Case No.____________________________________
Petitioner Respondent
Value
Make__________________________
$_____________
Model _________________________
VIN ___________________________
Lien Holder _____________________
8.b.
SEPARATE PROPERTY: (Check all boxes that apply.)
I do not have any property that I brought into the marriage or separate property.
My spouse, the Respondent does not have any property that he or she brought into the marriage or
separate property.
I have property that I brought into the marriage or I have separate property. I want this property awarded
to me as described below.
My spouse, the Respondent, has property that he or she brought into the marriage or has separate
property. I want this property awarded to my spouse as described below.
Separate Property: (List the property and the value of the property, and check the box to tell the Court
who should get the property.)
Description of Separate Property
Petitioner Respondent
Value
___________________________________
$_____________
___________________________________
$_____________
___________________________________
$_____________
___________________________________
$_____________
9.a.
COMMUNITY DEBTS: (check one box)
My spouse and I did not incur any community debts during the marriage, OR
We should divide the responsibility for the debts incurred during the marriage as follows:
Description of Debt
Petitioner Respondent
Amount Owed
___________________________________
$_____________
___________________________________
$_____________
___________________________________
$_____________
___________________________________
$_____________
___________________________________
$_____________
___________________________________
$_____________
9.b.
SEPARATE DEBTS: (Check all boxes that apply.)
My spouse and I do not have any debts that were incurred prior to the marriage or separate debt;
I have separate debt or debt that I incurred prior to the marriage that should be paid by me as described
below;
My spouse has separate debt or debt that he or she incurred prior to the marriage that should be paid
by my spouse as described below.
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Revised: 7/22/2015
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