Pro Se (Self-Representation) Divorce Packet - State Of Kansas 6th Judicial District Page 15
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509.
The liquid assets of the parties are (do not list more than the last four digits of any account
number shown):
Joint or Individual
Item
Amount
(Specify)
A.
Checking Accounts:
$
$
B.
Savings Accounts:
$
$
C.
Cash
Mother
$
Father
$
D.
Other
$
$
10.
The monthly expenses of each party are: (Please indicate with an asterisk all figures which are
estimates rather than actual figures taken from records.)
A.
Mother
Father
Item
(Actual or Estimated)
(Actual or Estimated)
1.
Rent (if applicable)*
$
$
2.
Food
$
$
3.
Utilities:
Trash Service
$
$
Newspaper
$
$
Telephone
$
$
Gas
$
$
Water
$
$
Lights
$
$
Other
$
$
4.
Insurance:
Life
$
$
Health
$
$
Car
$
$
House/Rental
$
$
Other
$
$
5.
Medical and dental
$
$
6.
Prescriptions drugs
$
$
7.
Child care (work-related)
$
$
8.
Child care (non-work-related)
$
$
9.
Clothing
$
$
10.
School expenses
$
$
11.
Hair cuts and beauty
$
$
12.
Car repair
$
$
13.
Gas and oil
$
$
14.
Personal property tax
$
$
Pro Se Divorce Packet
Page 15
Last Updated: 01//26/09
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