Financial Declaration Page 4
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56.
List the value of the following property belonging to the parties:
Party A
Party B
Cash on hand .......................................................
$
$
Money in checking account(s) ..............................
$
$
Money in credit union account(s) ..........................
$
$
Money in any other account(s) or deposits ...........
$
$
Retirement or pension fund ..................................
$
$
Life insurance cash value .....................................
$
$
Value of any stocks & bonds ................................
$
$
Value of real estate ..............................................
$
$
Value of all other property ....................................
$
$
Total Property ...............
$
$
NOTE:
If this form is being filled out for a children's proceeding, omit Parts B and C, and
complete Part D.
PART B.
PROPERTY STATEMENT (Divorce/dissolution cases only)
There is no property subject to disposition by the court in this proceeding.
All property otherwise subject to disposition by the court in this proceeding has been
disposed of by written agreement of the parties or oral stipulation made in open court.
The property subject to disposition by the court in this proceeding is:
Value of
Amount of
Description of assets and obligations
assets
obligations
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Page 4 of 5
DR-250 (10/15)(cs)
FINANCIAL DECLARATION
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