Form E divorce example: a completed financial statement
This is a made-up case to show what a finished Form E looks like and how the totals flow. It isn't a model answer. Your own answers depend on your circumstances, and sections 4 and 5 are yours to write.
The made-up case
Alex Example, an operations manager, married in 2012 and separated in November 2025. There are two children, who live with Alex. Alex and their spouse own the family home jointly. The first appointment is on 13 January 2027, so Form E is due by 8 December 2026 (36 calendar days before, worked out here).
2.1 The family home
| Current market value | £450,000 |
|---|---|
| Mortgage balance | £210,000 |
| Early repayment penalty | £3,000 |
| Estimated costs of sale | £9,000 |
| Total equity | £228,000 |
| Alex's interest (joint tenants, 50%) | £114,000 (Total A) |
2.3 to 2.8 Accounts, investments and belongings
| Item | Balance or value | Alex's interest |
|---|---|---|
| ABC Bank joint current account | £2,450.55 | £1,225.28 |
| XYZ Building Society easy access savings | £8,000.00 | £8,000.00 |
| DEF Bank current account (overdrawn, shown as a minus) | -£300.00 | -£300.00 |
| Total C1 | £8,925 | |
| Stocks and shares ISA (2.4, Total C2) | £8,000 | |
| Car, 2019 hatchback, gross value (2.8, Total C6) | £7,500 | |
| Total C (C1 to C6) | £24,425 |
2.9 Liabilities and 2.13 pensions
| Credit card (Total D) | £1,340 |
|---|---|
| Workplace pension, CE dated 14 August 2026 | £85,000 |
| Old personal pension, CE dated 1 September 2026 | £12,000 |
| Total F | £97,000 |
Both valuations are less than a year old at the first appointment, as the Form E notes ask.
Child Benefit for two children is £179.80 every 4 weeks at the rates on GOV.UK when we checked on 28 September 2026 (£27.05 a week for the eldest and £17.90 for each other child), so 13 payments come to £2,337.
2.20 and 2.21 Summaries
| Gross total assets (A + B + C + E + F + G) | £235,425 |
|---|---|
| Net total assets (less D) | £234,085 |
| Estimated net income, next 12 months (H + K) | £39,337 (employment £37,000; Child Benefit £2,337) |
3.1 Income needs (monthly throughout)
| Item | Now |
|---|---|
| Rent or mortgage | £1,100 |
| Council tax | £160 |
| Gas and electricity | £140 |
| Food and household shopping | £455 |
| Fuel | £90 |
| 3.1.1 Alex's needs | £1,945 |
| Childcare | £300 |
| School costs and uniform | £33 |
| 3.1.2 Children's needs | £333 |
The form asks for one period throughout. Annual costs, like a £400 school uniform bill, are converted: £400 a year is £33 a month.
Getting a blank Form E
The official form and its notes are on GOV.UK. For what each section means in plain English, see our Form E guide.

The Form E Organiser follows the form section by section, adds up totals A to L, works out your deadline and has 7 request letters ready to send.
Sources
Free help: GOV.UK, Advicenow, or a solicitor or family mediator for advice about your own case.