THIS FORM SHOULD NOT BE FILED WITH THE COURT FL-142
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO.:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
PETITIONER: RESPONDENT:
SCHEDULE OF ASSETS AND DEBTS CASE NUMBER:
Petitioner's Respondent's
— INSTRUCTIONS — List all your known community and separate assets or debts. Include assets even if they are in the possession of another person, including your spouse. If you contend an asset or debt is separate, put P (for Petitioner) or R (for Respondent) in the first column (separate property) to indicate to whom you contend it belongs.
All values should be as of the date of signing the declaration unless you specify a different valuation date with the description. For additional space, use a continuation sheet numbered to show which item is being continued.
CURRENT GROSS AMOUNT OF MONEY
ITEM SEP. DATE FAIR MARKET OWED OR NO. ASSETS DESCRIPTION PROP ACQUIRED VALUE ENCUMBRANCE 1. REAL ESTATE (Give street addresses and attach copies of $ $ deeds with legal descriptions and latest lender's statement.)
2. HOUSEHOLD FURNITURE, FURNISHINGS, APPLIANCES
(Identify.)
3. JEWELRY, ANTIQUES, ART, COIN COLLECTIONS, etc.
(Identify.)
Page 1 of 4 Form Approved for Optional Use Code of Civil Procedure, §§ 2030(c), 2033.5 Judicial Council of California SCHEDULE OF ASSETS AND DEBTS www.courts.ca.gov FL-142 [Rev. January 1, 2005] (Family Law) CURRENT GROSS AMOUNT OF MONEY ITEM SEP. DATE FAIR MARKET OWED OR NO. ASSETS DESCRIPTION PROP ACQUIRED VALUE ENCUMBRANCE 4. VEHICLES, BOATS, TRAILERS (Describe and attach copy of $ $ title document.)
bank, and branch. Attach copy of latest statement.)
6. CHECKING ACCOUNTS (Account name and number, bank,
and branch. Attach copy of latest statement.)
7. CREDIT UNION, OTHER DEPOSIT ACCOUNTS (Account
name and number, bank, and branch. Attach copy of latest statement.)
8. CASH (Give location.)
9. TAX REFUND
10. LIFE INSURANCE WITH CASH SURRENDER OR LOAN
VALUE (Attach copy of declaration page for each policy.)
FL-142 [Rev. January 1, 2005] SCHEDULE OF ASSETS AND DEBTS Page 2 of 4
(Family Law) CURRENT GROSS AMOUNT OF MONEY ITEM SEP. DATE FAIR MARKET OWED OR NO. ASSETS DESCRIPTION PROP ACQUIRED VALUE ENCUMBRANCE 11. STOCKS, BONDS, SECURED NOTES, MUTUAL FUNDS $ $ (Give certificate number and attach copy of the certificate or copy of latest statement.)
12. RETIREMENT AND PENSIONS (Attach copy of latest
summary plan documents and latest benefit statement.)
13. PROFIT - SHARING, ANNUITIES, IRAS, DEFERRED
COMPENSATION (Attach copy of latest statement.)
14. ACCOUNTS RECEIVABLE AND UNSECURED
NOTES (Attach copy of each.)
15. PARTNERSHIPS AND OTHER BUSINESS INTERESTS
(Attach copy of most current K-1 form and Schedule C.)
16. OTHER ASSETS
17. TOTAL ASSETS FROM CONTINUATION SHEET
$ $ 18. TOTAL ASSETS
FL-142 [Rev. January 1, 2005]
SCHEDULE OF ASSETS AND DEBTS Page 3 of 4 (Family Law) ITEM SEP. TOTAL DATE NO. DEBTS—SHOW TO WHOM OWED PROP OWING INCURRED 19. STUDENT LOANS (Give details.) $
20. TAXES (Give details.)
21. SUPPORT ARREARAGES (Attach copies of orders and statements.)
22. LOANS—UNSECURED (Give bank name and loan number and attach copy of latest statement.)
23. CREDIT CARDS (Give creditor's name and address and the account number. Attach copy of latest statement.)
24. OTHER DEBTS (Specify.):
25. TOTAL DEBTS FROM CONTINUATION SHEET
26. TOTAL DEBTS $
27. (Specify number): pages are attached as continuation sheets.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT)
FL-142 [Rev. January 1, 2005]
SCHEDULE OF ASSETS AND DEBTS Page 4 of 4 (Family Law) For your protection and privacy, please press the Clear This Form button after you have printed the form. Print this form Save this form Clear this form
Instructions For Florida Supreme Court Approved Family Law FORM 12.902 (F) (2) Marital Settlement Agreement For Dissolution of Marriage With Property But No Dependent or Minor Child (Ren) (02/18)
Instructions For Florida Supreme Court Approved Family Law FORM 12.902 (F) (2) Marital Settlement Agreement For Dissolution of Marriage With Property But No Dependent or Minor Child (Ren) (02/18)
