Schedule Of Assets And Debts Page 2

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CURRENT GROSS
AMOUNT OF MONEY
FAIR MARKET
ITEM
SEP.
DATE
OWED OR
ASSETS DESCRIPTION
VALUE
NO.
PROP
ACQUIRED
ENCUMBRANCE
$
$
4. VEHICLES, BOATS, TRAILERS (Describe and attach copy of
title document.)
5. SAVINGS ACCOUNTS (Account name, account number,
bank, and branch. Attach copy of latest statement.)
6. CHECKING ACCOUNTS (Account name and number, bank,
and branch. Attach copy of latest statement.)
7. CREDIT UNION, OTHER DEPOSIT ACCOUNTS (Account
name and number, bank, and branch. Attach copy of latest
statement.)
8. CASH (Give location.)
9. TAX REFUND
10. LIFE INSURANCE WITH CASH SURRENDER OR LOAN
VALUE (Attach copy of declaration page for each policy.)
SCHEDULE OF ASSETS AND DEBTS
FL-142 [Rev. January 1, 2005]
Page 2 of 4
(Family Law)

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