Financial Statement Page 7
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10Form 13.1: Financial Statement (Property and
(page 7)
Court File Number
Support Claims)
PART 4(f): MONEY OWED TO YOU
Give details of all money that other persons owe to you on the dates in each of the columns below, whether because of business or from
personal dealings. Include any court judgments in your favour, any estate money and any income tax refunds owed to you.
Amount Owed to You
Details
on date of
on valuation
today
marriage
date
$
$
$
20. TOTAL OF MONEY OWED TO YOU $
$
PART 4(g): OTHER PROPERTY
Show other property or assets owned on the dates in each of the columns below. Include property of any kind not listed above. Give your best
estimate of market value.
Estimated Market Value of YOUR interest
Category
Details
on date of
on valuation
today
marriage
date
$
$
$
21. TOTAL VALUE OF OTHER PROPERTY $
$
22. VALUE OF ALL PROPERTY OWNED ON THE VALUATION DATE
$
$
(Add items [15] to [21].)
PART 5: DEBTS AND OTHER LIABILITIES
Show your debts and other liabilities on the dates in each of the columns below. List them by category such as mortgages, charges, liens, notes,
credit cards, and accounts payable. Don’t forget to include:
•
any money owed to the Canada Revenue Agency;
•
contingent liabilities such as guarantees or warranties given by you (but indicate that they are contingent); and
•
any unpaid legal or professional bills as a result of this case.
Estimated Market Value of YOUR Interest
Category
Details
on date of
on valuation
today
marriage
date
$
$
$
23. TOTAL OF DEBTS AND OTHER LIABILITIES $
$
Page 7 of 10
FLR-13.1-E (2015/01)
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