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Affidavit Of Property DR-502 - Ohio

Affidavit Of Property Form. This is a Ohio form and can be used in Domestic Relations Clermont County (Court Of Common Pleas) .
 Fillable pdf Last Modified 12/16/2010
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COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CLERMONT COUNTY, OHIO _________________________ Plaintiff/Petitioner v./and _________________________ Defendant/Petitioner Case No. __________________________ Judge ___________________________ Magistrate __________________________ Instructions: List ALL OF YOUR PROPERTY AND DEBTS, the property and debts of your spouse, and any joint property or debts. Do not leave any category blank. For each item, if none, put "NONE." If you do not know exact figures for any item, give your best estimate, and put "EST." If more space is needed, add additional pages. AFFIDAVIT OF PROPERTY Affidavit of ______________________________ (Print Your Name) I. REAL ESTATE INTERESTS Address Present Fair Market Value Titled To Mortgage Balance Equity (as of date) _____________________ $ ___________________ $ Wife Both $ _____________________ 1.___________________ Husband 2. __________________ ___________________ $ Husband $ Wife Both $ _____________________ _____________________ TOTAL SECTION I: REAL ESTATE INTERESTS $ Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com II. OTHER ASSETS Category A. Vehicles and Other Certificate of Title Property Description (list who has possession) (include model and year of automobiles, trucks, motorcycles, boats, motors, motor homes, etc.) Titled To Value/Date of Value Husband 1. Wife _____________________ Both Husband 2. Wife _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife _____________________ Both Husband 5. Wife _____________________ Both Husband 6. Wife _____________________ Both Category Description (Include checking, savings, DCs, POD accounts, money market accounts, etc.) Titled To Value/Date of Value $ _____________________ $ _____________________ $ _____________________ $ _____________________ $ _____________________ $ _____________________ B. Financial Accounts Husband 1. Wife _____________________ Both Husband 2. Wife _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife Both $ _____________________ _____________________ $ _____________________ $ _____________________ $ _____________________ Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com C. Category Pensions & Retirement plans Description (List who has possession) (Include profit-sharing, IRAs, 401k plans, etc.; Describe each type of plan) Titled To Value/Date of Value Husband 1. Wife _____________________ Both Husband 2. Wife _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife Both Category Description Titled To Value/Date of Value $ _____________________ _____________________ $ _____________________ $ _____________________ $ _____________________ D. Publicly Held Stocks, Bonds, Securities & Mutual Funds Husband $ Wife _____________________ Both Husband _____________________ 1. 2. Wife $ _____________________ _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife Both Category Description (List who has possession)(Type of ownership and number) Titled To Value/Date of Value $ _____________________ _____________________ $ _____________________ E. Closely Held Stocks & Other Business Interests and Name of Company Husband 1. Wife _____________________ Both Husband 2. Wife _____________________ Both $ _____________________ $ _____________________ Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Category Description (Any cash value or loans) Titled To (Insured party & value upon death) F. 1. Life Insurance Type (Term/Whole Life) Husband $ Wife _____________________ Both Husband 2. Wife _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife Both Category Description (Estimate value of those in your possession, and value of those in your spouse's possession) Who Has Possession Value/Date of Value $ _____________________ _____________________ $ _____________________ $ _____________________ _____________________ G. Furniture & Appliances Husband 1. Wife _____________________ Both Husband 2. Wife _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife Both Category Description (Give location and describe contents) Titled To Value/Date of Value $ _____________________ _____________________ $ _____________________ $ _____________________ $ _____________________ H. 1. Safe Deposit Box Husband $ Wife _____________________ Both Husband 2. Wife _____________________ Both $ _____________________ _____________________ Page 4 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Category Explanation: List the name and address of any person (other than creditors listed on your Affidavit) who has received money or property from you exceeding $300 in value in the past 12 months and the reason for each transfer. I. Transfer of Assets Husband 1. Wife Both Husband 2. Wife $ $ _____________________ _____________________ _____________________ _____________________ Both Husband 3. Wife _____________________ Both Husband 4. Wife Both Category Description (Also list who has possession) Explanation: List any item you have not listed above that is considered an asset. Titled To Value/Date of Value $ ____________________ _____________________ $ _____________________ J. All Other Assets Not Listed Above Husband 1. Wife _____________________ Both Husband 2. Wife _____________________ Both $ _____________________ $ ______________________ TOTAL SECTION II: OTHER ASSETS $ III. SEPARATE PROPERTY CLAIMS: Pre-marital assets, gifts to one spouse only, inheritances If you are making any claims in any of the categories below, explain the nature and amount of your claim. This includes, but is not limited to, inheritances, property owned before marriage, and any pre-marital agreements. Category Description Why do you claim this as a Present Fair Market separate property? Value (Pre-marital Gift, Inheritance, etc., acquired after separation) 1. $ 2. $ 3. $ 4. $ TOTAL SECTION III: SEPARATE PROPERTY CLAIMS $ Page 5 of 7 American LegalNet, Inc. www.FormsWorkFlow.com V. DEBT List ALL OF YOUR DEBTS, the debts of your spouse, and any joint debts. Do not leave any category blank. For each item, if non, put "NONE." If you don't know exact figures for any item, give your best estimate, and put "EST." If more space is needed to explain, please attach an additional page with the explanation and identify which question you are answering. Type Name of Creditor/Purpose of Debt Account Name Nam
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