
page_field__46
page_field__47
page_field__48
page_field__49
page_field__50
page_field__51
page_field__52
page_field__53
page_field__54
page_field__55
page_field__56
page_field__57
page_field__58
page_field__59
page_field__60
page_field__61
explain
page_field__62
page_field__63
page_field__64
page_field__65
page_field__66
page_field__67
page_field__68
page_field__69
page_field__70
a
page_field__71
page_field__72
legal_expense_litigate
bens_assets_se_necess_rio_anexar_outra_folha_attach_additional_sheet_necessary
hipoteca
page_field__73
page_field__74
escritura_im_vel_em_nome_de_title_held_name
page_field__75
empr_stimo
page_field__76
page_field__77
page_field__78
page_field__79
page_field__80
financial_institution_number
page_field__81
page_field__82
page_field__83
fundo_de_aposentadoria_com_imposto_diferido_tax_deferred_annuity_plan
page_field__84
page_field__85
page_field__86
page_field__87
page_field__88
page_field__89
page_field__90
g_outros_por_ex_es_obriga_cobran_e_stocks_bonds_collections
page_field__91
page_field__92
page_field__93
page_field__94
page_field__95
page_field__96
page_field__97
assinatura
date_dia_ano_month_day_year
assinatura_advogado
data_month_day_year_dia_ano
nome_em_letra_de_forma
street_n_e_nome_da_rua
cidade_munic_pio_estado_cep
city_town_state_zip
n_de_inscri

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Declaração de bens e rendimentos / Financial Statement - Short Form

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02