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the deductible and one half of the medical insurance premium if the child(ren) are covered by
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medical insurance.
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XIV.
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DIVISION OF ASSETS
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Initial ONLY ONE of the statements below. Print “N/A” in the spaces you do not use.
Be sure to address all retirement accounts, bank accounts and vehicles. When listing
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accounts, use the last four digits of the account. Include the VIN numbers when listing
vehicles.
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1. ________ All of the community assets and property have been previously divided and
each is to keep the property they have in their possession at this time.
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2. ________ There is no community property to be divided.
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3. ________ The community property should be divided as follows: (Be sure to list specific
assets with enough information to identify those assets, including pension benefits.)
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WIFE SHALL RECEIVE THE FOLLOWING
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AS HER SOLE AND SEPARATE PROPERTY:
___________________________________
____________________________________
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___________________________________
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___________________________________
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___________________________________
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___________________________________
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___________________________________
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