Family Law Financial Affidavit Page 6
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8SECTION III. ASSETS & LIABILITIES
A
B
C
D
if Non-
ASSETS: Description of Item(s)
NonMar
Current Fair
ital
* Explanations
X You are requesting Judge to Keep
Market Value
H
W
$
-
A
Cash (on hand)
Please provide the most CURRENT
A
Cash (in banks or credit unions)
statement for EACH bank account titled
A
in your name, or for which you have
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signatory authority.
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A
A
A
Stocks/Bonds
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Notes: (money owed to you in writing)
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A
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Money owed to you (not evidenced by a note)
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A
A
Real Estate: (Home)
Please provide the complete address for
A
(Other)
each property you own. If any property
is located out of State, please provide the
A
County in which it is located.
A
A
Business Interests
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Automobiles:
Please list the year, make, model, body
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style and mileage and each vehicle you
own. Please specify if the vehicle has
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any special features.
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A
Boats
Please provide all the specifications for
any boat, trailer or engine
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A
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Other Vehicles
Please provide all the specifications for
any Motorcycle, ATV or other vehicle,
A
including year, make, model, body style,
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mileage and any special features that will
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help identify the vehicle for an accurate
NADA value search.
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Retirement Plans (Profit Sharing, Pension, IRA, 401(k)'s, etc.)
Please provide the most CURRENT
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statement for ALL Retirement,
Investment, Pension or Stock accounts
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you have.
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Furniture and furnishings in home
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Furniture & furnishings elsewhere
For Furniture/Furnishings please
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Refrigerator and outdoor patio furniture
calculate garage sale/pawn shop values
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Collectibles (stamps, coins, guns, sports, etc.)
and provide a detailed list by room. You
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will not need to include anything with a
value less than $100. Please do the
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Jewelry:
same for all collectibles, guns and/or
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jewelry you or your spouse may have
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Page 6 of 8
Florida Family Law Rules of Procedure Form 12.902(c) Family Law Financial Affidavit
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