Response To Property Appraisal Form

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RESPONSE TO PROPERTY APPRAISAL FORM
Rule 12 DR FORM 104
Revised 02/04
Describe Item
Stipulated Value by
Value maintained by
Value maintained
Claimed as premarital or
Both Parties
Plaintiff
by Defendant
separate property by
____________
Real Estate
1
2
3
1
Motor Vehicles
2
3
4
Defined Pension
1
2
1
IRAs, 401K, other cash/
2
stock retirements
3
Cash on deposit in
1
banks, credit unions
2
cash in hand, stocks,
3
and bonds
4
1
2
MAJOR
3
Household Goods
4
and Furnishings
5
6
7
8
9
10
11
1
Personal Property
2
Of Substantial Value
3
4
1
Joint / Individual
2
credit card debt
3
4
5
Animals of Value
1
2
APPENDIX “B” TO LOCAL RULE 12

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