EJ-165State (JC)Fillable

Financial Statement

Judicial Council of California · Civil

Verified current as of July 10, 2026

This form asks a person to list their income, expenses, and assets so a court can understand their financial situation. Courts use it in eviction cases to decide whether a tenant can afford to pay rent or if a landlord can collect money owed.

This form has fillable fields — you can complete it directly in the viewer on the right.
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