Washington > Local County > Whatcom > Superior Court
Verified Statement Of Assets And Liabilities - Washington
| Verified Statement Of Assets And Liabilities Form. This is a Washington form and can be used in Superior Court Whatcom Local County . |
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DO NOT FILE THIS DOCUMENT WITH THE COURT VERIFIED STATEMENT OF ASSETS AND LIABILITIES (Attach additional sheets in the same form if necessary.) Petitioner: Respondent: Case #: Date Petition for Dissolution filed: Date of separation from Spouse: 1. I am the [ ] Petitioner [ ] Respondent in this action. 2. To my knowledge, as of the date of separation, the following community and separate assets and liabilities existed. (Note: Generally "Community assets" means those assets that were acquired during marriage, except by inheritance or gift. "Community liabilities" means all debts incurred during the marriage, regardless of whose name the debt is in. "Separate assets" means those assets owned before marriage, or acquired after separation, or acquired during the marriage by inheritance or gift. "Separate liabilities" means those debts incurred before the marriage or after separation. COMMUNITY ASSETS SEPARATE ASSETS Real Property: 1. 2. 1. 2. Vehicles (autos, trailers, boats, etc.): 1. 2. 3. 4. 1. 2. 3. 4. Bank Accounts: Bank Name/Branch Account No. 1. 2. 3. 4. Bank Name/Branch Account No. 1. 2. 3. 4. Pensions/Retirement Accounts: 1. 2. 1. 2. Whatcom County Superior Court Local Rules, Effective 1/21/2005, Printed 3/2005, American LegalNet, Inc. www.USCourtForms.com Business Interests: 1. 2. 1. 2. Stocks/Bonds/Investments: 1. 2. 3. 1. 2. 3. Life Insurance: 1. 2. 1. 2. Household Goods/furnishings/ Appliances valued over $250: 1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5. 6. Sporting Goods/Tools & Equipment valued over $250: 1. 2. 3. 4. Jewelry/Artwork valued over $250: 1. 2. 3. 4. Electronics and Accessories valued over $250: 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3. 4. 1. 2. 3. 4. Whatcom County Superior Court Local Rules, Effective 1/21/2005, Printed 3/2005, American LegalNet, Inc. www.USCourtForms.com Other: 1. 2. 3. 1. 2. 3. COMMUNITY LIABILTIES Mortgage: 1. 2. Balance at Separation $ $ Current Balance $ $ Loans (vehicles/student/personal): 1. 2. 3. 4. $ $ $ $ $ $ $ $ Credit Cards: 1. 2. 3. 4. 5. 6. $ $ $ $ $ $ $ $ $ $ $ $ Other (overdue utility/phone bills, IRS, hospital/doctor bills, collection): 1. 2. 3. 4. 5. 6. $ $ $ $ $ $ $ $ $ $ $ $ Whatcom County Superior Court Local Rules, Effective 1/21/2005, Printed 3/2005, American LegalNet, Inc. www.USCourtForms.com Business Debts: 1. 2. 3. 4. $ $ $ $ $ $ $ $ SEPARATE LIABILITIES Describe type: 1. 2. 3. 4. 5. $ $ $ $ $ $ $ $ $ $ Since the time of separation, there has been the following substantial change in t he assets listed above: (NOTE: Describe how, when and why any of the above assets were sold, traded, consumed or otherwise disposed.) I anticipate receiving the following in the future: a) b) c) d) Inheritance [ ] Yes [ ] No Settlement proceeds from a lawsuit [ ] Yes [ ] No Settlement proceeds from a work-related injury [ ] Yes [ ] No Money owed to me by another [ ] Yes [ ] No I declare under penalty of perjury of the laws of the State of Washington that the above is true and correct to the best of my knowledge. DATED this day of , 20 . Declarant Whatcom County Superior Court Local Rules, Effective 1/21/2005, Printed 3/2005, American LegalNet, Inc. www.USCourtForms.com
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