Domestic Relations Financial Affidavit Page 4
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1
2
3
4
5
6Vehicles:
Vehicle 1:
debt owed:
Vehicle 2:
debt owed:
Life Insurance (net
cash value):
Furniture /
furnishings:
Jewelry:
Collectibles:
Other Assets:
TOTAL ASSETS
5A.
AVERAGE MONTHLY EXPENSES
HOUSEHOLD
Mortgage or Rent Payments:
Cable TV:
Property Taxes:
Misc. Household and Grocery
Items:
Homeowner / Renter
Insurance:
Meals Outside the Home:
Electricity:
Other:
Water:
AUTOMOBILE
Gasoline and Oil:
Garbage & Sewer:
Repairs:
Telephone:
residential line:
Auto Tags and License:
cellular telephone:
Insurance:
Gas:
OTHER VEHICLES
(boats, trailers, RVs, etc.)
Repairs and Maintenance:
Gasoline and Oil:
Domestic Relations Financial Affidavit
Page 4 of 6
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