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Write "Question 1Other Jobs" at the top.) 2. Income and Expense Declaration (FL-150).Give your financial information to the court and to your spouse or domestic partner. G. Payments I make on debts. H. Child support I pay to others for children not in my custody and not involved in this proceeding. An income statement is one of the three major financial statements that report a company's financial performance over a specific accounting period. If you are self-employed, you must attach the last. This form must be completed and filed with the original appeal form. It is recommended that you print a copy of this document first, then use the step-by-step instructions to complete the form. Attach proof of income (i.e.