FINANCIAL AFFIDAVIT 11.02

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IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS IN RE: The Marriage of: Custody of: Support of: ) ) ) Harold J Jones ) Petitioner ) and ) No. 44-32323 ) Marianne P Jones ) Respondent ) FINANCIAL AFFIDAVIT 11.02 Affiant, Harold J Jones, having been duly sworn, upon oath, states that the information contained herein is true and correct as of 11/3/2008 Name: Harold J Jones Telephone No: 610-444-5555 Address: 17 Merion Ln Petitioner Date of Birth: 4/5/1970 Merion, IL 19333 Respondent Date of Birth: 11/20/1973 Date of Marriage: 3/7/1995 Date of Dissolution of Marriage: 4/17/2005 Minor and/or Dependent Children of this Marriage: Name Date of Birth Currently Living With Tiffany 4/5/1998 Marianne Amber 12/2/2000 Marianne Current Employer: Address: Self Employment: Address: Other Employment: Address: Check if unemployed Number of Paychecks per year: 12 24 26 52 Other Number of Exemptions claimed: 3 Number of Dependents claimed: 2 Gross Income from all sources last year: Gross income from all sources this year through: : $

STATEMENT OF INCOME Gross Monthly Income Salary / Wages / Base Pay $ 14,583 Overtime / Commission $ 0 Bonus $ 667 Draw $ 0 Pension and Retirement Benefits $ 0 Annuity $ 0 Interest income $ 0 Dividend income $ 42 Trust income $ 0 Social Security $ 0 Unemployment benefits $ 0 Disability payment $ 0 Worker's Compensation $ 0 Public Aid / Food Stamps $ 0 Investment income $ 0 Rental income $ 333 Business income (including non-taxable distributions) $ 0 Partnership income $ 0 Royalty income $ 0 Fellowship / stipends $ 0 Other income: $ 0 TOTAL GROSS MONTHLY INCOME: $ 15,625 $ 15,625 Additional Cash Flow (Monthly) Spousal support received (specify) Pursuant to a prior judgment or order in another case $ 0 Pursuant to a prior judgment or order in this case $ 0 Voluntarily paid in this case $ Child Support received (specify) Pursuant to a prior judgment or order in another case $ 0 Pursuant to a prior judgment or order in this case $ 0 Voluntarily paid in this case $ TOTAL ADDITIONAL CASH FLOW: $ 0 $ 0 Required Monthly Deductions Federal Tax (based on 3 exemptions) $ 0 State Tax (based on 3 exemptions) $ 0 FICA (or Social Security equivalent) $ 0 Medicare Tax $ 0 Mandatory retirement contributions required by law or as condition of employment $ 0 Union Dues (Name of Union: ) $ 0 Health / hospitalization Premiums $ Prior obligation(s) of support actually paid pursuant to Court order $ 200 Other: $ 0 TOTAL REQUIRED DEDUCTIONS FROM INCOME: $ 200 $ 200 NET MONTHLY INCOME: $ 15,425 $ 15,425

STATEMENT OF MONTHLY LIVING EXPENSES 1. Household a. Mortgage or rent (specify): Mortgage $ 200 b. Home equity loan payment $ 0 c. Real estate taxes, assessments $ 417 d. Homeowners or renters insurance $ 67 e. Heat / fuel $ 100 f. Electricity $ 75 g. Telephone (include long distance) $ 110 h. Water and Sewer $ 42 i. Refuse removal $ 0 j. Laundry / dry cleaning $ 3 k. Maid / cleaning service $ 325 l. Furniture and appliance repair / replacement $ 100 m. Lawn and garden care / snow removal $ 325 n. Food (groceries, household supplies, etc.) $ 217 o. Liquor, beer, wine, etc. $ 0 p. Other: $ 0 SUBTOTAL HOUSEHOLD EXPENSES: $ 1,981 $ 1,981 2. Transportation a. Fuel $ 130 b. Repairs / maintenance $ 75 c. Insurance / license / city stickers $ 83 d. Payments / replacement $ 543 e. Other: Parking $ 43 SUBTOTAL TRANSPORTATION EXPENSES: $ 874 $ 874 3. Personal a. Clothing $ 67 b. Grooming $ 9 c. Medical (after insurance proceeds / reimbursement) (1) Doctor $ 0 (2) Dentist $ 0 (3) Optical $ 0 (4) Medication $ 87 d. Insurance (1) Life $ 0 (2) Medical / Hospitalization $ 500 (3) Dental / Optical $ 0 e. Other: $ 0 SUBTOTAL PERSONAL EXPENSES: $ 663 $ 663 4. Miscellaneous: a. Clubs / social obligations / entertainment $ 300 b. Newspapers, magazines, books $ 0 c. Gifts $ 42 d. Donations, church or religious affiliations $ 166 e. Vacations $ 167 f. Other: see attached Schedule A - Other Misc Expense $ 291 SUBTOTAL MISCELLANEOUS EXPENSES: $ 966 $ 966

