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Name: |
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Mailing Address: |
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City, State, Zip Code: |
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Daytime Phone Number: |
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Evening Phone Number: |
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Representing: |
[ ] Self [ ] Petitioner [ ] Respondent |
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State Bar Number: |
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ARIZONA SUPERIOR COURT, COUNTY OF __________ |
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Case No. |
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Petitioner |
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ATLAS No. |
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INVENTORY OF PROPERTY AND DEBTS |
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Respondent |
[ ] HUSBAND |
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[ ] WIFE |
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I. PROPERTY |
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List all property acquired during your marriage in which you or your spouse claims to have a community interest. If there is a dispute as to whether there is a community interest or obligation, indicate under “Contested Position.” Value of the property is its current fair market value, minus any encumbrances. Use additional paper if necessary. |
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Description |
Date Acquired |
Value |
Contested Position |
Proposed allocation [H or W] |
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A. Cash and Financial Institution Accounts: savings, checking, money market, etc. Include financial institution’s name, branch and account number. |
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B. Investments: stocks, bonds, notes, certificates of deposit, mortgages, deeds of trust, etc. |
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C. Life Insurance: company name, owner, policy number, insured, beneficiary, death benefits and cash surrender value (if any) |
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D. Retirement Plans: pension, profit-sharing, 401(k), deferred compensation |
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E. Real Property: |
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F. Business Interests: corporations, partnerships, limited liability corporations, joint ventures, proprietorships |
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G. Vehicles: cars, motorcycles, motor homes, boats, trailers, etc. |
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H. Personal Property over $100 in Value: household goods, personal effects, antiques, objects of intrinsic value |
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I. Miscellaneous Assets: |
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II. DEBTS |
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List all debts and installment payments you currently owe. Use additional paper if necessary. |
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Creditor Name |
Purpose of Debt |
Unpaid Balance |
Min. Monthly Payment |
Date of last Payment |
Contested Position |
Proposed Allocation [H or W] |
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_________________________ |
_________________________ |
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Date |
Signature of |
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[ ] Husband [ ] Wife |
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[ ] Attorney for [ ] Husband [ ] Wife |