Assets and Liabilities
1.0 Real Estate
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
2.0 Furniture, Furnishings
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
3.0 Sterling Silver, Crystal & Collections
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
4.0 Automobiles & Trucks (License #'s)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
5.0 Boat, RV, Trailer, Motorcycle, Etc.
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
6.0 CD's, Money Market Certificates, Etc.
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
7.0 Stocks, stock options etc.
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
8.0 Bonds
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
9.0 Club Memberships
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
10. Partnerships, Corporate Interests, Etc.
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
11. Wife's Employment Benerits (Vested)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a.Pension/ IRA/ KEOGH |
$ |
$ |
$ |
$ |
$ |
| b.Profit-Sharing |
$ |
$ |
$ |
$ |
$ |
| c.Stock Options |
$ |
$ |
$ |
$ |
$ |
| d.Life Insurance/Spousal Annuity |
$ |
$ |
$ |
$ |
$ |
| e.Voluntary Savings |
$ |
$ |
$ |
$ |
$ |
| f.Credit Union Account |
$ |
$ |
$ |
$ |
$ |
|
12. Husband's Employment Benefits (Vested)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a.Pension/IRA/KEOGH |
$ |
$ |
$ |
$ |
$ |
| b.Profit-Sharing |
$ |
$ |
$ |
$ |
$ |
| c.Stock Option |
$ |
$ |
$ |
$ |
$ |
| d.Life Insurance/Spousal Annuity |
$ |
$ |
$ |
$ |
$ |
| e.Voluntary Savings |
$ |
$ |
$ |
$ |
$ |
| f.Credit Union Account |
$ |
$ |
$ |
$ |
$ |
|
13. Life Insurance (Cash Surrender Value)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a.Company:
Owner:
Beneficiary:
|
$ |
$ |
$ |
$ |
$ |
| b.Company:
Owner:
Beneficiary:
|
$ |
$ |
$ |
$ |
$ |
| c.Company:
Owner:
Beneficiary:
|
$ |
$ |
$ |
$ |
$ |
| d.Company:
Owner:
Beneficiary:
|
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
14. Personal Injury Claims
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
15. Financial Accounts & Money
(includes stock asset accounts, etc.)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a.Cash: |
$ |
$ |
$ |
$ |
$ |
| b.Bank:
Account Number:
|
$ |
$ |
$ |
$ |
$ |
| c.Bank:
Account Number:
|
$ |
$ |
$ |
$ |
$ |
| d.Bank:
Account Number:
|
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
16. Gold, Silver, Other Valuables
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
17. Other personal Property (identify)
(Show totals and attach additional sheets if
necessary)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
18. Debts / Liabilities
(Not already listed above in connection with
an asset)
(Include credit cards etc.)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
19. Other Assets and Debts (List them)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a. |
$ |
$ |
$ |
$ |
$ |
| b. |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
| e. |
$ |
$ |
$ |
$ |
$ |
| f. |
$ |
$ |
$ |
$ |
$ |
|
20. Total Distributions to each spouse
(Sum totals from above tables)
|
Description
|
Gross Fair Market Sale Value
|
Less Debt or Mortgage
|
Net Market Value
|
Proposed Distribution to Husband
(Amount $)
|
Proposed Distribution to Wife
(Amount $)
|
| a.Assets: |
$ |
$ |
$ |
$ |
$ |
| b.Liabilities (debts): |
$ |
$ |
$ |
$ |
$ |
| c. |
$ |
$ |
$ |
$ |
$ |
| d. |
$ |
$ |
$ |
$ |
$ |
|
|
|
|
|
|
|
|
$ |
$ |
$ |
$ |
$ |
|