Rule 401 Long Form (PRINT VERSION - NO ZEROES).xls. Image Preview on Page 1

Rule 401 Long Form (PRINT VERSION - NO ZEROES).xls. Image 2026

The document is a Financial Statement (Long Form) required by the Probate and Family Court Department of the Commonwealth of Massachusetts. It is to be completed by individuals whose income meets or exceeds $75,000 or as ordered by the court. The form collects detailed personal information, gross weekly income from various sources, weekly deductions, net income, prior year income, legal fees, weekly expenses not deducted from pay, assets including real estate and vehicles, liabilities, and certifications. Additional schedules for self-employment income and rental property income are also included.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Personal Information' section, including your name, address, Social Security Number, and contact details.
Proceed to 'Gross Weekly Income / Receipts' and enter your income sources. Ensure you strike through any inapplicable options.
In the 'Weekly Deductions from Gross Income' section, list all applicable deductions such as taxes and insurance.
Calculate your 'Net Weekly Income' by subtracting total deductions from gross income.
Complete the 'Weekly Expenses Not Deducted from Pay' section by listing all weekly expenses accurately.
Fill out the 'Assets' and 'Liabilities' sections thoroughly, providing details for each asset and debt.
Finally, review all entries for accuracy before signing and certifying the document at the end of the form.

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