Property And Debt Statement And Proposed Separation Agreement Page 8
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13Debts that
Does Wife owe a mortgage on a house or condominium or land?
Yes
No
Does Wife owe money on a car?
Yes
No
Wife Owes
Does Wife owe money on any credit cards?
Yes
No
(either alone or
Does Wife owe any money to any family or friends?
Yes
No
with anyone else)
Is Wife currently in a bankruptcy proceeding?
Yes
No
(Chapter 7 or Chapter 13)
Does Wife owe any medical or dental bills?
Yes
No
Does Wife owe any other debts?
Yes
No
Debts that
Does Husband owe a mortgage on a house or condominium or
Yes
No
land?
Husband
Does Husband owe money on a car?
Yes
No
Owes
Does Husband owe money on any credit cards?
Yes
No
(either
alone or with
Does Husband owe any money to any family or friends?
Yes
No
anyone else)
Is Husband currently in a bankruptcy proceeding?
(Chapter 7 or
Yes
No
Chapter 13)
Does Husband owe any medical or dental bills?
Yes
No
Does Husband owe any other debts?
Yes
No
If you answered “Yes” to any of the above questions, you
must list each item of debt in either Table 3 or Table 4 on the
following pages.
What debts
You should list all loans from any individual, bank, credit card company, credit
union, savings and loan association or other lending institution. Include all debts owed
should I list on
by either you or your spouse. Make sure to list all credit cards and any amounts owed
this form?
pursuant to any bankruptcy or other repayment plans.
Debts that the Wife should pay are to be listed in Table 3 and Debts that the
Husband should pay are to be listed in Table 4.
What does
The mortgage on a home is traditionally secured by the home. When you finance
the purchase of an automobile, the company that loans you the money is listed on the
“security” mean?
title to the automobile. They too have a security interest in your car. Usually, a debt is
secured by an item of property if the person to whom you owe the money can take the
item of property if you fail to pay the debt. The schedules of debt ask you to list any
security for that debt. You must also list the property that secures the debt under the
property listings.
How do you get
This agreement does not affect the rights of the person to whom you or your spouse
owe the money. They can still collect the money from both or your spouse.
the other party’s
Each party is to attempt to refinance or obtain the release of any liability of the
name off of this
other party as soon as reasonably practicable after the dissolution of marriage.
debt?
Statement of Property and Debt and Proposed Separation Agreement – Page 5 of 9
Form CAFC040-07/01/2012
This form is available for free at
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Parent category: Business