Domestic Relations Financial Affidavit - Superior Court Of Gwinnett County Page 4

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Wife's Separate
Husband's
Basis of the
Description
Value
Asset
Separate Asset
Claim
Retirement
Pensions,
401K, IRA, or
Profit Sharing
Money owed you:
Tax Refund
owed you:
___________
_________
___________
_____________
Real Estate:
Home:
:
Debt owed
Other:
Debt owed
Automobiles/Vehicles:
Vehicle 1:
Debt owed
Vehicle 2:
Debt owed
Life Insurance
(net cash value):
Furniture/furnishings:
Jewelry:
Collectibles:
Other Assets:
Total Assets:
Domestic Relations Financial Affidavit – Revised May 2016
4
Provided by the Gwinnett Family Law Clinic

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