Uniform Domestic Relations Form - Affidavit 2 - Affidavit Of Property Page 5

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I. Transfer of Assets
Explanation: List the name and address of any person (other than creditors listed on your
Affidavit) who has received money or property from you exceeding $300 in value in the past 12
months and the reason for each transfer.
Husband
$
Wife
Both
1.
Husband
$
Wife
Both
2.
Husband
$
Wife
Both
3.
Husband
$
Wife
Both
4.
Description
Category
Titled To
Value/Date of Value
(Also list who has possession)
J. All Other Assets Not
Explanation: List any item you have not
listed above that is considered an asset.
Listed Above
Husband
$
Wife
Both
1.
Husband
$
Wife
Both
2.
TOTAL SECTION II: OTHER ASSETS
$
III. SEPARATE PROPERTY CLAIMS: Pre-marital assets, gifts to one spouse only, inheritances
If you are making any claims in any of the categories below, explain the nature and amount of your claim. This
includes, but is not limited to, inheritances, property owned before marriage, and any pre-marital
agreements.
Category
Why do you claim this
Present Fair
Description
(Pre-marital Gift, Inheritance,
as a separate property?
Market Value
etc., acquired after separation)
1.
$
2.
$
3.
$
4.
$
5.
$
TOTAL SECTION III: SEPARATE PROPERTY CLAIMS
$
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 5 of 7

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