Form FC 5 20 No. Family Court for the Province of Nova Scotia Between: Applicant and Respondent Statement of Undue Hardship Circumstances ________________________________________ of prepared on , 20___ I [make and give evidence as follows: oath/affirm] 1. I am claiming undue hardship on the basis of one or more of the following circumstances: [indicate which of the following you are claiming] (a) I am responsible for an unusually high level of debts, which I had reasonably □ incurred to support myself, the other party and our child or children prior to our separation; (b) I am responsible for an unusually high of debts, which I have reasonably □ incurred to earn a living; (c) I have unusually high expenses in relation to exercising parenting time with my □ child; (d) I have a legal duty under a judgment, order or written separation agreement to □ support any person (other than the child(ren) to whom this proceeding relates); (e) I have a legal duty to support a dependent child in my household (other than the □ child(ren) to whom this proceeding relates); (f) I have a legal duty to support an adult person who is unable, by reason of □ illness, disability or other cause, to obtain the necessaries of life; (g) I have some undue hardship circumstance: □ [be as specific as possible]
Form FC 5 20 No. Family Court for the Province of Nova Scotia Between: Applicant and Respondent Statement of Undue Hardship Circumstances of ________________________________________ prepared on , 20___ I [make oath/affirm] and give evidence as follows: 1. I am claiming undue hardship on the basis of one or more of the following circumstances: [indicate which of the following you are claiming] □ (a) I am responsible for an unusually high level of debts, which I had reasonably incurred to support myself, the other party and our child or children prior to our separation; □ (b) I am responsible for an unusually high of debts, which I have reasonably incurred to earn a living; □ (c) I have unusually high expenses in relation to exercising parenting time with my child; □ (d) I have a legal duty under a judgment, order or written separation agreement to support any person (other than the child(ren) to whom this proceeding relates); □ (e) I have a legal duty to support a dependent child in my household (other than the child(ren) to whom this proceeding relates); □ (f) I have a legal duty to support an adult person who is unable, by reason of illness, disability or other cause, to obtain the necessaries of life; □ (g) I have some undue hardship circumstance: [be as specific as possible]
nsfc_Form_FC5_StatementofUndueHardship_17_05.docx