Family Law Financial Affidavit Page 7
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1
2
3
4
5
6
7
8C
A
B
D
if Non-
ASSETS: Description of Item(s)
NonMar
Current Fair
ital
* Explanations
X Items you are requesting to keep
Market Value
H
W
A
Life insurance (cash surrender value)
Please provide the most CURRENT
A
statement for EACH policy you may have
A
A
Sporting and entertainment (T.V. stereo, etc.) equipment
These may be included in your furniture
lists, if it easier to do so.
A
A
Other assets:
A
Washer/Dryer
NOTE: Please include ANY asset worth
A
Computer
more than $100 owned by either you or
your spouse, even if you do not see if
A
specified in this section.
A
A
B
C
D
if Non-
LIABILITIES: Description of Item(s)
Current Fair
Marital
* Explanations
Market Value
H
W
L
Mortgages on real estate:
L
Second mortgage on home
L
Other mortgages
L
Charge/credit card accounts
L
L
L
L
For this section, please provide the most
L
CURRENT statement for EACH mortgage,
line of credit, credit card, student loan,
L
auto loan, promissory note or ANY
L
OTHER DEBT titled in your name
L
Auto Loan:
individually or jointly held with another
person.
L
Bank/Credit Union Loans
L
Money you owe (not evidenced by a note):
L
Other:
L
L
L
L
L
Page 7 of 8
Florida Family Law Rules of Procedure Form 12.902(c) Family Law Financial Affidavit
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