1
_________________________________________________________
$ __________________
2
_________________________________________________________
$ _________________
3
4.
Cash you have on hand:
$ __________________
4
5.
Retirement Accounts (indicate in whose name accounts are held)
5
6
_________________________________________________________
$ __________________
7
_________________________________________________________
$ _________________
8
_________________________________________________________
$ ___________________
9
_________________________________________________________
$ __________________
10
6.
Vehicles: (list ALL vehicles owned by you and/or the other party, even if your name is not
11
on
12
the registration and include such things as motorcycles, boats and recreational vehicles)
13
a.
Make and model:_________________________________
14
What you owe on the vehicle:
$ ___________________
15
What the vehicle is worth:
$ _________________
16
b.
Make and model: _________________________________
17
18
What you owe on the vehicle:
$ ___________________
19
What the vehicle is worth:
$ ___________________
20
c.
Make and model: _________________________________
21
What you owe on the vehicle:
$ _________________
22
What the vehicle is worth:
$ _________________
23
24
7.
Stocks and bonds:
$_________________
25
8.
Credit Cards and Store Charge Accounts:
26
Name of Account
Balance
Minimum Monthly Payment
27
28
______________________________
$_________________
$ __________________
_______________________________
$ _________________
$ __________________
7