Schedule Of Assets And Debts Page 3

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CURRENT GROSS
AMOUNT OF MONEY
FAIR MARKET
ITEM
SEP.
DATE
OWED OR
ASSETS DESCRIPTION
VALUE
NO.
PROP
ACQUIRED
ENCUMBRANCE
$
$
11. STOCKS, BONDS, SECURED NOTES, MUTUAL FUNDS
(Give certificate number and attach copy of the certificate or
copy of latest statement.)
12. RETIREMENT AND PENSIONS (Attach copy of latest
summary plan documents and latest benefit statement.)
13. PROFIT - SHARING, ANNUITIES, IRAS, DEFERRED
COMPENSATION (Attach copy of latest statement.)
14. ACCOUNTS RECEIVABLE AND UNSECURED
NOTES (Attach copy of each.)
15. PARTNERSHIPS AND OTHER BUSINESS INTERESTS
(Attach copy of most current K-1 form and Schedule C.)
16. OTHER ASSETS
17. TOTAL ASSETS FROM CONTINUATION SHEET
$
$
18. TOTAL ASSETS
FL-142 [Rev. January 1, 2005]
SCHEDULE OF ASSETS AND DEBTS
Page 3 of 4
(Family Law)

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