Schedule Of Assets And Debts Page 4
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2
3
4ITEM
SEP.
TOTAL
DATE
DEBTS—SHOW TO WHOM OWED
NO.
OWING
INCURRED
PROP.
$
19. STUDENT LOANS (Give details.)
20. TAXES (Give details.)
21. SUPPORT ARREARAGES (Attach copies of orders and statements.)
22. LOANS—UNSECURED (Give bank name and loan number and attach copy of latest
statement.)
23. CREDIT CARDS (Give creditor's name and address and the account number. Attach
copy of latest statement.)
24. OTHER DEBTS (Specify.):
25. TOTAL DEBTS FROM CONTINUATION SHEET
26. TOTAL DEBTS
$
27.
(Specify number):
pages are attached as continuation sheets.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME)
(SIGNATURE OF DECLARANT)
Page 4 of 4
SCHEDULE OF ASSETS AND DEBTS
FL-142 [Rev. January 1, 2005]
(Family Law)
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