Name: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: Representing: [ ] Self [ ] Petitioner [ ] Respondent State Bar Number: ARIZONA SUPERIOR COURT, COUNTY OF PINAL Case No. DO Petitioner/Plaintiff ATLAS No. INVENTORY OF PROPERTY AND DEBTS Respondent/Defendant I. PROPERTY 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 in "Contested Column." Value of the property is the current fair market values. Minus any liens. If you need additional room, add a separate sheet of paper. Description Proposed allocation [H or W] A. Financial institution Accounts: Cash and deposit accounts: Savings, Checking, Credit Union, Money Market, etc. Include financial institution's name, branch and account number. 1. 2. 3. 4. 5. B. Investments: Stocks, Bonds, Notes, Certificates of Deposit, Mortgages, Deeds of Trust, etc. 6. 7. 8. 9. 10. Date Acquired Value Contested Position
Page 1 of 1
Case No. __________________________ Description Proposed allocation [H or W] C. Life Insurance: Company name, owner, policy number, insured, face amount and beneficiary 11. 12. 13. 14. 15. D. Retirement Plans: Pension, profit-sharing, 401(k), Deferred Compensation 16. 17. 18. 19. 20. 21. E. Real Property 22. 23. 24. 25. F. Business Interests: Corporations, Partnerships, Limited Liability Corporations, Joint Ventures, Proprietorships 26. 27. 28. 29. G. Vehicles: Cars, Motorcycles, Motor Homes, Boats, Trailers, etc. 30. 31. 32. 33. 34. 35.
Page 2 of 2
Date Acquired
Value
Contested Position
Case No. __________________________ Description Proposed allocation [H or W] H. Personal Property over $100 in Value: Household goods, personal effects, antiques, objects of intrinsic value 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63.
Page 3 of 3
Date Acquired
Value
Contested Position
Case No. __________________________ Description Date Acquired Value Contested Position Proposed allocation [H or W]
I. Miscellaneous Assets 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. II. DEBTS List all debts and installment payments you currently owe. Follow the format below. Use additional paper if necessary. Creditor Name Purpose of Debt Unpaid Balance Min. Monthly Payment Date of last Payment Contested Position Proposed Allocation [H or W]
1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.
Page 4 of 4
Case No. __________________________ Creditor Name Purpose of Debt Unpaid Balance Min. Monthly Payment Date of last Payment Contested Position Proposed Allocation [H or W]
13. 14. 15. 16. 17. 18. 19. 20.
Date
Signature of Party or Attorney
Page 5 of 5