Petitioners Respondent Preliminary Or Final Declaration Of Disclosure Of Assets Debts Income And Expenses Page 2

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1.
Disclosure of Assets
a.
Real Estate
Description
Estimated.
Name(s) on Title
Value
Address: ___________________________________
Legal Description:____________________________
___________________________________________
Is there a secured debt on the property? [ ] Yes [ ] No
If yes, amount owed: __________ As of:
/
/
Lender: ____________________________________
Address: ___________________________________
Legal Description:____________________________
___________________________________________
Is there a secured debt on the property? [ ] Yes [ ] No
If yes, amount owed: __________ As of:
/
/
Lender: ____________________________________
b.
Vehicle(s)
Description
Estimated Value
Name(s) on Title
Year/Make/Model: ___________________________
VIN#: _____________________________________
Is there an outstanding loan on the vehicle?
[ ] Yes [ ] No If yes, amount owed: _____________
As of:
/
/
Lender: _____________________
Year/Make/Model: ___________________________
VIN#: _____________________________________
Is there an outstanding loan on the vehicle?
[ ] Yes [ ] No If yes, amount owed: _____________
As of:
/
/
Lender: _____________________
Declaration of Disclosure, Page 2 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02

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