Mandatory Case Disclosure Page 8
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13" Checking
" Savings
" Checking
" Savings
" Checking
" Savings
6)
(W) REAL PROPERTY:
Do you and your spouse have any real estate?
" Yes " No
If so, Please list here:
Address
Name on Deed
Value
Debt
7)
(X) RETIREMENT:
Do either you or your spouse have a retirement plan through your employer, such as a
pension, profit sharing or 401k or a private plan such as an IRA?
" Yes — Complete this Section
" No — Skip to Section Y
Petitioner’s Retirement Plans:
a)
________________________________
Name of Plan/Account
Type of Plan (complete one)
" IRA — ________________________
Balance
" 401k — ________________________;
________________________
Employer Name
Balance
" Pension — ________________________
Employer Name
b)
________________________________
Name of Plan/Account
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