Uniform Domestic Relations Form - Affidavit 2 - Affidavit Of Property Page 4

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F. Life Insurance Type
(Any cash value or loans)
(Insured party
& value upon death)
(Term/Whole Life)
Husband
1.
$
Wife
Both
Husband
2.
$
Wife
Both
Husband
3.
$
Wife
Both
Husband
4.
$
Wife
Both
Who Has
Category
Description
Value/Date of Value
Possession
G. Furniture &
(Estimate value of those in your
possession, and value of those in your
Appliances
spouse’s possession)
Husband
$
Wife
Both
1.
Husband
$
Wife
Both
2.
Husband
$
Wife
Both
3.
Husband
$
Wife
Both
4.
(Give location and describe contents)
Titled To
H. Safe Deposit Box
Husband
$
Wife
Both
1.
Husband
$
Wife
Both
2.
Supreme Court of Ohio
Uniform Domestic Relations Form – Affidavit 2
Affidavit of Property
Approved under Ohio Civil Rule 84
Effective Date: July 1, 2010
Page 4 of 7

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