Form 13.1: Financial Statement (Property and
(page 5)
Court File Number
Support Claims)
PART 4: ASSETS IN AND OUT OF ONTARIO
If any sections of Parts 4 to 9 do not apply, do not leave blank, print “NONE” in the section.
The date of marriage is:
(give date)
The valuation date is:
(give date)
The date of commencement of cohabitation is (if different from date of marriage):
(give date)
PART 4(a): LAND
Include any interest in land owned on the dates in each of the columns below, including leasehold interests and mortgages. Show estimated
market value of your interest, but do not deduct encumbrances or costs of disposition; these encumbrances and costs should be shown under
Part 5, “Debts and Other Liabilities”.
Estimated Market Value of YOUR Interest
Nature & Type of Ownership
Address of Property
(Give your percentage interest
on date of
on valuation
today
where relevant.)
marriage
date
$
$
$
15. TOTAL VALUE OF LAND $
$
PART 4(b): GENERAL HOUSEHOLD ITEMS AND VEHICLES
Show estimated market value, not the cost of replacement for these items owned on the dates in each of the columns below. Do not deduct
encumbrances or costs of disposition; these encumbrances and costs should be shown under Part 5, “Debts and Other Liabilities”.
Estimated Market Value of YOUR Interest
Indicate if
Item
Description
NOT in your
on date of
on valuation
today
possession
marriage
date
Household goods &
$
$
$
furniture
Cars, boats, vehicles
$
$
$
Jewellery, art,
$
$
$
electronics, tools,
sports & hobby
equipment
Other special items
$
$
$
16. TOTAL VALUE OF GENERAL HOUSEHOLD ITEMS AND VEHICLES $
$
Page 5 of 10
FLR-13.1-E (2015/01)