Assets and Debts Worksheet

Date:
Assets and debts in the marriage of:

1. The family home:
__ We do not own and are not buying the family home (skip to 2.)
__ We own or are buying the family home,
with an approximate market value of $___________

a) Address:

b) Date of original purchase:

c) Title is now in name of __ Husband __ Wife __ Other:

d) Title is held as:

__ Joint Tenants
__ Tenants in Common
__ Community Property
__ Other:

Title has been changed since we first acquired it as follows:



e) Dividing the family home:

__ We both agree that the house should be divided:

__ 50/50
__ Other:

__ We disagree about the division of the house (describe):




__ There have been __ oral __ written understandings or agreements about ownership of the family home, or about reimbursement for money spent on purchase or improvements (give dates, and details):




f) The money for the down payment of $_______ was obtained from (give amount):

__ Our joint savings:
__ Husband's funds:
__ Wife's funds:
__ Other:

g) Money borrowed when home was first purchased (give name, original balance, current balance):
(1) 1st Deed of Trust
(2) 2d Deed of Trust

Other Deeds of Trust

h) Refinancing:
__ The home was never refinanced.
__ The home was refinanced on (date):

i) House payments during the marriage were made:
__ entirely from the wages of either spouse.
__ other, as follows (include payments from separate property of either spouse):

2. Other real estate:
__ Neither spouse owns or is buying any other real estate (skip to 3).
__ I or my spouse own the following types of other real estate.
(For type, R=rental, U=unimproved land, F=farm or ranch, C=commercial property).

   Type   Address or location          Date purchased   Price       Current Value
a)
b)
c)
d)

   Amount & source       Balance owed     Title in name     Amount of + or -
   of down payment       on property      of H/W/other      cash flow per month
a)
b)
c)
d)

3. Automobiles


  Registered to  Year  Make & model   Amount owed   Approx  Miles   Value
a)
b)
c)
d)

4. Personal property: Identify items of special monetary or sentimental value, then lump the rest into general categories such as furniture, appliances, tools, garden equipment, hobby equipment, books, records, sports equipment, paintings, et cetera.


  Description                  Value   Amt owing   Whose is it? (H/W/H&W/other)
a)
b)
c)
d)
e)
f)
g)
h)
i)
j)
k)
l)
m)
n)

5. Cash accounts (Checking, saving, credit union, money market, T-bills, certificates of deposit):


   In name of  Where held &         Balance at  Balance  Maturity   Who controls
   H/W/other   type of Acct         separation  now      date       it? H/W/other
a)
b)
c)
d)
e)

6. Retirement accounts (IRA or Keogh) held by either spouse:


   In name of   Institution                   Type of    Approximate  Maturity
   H/W/other    and Branch                    Account    value/amount  date
a)
b)
c)
d)

7. Securities (Mutual funds, bonds, limited partnerships, stocks) owned by either spouse:


   In name of           Description                                    Approximate
   H/W/other   Broker   (# of shares, % interest at separation)        net value
a)
b)
c)
d)

8. Life insurance policies on either spouse or children:


   Company  Policy #  Whole or term?  Face Value  Cash value  Beneficiary  Insured
a)
b)
c)
d)

9. Pension, retirement or profit-sharing benefits in which either spouse may have an interest:


   In name of   Company or                              Years in   Terms, amount
   H or W       Union, address          Acct  #         plan       of benefits
a)
b)
c)
d)

10. Business interests. Describe any interest held by either spouse in any business, professional practice or corporation, giving approximate value of interest where possible.







11. Tax returns:

The last year for which we filed a joint return was

__ There is no tax refund currently due
__ There is still a refund due:
$_______ from the state,
$_____from the federal government.

Monies owed for previous returns or for returns due to be filed
in the next year are as follows:




12. Debts:


                                                         Balance at    Balance
    Creditor                          Purpose            separation    today
a)
b)
c)
d)
e)


    Part of debt incurred       Annual interest   Monthly   Written     Who has
    before sep./during marriage      rate         payment   agreement?  records?
a)
b)
c)
d)
e)

13. Education & training. If community funds were used for education or training of either spouse that substantially increased that spouse's earning capacity, indicate how much and who it was for:




14. Separate property

a) If any of the property or debts listed above is separate, make a note in the left-hand margin: HS for Husband's separate property, WS for Wife's separate property.

b) List below any other property or debt not listed above that you think is the separate property of either spouse.


     Description                How was it acquired?             Whose is it?
a)
b)
c)
d)
e)
f)

c) Note here community funds or property lost due to gambling. Give dates, amounts, and who lost it.






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