Financial Statement Page 2

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PART II. ASSETS AND DEBTS
I and/or my spouse own the following property and property interests and owe the following debts. List all the property and property
interests owned, and the debts owed by you and/or your spouse. If you claim any asset or debt item to be nonmarital, check it in the
Nonmarital column and attach a full statement of the facts you rely on to support your claim.
A. REAL ESTATE. List any interest in real estate (land, land and buildings) owned by you or your spouse. If there is a debt
secured by the real estate (a mortgage), check in the debt column and list the debt/mortgage in Section I, Debts, on page 4. If you
need more space, check here ❐ and add attachments as necessary.
*You must include the Registry of Deeds information (book and page) for the deed to any real estate. You can obtain this
information at the Registry of Deeds in the county where the property is located.
Address of Property
Percent of
County Recorded
Date
Current
Debt owed on
Non-
Ownership
Book and Page*
Purchased
Value
real estate
marital
1.
B. VEHICLES. List all vehicles (cars, trucks, snowmobiles, ATVs, boats, airplanes, etc.) owned by your or your spouse. Give your
best estimate of the current market value, not replacement cost, of each vehicle. Do not deduct debts secured by a vehicle. If there is
a debt, check in the debt column and list the debt in Section I, Debts, on page 4. If you need more space, check here here ❐ and add
attachments as necessary.
Year, make, model and description of each vehicle
Date Acquired
Current Value
Debt
Non-
marital
1.
C. TANGIBLE PERSONAL PROPERTY. List all items of tangible personal property having a value in excess of $100 each,
giving your best estimate of the current market value, not the replacement cost. Examples are household furniture and furnishings,
jewelry, art objects, antiques, tools, recreation equipment, etc. Do not deduct debts secured by any item. If there is a debt, check in
the debt column and list the debt in Section I, Debts, on page 4. If you need more space, check here ❐ and add attachments as
necessary.
Description of each item with a value in excess of $100
Date Acquired
Current Value
Debt
Non-
marital
1.
Pursuant to M.R.Civ.P. 108(d)(3), the information on this form is not subject to public inspection.
Page 2

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