FL-142
TELEPHONE NO.:
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
PETITIONER:
RESPONDENT:
CASE NUMBER:
SCHEDULE OF ASSETS AND DEBTS
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.
AMOUNT OF MONEY
OWED OR
ENCUMBRANCE
CURRENT GROSS
FAIR MARKET
VALUE
SEP.
PROP
DATE
ACQUIRED
ASSETS DESCRIPTION
ITEM
NO.
$$
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.
Page 1 of 4
Form Approved for Optional Use
Judicial Council of California
FL-142 [Rev. January 1, 2005]
SCHEDULE OF ASSETS AND DEBTS
(Family Law)
Code of Civil Procedure, §§ 2030(c), 2033.5
www.courtinfo.ca.gov
(Identify.)
THIS FORM SHOULD NOT BE FILED WITH THE COURT
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