Do you have personal property (furniture, furnishings, art, jewelry, etc.,) in this (these) homes?
Yes
No
Have these items been divided to both parties satisfaction?
Yes
No
If no, please explain:
FINANCIAL
Please provide the following information concerning any bank accounts that you own either
individually or jointly with your spouse or with another individual (such as a parent, sibling or
child):
Bank
Location
Current balance
Joint/Individual
Do you jointly or individually own any safety deposit boxes?
Yes
No
If yes, please provide the following information:
Bank
Location
Contents
Joint/Individual
Do you own any stocks or bonds either jointly or individually?
Yes
No
If yes, please provide the following information:
Bank
Location
Value
Joint/Individual
DEBTS
Please list those debts, such as car loans and credit cards, for which you are either jointly or
individually responsible:
To Whom Owed
Monthly Payment
Balance
Joint/Individual