Form 13.1 - Financial Statement (Property And Support Claims) Page 5
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12Form 13.1:
Financial Statement (Property and
(page 5)
Court File Number:
Support Claims)
Cars, boats,
vehicles
Jewellery, art,
electronics, tools,
sports & hobby,
equipment
Other special
items
$0.00
$0.00
$0.00
16. TOTAL VALUE OF GENERAL HOUSEHOLD ITEMS AND VEHICLES
PART 4(c): BANK ACCOUNTS, SAVINGS, SECURITIES AND PENSIONS
Show the items owned on the dates in each of the columns below by category, for example, cash, accounts in financial institutions,
pensions, registered retirement or other savings plans, deposit receipts, any other savings, bonds, warrants, options, notes and other
securities. Give your best estimate of the market value of the securities if the items were to be sold on the open market.
Amount / Estimated Market Value
INSTITUTION
Account
(including location)/
Category
on date of
on valuation
DESCRIPTION
number
(including issuer and date)
today
marriage
date
17. TOTAL VALUE OF ACCOUNTS, SAVINGS, SECURITIES AND
$0.00
$0.00
$0.00
PENSIONS
PART 4(d): LIFE & DISABILITY INSURANCE
List all policies in existence on the dates in each of the columns below.
Cash Surrender Value
Company, Type &
Face
Owner
Beneficiary
on date of
on valuation
Policy No.
Amount
today
marriage
date
$0.00
$0.00
$0.00
18. TOTAL CASH SURRENDER VALUE OF INSURANCE POLICIES
PART 4(e): BUSINESS INTERESTS
Show any interest in an unincorporated business owned on the dates in each of the columns below. An interest in an incorporated
business may be shown here or under “BANK ACCOUNTS, SAVINGS, SECURITIES AND PENSIONS” in Part 4(c). Give your best
estimate of market value of your interest.
Estimated Market value of YOUR interest
Name of Firm or
Interest
on date of
on valuation
Company
today
marriage
date
$0.00
$0.00
$0.00
19. TOTAL VALUE OF BUSINESS INTERESTS
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