Detailed Descriptive List Form H
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1
2Form H
DETAILED DESCRIPTIVE LIST
__________________________________
NO: __________________ DIV. ______
(
)
PETITIONER
THE FAMILY COURT
VERSUS
PARISH OF _________________
__________________________________
STATE OF LOUISIANA
(
)
DEFENDANT
PARISH OF ___________________________________
STATE OF LOUISIANA
BEFORE ME, the undersigned Notary Public, duly commissioned and qualified in this state and
parish, personally appeared ___________________________________, who after being duly sworn,
declared that the following detailed descriptive list contains all of the community assets, liabilities, and
reimbursement claims known to him/her:
I. COMMUNITY ASSETS
Possessed
Petitioner
Defendant
Concur or Traverse
Property Description
by
Value
Value
w/ reasons
Immovable Property
1
2
3
4
5
Banking & Other Financial Accounts
1
2
3
4
5
6
7
Household Furniture & Movables
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Other
1
2
3
4
5
TOTAL COMMUNITY ASSETS
$
$
-
THE FAMILY COURT
FORM H, p. 1 of 2
REVISED: NOV 2013
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