5. Expenses of Minor and / or Dependent Children of this Marriage: a. Clothing $ 0 b. Grooming $ 0 c. Education (1) Tuition $ 0 (2) Books / Fees $ 0 (3) Lunches $ 0 (4) Transportation $ 0 (5) Activities $ 0 d. Medical (after insurance proceeds / reimbursement) (1) Doctor $ 0 (2) Dentist $ 0 (3) Optical $ 0 (4) Medication $ 0 e. Allowance $ 0 f. Child care / After-school care $ 0 g. Sitters $ 0 h. Lesson and supplies $ 0 i. Clubs / Summer Camps $ 0 j. Vacation $ 0 k. Entertainment $ 0 l. Other: $ 0 SUBTOTAL CHILDREN'S EXPENSES: $ 0 $ 0 TOTAL MONTHLY LIVING EXPENSES: $ 4,484 $ 4,484

STATEMENT OF LIABILITIES Monthly Creditor's Name Payment For Balance Due Payment 1. MasterCard Bank Two $ 3,456 $ 38 2. VISA Country Card $ 775 $ 60 3. $ $ 4. $ $ 5. $ $ 6. $ $ 7. $ $ 8. $ $ 9. $ $ 10. $ $ 11. $ $ 12. $ $ 13. $ $ 14. $ $ 15. $ $ TOTAL LIABILITIES $ 4,231 TOTAL MONTHLY DEBT SERVICE $ 98

STATEMENT OF ASSETS Valuation Date: Marital Residence and Other Real Estate: Market Value Debt Residence 1. Vacation Home $ 100,000 $ 18,750 Fair Market Value: $100,000 1st Mortgage: $18,750 Secondary or Vacation Residence 2. $ $ Investment or Business Real Estate 3. $ $ Vacant Land 4. $ $ Other (specify) 5. $ $ TOTAL REAL ESTATE $ 100,000 $ 18,750 Cars & Other Personal Property: Market Value Debt 0. Paintings $ 700 $ ( 1 ) 1. $ $ 2. $ $ 3. $ $ TOTAL CARS & OTHER PERSONAL PROPERTY $ 700 $ 0 Businesses: Market Value Debt 1. $ $ 2. $ $ 3. $ $ 4. $ $ TOTAL BUSINESSES $ 0 $ 0 Financial Assets (Cash or Cash Equivalents): Market Value Savings or interest bearing accounts. 1. $ Checking Accounts. 2. $ Certificates of Deposit. 3. $ Money Market Accounts. 4. $ Cash. 5. $ Other (specify). 6. $ TOTAL CASH OR CASH EQUIVALENTS: $ 0 $ 0 Retirement & Deferred Compensation: Market Value 1. Vanguard IRA $ 12,555 2. $ 3. $ 4. $ TOTAL RETIREMENT & DEFERRED COMPENSATION $ 12,555 $ 0

Investment Accounts and Securities: Market Value Stocks 1. $ Bonds 2. $ Tax Exempt Securities 3. $ Secured or Unsecured Notes 4. $ Other (specify) 5. First Union $ 1,875 6. Vanguard Index 500 $ 12,755 7. Florida Condo $ 45,000 TOTAL INVESTMENT ACCOUNTS AND SECURITIES $ 59,630 $ 0

RECAP OF INCOME AND EXPENSES: Net Monthly Income (+) $ 15,425 Total Monthly Living Expenses (-) $ 4,484 Less Monthly Debt Service (-) $ 98 Total Income Available per Month (=) $ 10,843 STATEMENT OF HEALTH INSURANCE COVERAGE Currently effective health insurance coverage? Yes No Name of insurance carrier: Policy or Group No. Type of insurance: Medical Dental Optical Deductible: Per individual: $ Per family: $ Persons covered: Self Spouse Dependents Type of policy: HMO PPO Full indemnity Provided by: Employer Private Policy Other Group Monthly costs: Paid by Employer Paid by employee: $ for dependents $ for self VERIFICATION The foregoing Financial Affidavit has been carefully read by the undersigned who states under oath, under penalties as provided by law pursuant to 735 ILCS 5/109, that this affidavit includes all of his/her income and expenses, he/she has knowledge of the matters stated and he/she certifies that the statements set forth in this Affidavit are true and correct, except as to matters specifically stated to be on information and belief, and as to such matters the undersigned certifies as aforesaid that he/she believes same to be true. Signature of Petitioner Signature of Respondent Harold J Jones Marianne P Jones Typed or Printed Name of Petitioner Typed or Printed Name of Respondent Date signed: Date signed:

Footnotes: (1) Paintings have sentimental value to Marianne

FINANCIAL AFFIDAVIT 11.02 - SCHEDULE A Petitioner: Harold J Jones Respondent: Marianne P Jones Other Miscellaneous Expenses Description Monthly Expense Legal and Accounting................................... 200 Toiletries / Grooming / Drug Store.......................... 87 Bank fees............................................. 4 Total: 291

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