Domestic Relations Financial Affidavit Page 4

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Jewelry
Collectibles
Other Assets (specify):
TOTAL ASSETS
5 (A) AVERAGE MONTHLY EXPENSES
HOUSEHOLD EXPENSES
Mortgage or rent payments
Property taxes
Insurance
Condo, maintenance fees/homeowners association fees
Electricity
Water
Garbage & sewer
Telephone
Gas
Repairs & Maintenance
Lawn care
Pool care
Pest control
Cable television
Miscellaneous household and grocery items
Meals outside home
Drugstore items
Linens
Postage and Stationary
Burglar alarm
Service contracts on appliances
Domestic help
Domestic help: FICA
Other (Attach sheet)
______
Initials

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