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Under the penalties of perjury, I swear that the above information is complete and accurate to the best of my personal knowledge. The principal purpose for gathering this information is to evaluate your ability to pay the Government's claim or judgment against you. Routine.Financial Statement of Debtor. (Submitted for Government Action on Claims Due the United States). A financial statement shows the judgment debtor's financial situation. This form lets the judgment creditor find out more about a judgment debtor's ability to pay a judgment debt. Edit, sign, and share financial statement of judgment debtor massachusetts form online. Get your paperwork completed. If you win your case, the money the court awards you is called the judgment. You are the Judgment Creditor.