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Form Wake-Dom-17b - Certification Of Initial Disclosure (Equitable Distribution) - County Of Wake, North Carolina Page 3

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Individual Tax Returns. Complete copies of signed and filed individual federal and state tax

returns filed by the party or on the party’s behalf for the past five (5) years, whether filed

individually or jointly with another, including all schedules and attachments (W-2 forms,

1099 forms, etc.) together with all year-end documentation (i.e., W-2 forms, 1098 forms,

1099 forms, extension requests, etc.). For the most recent tax year in the event the tax return

or returns have yet to be filed, or if any of the last 5 years tax returns have not been filed,

any requests for extension of time to file and correspondence with the taxing agency.

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Business Tax Returns and Financial Statements. Copies of the signed and filed corporate,

partnership, or LLC federal and state tax returns including all schedules and attachments for

the past five (5) years if the party has or had an interest of 5% or greater, as a shareholder in

a closely held corporation, partner in a partnership, member of a limited liability company or

joint venture during the marriage and owned on the date of separation, whether or not

currently a shareholder, partner or member on the date of service of the Initial Disclosures.

In addition, provide: (1) fiscal year end financial statements (whether internal, audited,

reviewed or compiled) for each full calendar year preceding the date of separation; (2)

monthly financial statements (profit, loss and balance sheets) for each month preceding the

date of separation if the separation occurred in a year for which a tax return had not yet been

filed; and (3) a monthly financial statement for the month preceding, the month of, and the

month following the date of separation.

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Personal Financial Statements. All personal financial statements provided to any financial

institution or other entity or person in the last three (3) calendar years preceding the date of

separation through the date of service of the certification of initial disclosures.

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Appraisals/Valuations. All opinions of value or appraisals of any real or personal property

acquired by the parties during the marriage and owned on the date of separation.

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Bills of Sale. All bills of sale or other documentation of real or personal property sold or

transferred in the 12 months preceding the date of separation or after the date of separation

through the date of service of the certification of initial disclosures.

WAKE-DOM-17B (2/06) (PAGE 3 OF 4)

Form Wake-Dom-17b - Certification Of Initial Disclosure (Equitable Distribution) - County Of Wake, North Carolina Page 3