THIS FORM SHOULD NOT BE FILED WITH THE COURT
FL-142
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
PETITIONER:
RESPONDENT:
CASE NUMBER:
SCHEDULE OF ASSETS AND DEBTS
Petitioner's
Respondent's
INSTRUCTIONS
List all your known community and separate assets or debts. Include assets even if they are in the possession of another person,
including your spouse. If you contend an asset or debt is separate, put P (for Petitioner) or R (for Respondent) in the first column
(separate property) to indicate to whom you contend it belongs.
All values should be as of the date of signing the declaration unless you specify a different valuation date with the description. For
additional space, use a continuation sheet numbered to show which item is being continued.
CURRENT GROSS
AMOUNT OF MONEY
SEP.
FAIR MARKET
ITEM
DATE
OWED OR
ASSETS DESCRIPTION
PROP
VALUE
NO.
ACQUIRED
ENCUMBRANCE
$
$
1. REAL ESTATE (Give street addresses and attach copies of
deeds with legal descriptions and latest lender's statement.)
2. HOUSEHOLD FURNITURE, FURNISHINGS, APPLIANCES
(Identify.)
3. JEWELRY, ANTIQUES, ART, COIN COLLECTIONS, etc.
(Identify.)
Page 1 of 4
Form Approved for Optional Use
SCHEDULE OF ASSETS AND DEBTS
Code of Civil Procedure, §§ 2030(c), 2033.5
Judicial Council of California
(Family Law)
FL-142 [Rev. January 1, 2005]