Form Mc 324 - Section 1931(B) Sneede V. Kizer Property Work Sheet
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1
2State of California—Health and Human Services Agency
Department of Health Care Services
SECTION 1931(b)
SNEEDE V. KIZER
PROPERTY WORK SHEET
Case name
County district
County use
Case number
Effective date
Month
Year
INSTRUCTIONS
List all nonexempt property from MC 176P-1931.
If property is owned by more than one person, equally divide the net market value by the number of owners unless evidence
is provided to rebut the division.
Joint bank accounts: If available to anyone in the MFBU, do not count the money in a joint account against the MFBU more
than once. Equally prorate the bank account among the owners in the MFBU (subject to rebuttal).
Stepparent property is exempt.
I. ALLOCATION FROM SPOUSE/PARENT
A. For a married couple, enter their total community property in Column II. Enter each spouse’s separate property in
Column III.
B. For an unmarried couple or a single parent, enter their separate property in Column III; leave Column II blank.
LIST EXEMPT PROPERTY AND
I. LIST ONLY THE PARENT’S
II. COMMUNITY
III. SEPARATE PROPERTY
NAME OF OWNER
NONEXEMPT PROPERTY
PROPERTY
Parent A
Parent B
1. Nonexempt Other Real Property
2. Checking
3. Savings
4. Other
5. Cash
6. Nonexempt Vehicle
7. Other
8.
9.
10.
$
$
$
11. Subtotal Net Nonexempt Property
12. Enter each spouse’s share of community property
$
$
(divide line 11, Column II, by 2)
13. Parent’s total net nonexempt property (add lines 11 and 12)
14. Number of persons for whom each parent is responsible
(see totals on MC 175-2)
15. Allocation to each person for whom parent is responsible
(A)
(B)
$
$
(divide line 13 by line 14)
Enter on line 27.
Enter on line 28.
MC 324 (05/07) 1931 Group
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