Prenuptial Agreement Template - The Narris Law Office & Family Mediation Offices Page 4

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Health issues of Husband:
Health issues of Wife:
HEALTH INSURANCE:
Does each party have independent access to health insurance?
REAL ESTATE:
Does either party currently own a house or a vacation house?
When was it purchased?
How did the party who own the property pay the down payment? (was there a
family gift or did you draw from a specific account?)
Purchase date: _________________________
Down payment: ________________________
Purchase price:
________________________
Amount owed:
Estimated fair market value: (Please be advised that a professional appraisal will
likely
be
needed
if
either
party
wants
to
remain
in
the
home)
____________________________
When was it purchased?
How did the party who own the property pay the down payment? (was there a
family gift or did you draw from a specific account?)

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