Domestic Relations Financial Affidavit Page 9

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BANK ACCOUNTS:
12 month
Average
Current
Name(s) on the
Name of Bank
Account Number
_Balance_ _Balance_
_Account______
(only last 4 digits)
Savings
_____________ ______________ __________ __________ _______________
Checking
_____________ ______________ __________ __________ _______________
Checking
_____________ ______________ __________ __________ _______________
Checking
_____________ ______________ __________ __________ _______________
Custodial
_____________ ______________ __________ __________ _______________
Custodial
_____________ ______________ __________ __________ _______________
Other
_____________ ______________ __________ __________ _______________
REAL ESTATE:
HUSBAND’S
WIFE’S
Non-Marital
Non-Marital
Home:
Value ___________ _________________ ____________
Outstanding Loan balances ___________ _________________ ____________
Equity ___________ _________________ ____________
(Certified fair market value
minus loan balances)
Other real estate:
Name/Description
_______________
1)
Value ___________ _________________ ____________
Outstanding Loan balances ___________ _________________ ____________
Equity ___________ _________________ ____________
_______________
2)
Value ___________ _________________ ____________
Outstanding Loan balances ___________ _________________ ____________
Equity ___________ _________________ ____________
_______________
3)
Value ___________ _________________ ____________
Outstanding Loan balances ___________ _________________ ____________
Equity ___________ _________________ ____________
VALUE
HUSBAND’S
WIFE’S
Non-Marital
Non-Marital
Money owed to you
_____________
______________ ____________
Tax refund due
_____________
______________ ____________
Life insurance
(cash surrender value)
_____________
______________ _____________
Furniture/furnishings
_____________
______________ _____________
Jewelry
_____________
______________ _____________
Collectibles
_____________
______________ _____________
Other
_____________
______________ _____________
Domestic Relations Financial Affidavit
Fulton County Family Division

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