Domestic Relations Financial Affidavit - Georgia Family Division Page 9
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13Custodial
___________ ___________ __________ __________ _____________
Custodial
___________ ___________ __________ __________ _____________
Other
___________ ___________ __________ __________ _____________
REAL ESTATE:
HUSBAND’S
WIFE’S
Non-Marital
Non-Marital
Home:
Value ___________ _________________ ______________
___________ _________________ ______________
Outstanding Loan balances
Equity ___________ _________________ ______________
(Certified fair market value
minus loan balances)
Other real estate:
Name/Description
_______________
1) Value __________ _________________ ______________
Outstanding Loan Balances __________ _________________ ______________
Equity
__________ _________________ ______________
_______________
2) Value __________ _________________ ______________
Outstanding Loan Balances __________ _________________ ______________
Equity
__________ _________________ ______________
_______________
3) Value __________ _________________ ______________
Outstanding Loan Balances __________ _________________ ______________
Equity
__________ _________________ ______________
VALUE
HUSBAND’S WIFE’S
Non-Marital Non-Marital
Money owed to you
___________ ___________ ___________
Tax refund due
___________ ___________ ___________
Life insurance
(cash surrender value)
___________ ___________ ___________
Furniture/furnishings
___________ ___________ ___________
Jewelry
___________ ___________ ___________
Collectibles
___________ ___________ ___________
Other
___________ ___________ ___________
MOTOR VEHICLES:
Year, Make and Model
Value
Names(s) on title/Name(s) on loan/lease account
1) _________________
_____________
______________________________
2) _________________
_____________
______________________________
3) _________________
_____________
______________________________
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