Net Family Property Statement Page 3
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3Form 13B: Net Family Property Statement
(page 3)
Court file number
TABLE 4: Value or property excluded under subsection 4(2) of the Family Law Act
(List in the order of the categories in the financial statement.)
ITEM
APPLICANT
RESPONDENT
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total 4 $
$
TOTAL 2
$
$
(from page 2)
TOTAL 3
$
$
(from page 2)
TOTAL 4
$
$
(from page 3)
TOTAL 5 (
) $
$
[Total 2] + [Total 3] +[Total 4]
TOTAL 1
$
$
(from page 1)
TOTAL 5
$
$
(from above)
TOTAL 6: NET FAMILY PROPERTY ([Total 1]
[Total 5]) $
$
minus
Date of signature
Signature
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FLR-13B-E (2009/05)
Page 3 of 3
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