Affidavit of Property
This affidavit is to be executed by the affiant who intends disclose his or her properties. Download
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COURT OF COMMON PLEAS COUNTY, OHIO Case No. Plaintiff /Petitioner 1 Judge v./and Magistrate Respondent/Petitioner 2 Instructions : Check local court rules to determine when this form must be filed. 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) 1. $ ____ ________ ___ Your Name _______________ Spouse’s Name Both $ $ 2. $ ______ ________ _ Your Name _ _________ _____ Spouse’s Name Both $ $ TO T AL SECTION I: REAL ESTATE INTERESTS $ Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 1 of 7 II. OTHER ASSETS Category Description (L ist who has possession) Titled To Value/Date of Value A. Vehicles and Other Certificate of Title Property (Include model and year of automobiles, trucks, motorcycles, boats, motors, motor homes, etc.) 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 5. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 6. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ B. Financial Accounts (Include checking, savings, CDs, POD accounts, money market accounts, etc.) 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. _______________ Your Name _______________ Spouse’s Name Both $ Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 2 of 7 Category Description (L ist who has possession) Titled To Value/Date of Value C. Pensions & Retirement plans (Include profit -sharing, IRAs, 401k plans, etc.; Describe each type of plan) 1. ____ ________ ___ Your Name _______________ Spouse’s Nam e Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ D. Publicly Held Stocks, Bonds, Securities , & Mutual Funds 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ Category Description (L ist who has possession) Titled To Value/Date of Value E. Closely Held Stocks & Other Business Interests and Name of Company (Type of ownership and number) 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 3 of 7 F. Life Insurance Type (Term/Whole Life) (Any cash value or loans) (Insured party & value upon death) 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ Category Description Who Has Possession Value/Date of Value G. Furniture & Appliances (Estimate va lue of those in your possession and value of those in your spouse’s possession) 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ H. Safe Deposit Box (Give location and describe contents) Titled To 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 4 of 7 I. Transfer of Assets 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. 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 3. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 4. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ Category Description (Also list who has possession) Titled To Value/Date of Value J. All Other Assets Not Listed Above Explanation: List any item you have not listed above that is considered an asset. 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name 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 (Pre -marital Gift, Inheritance, etc. , acquired after separation ) Description Why do you claim this as a separate property? Present Fair Market Value 1. $ 2. $ 3. $ 4. $ 5. $ TOTAL SECTION III: SEPARATE PROPERTY CLAIMS $ Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 5 of 7 IV. 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 none, 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. T ype Name of Creditor/Purpose of Debt Account Name Name(s) on Account Total Debt Due Monthly Payment A. Secured Debt (Mortgages, Car, etc.) 1. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 2. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 3. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 4. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 5. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ B. Unsecured Debt, including credit cards 1. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 2. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 3. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 6 of 7 4. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ 5. ____ _______ ___ Your Name ______________ Spouse’s Name Joint $ $ TOTAL SECTION IV: DEBT $ V. BANKRUPTCY Filed by: _______________ Your Name _______________ Spouse’s Name Both Date of Filing: Case Number Date of Discharge or Relief from Stay Type of Case (Ch. 7, 11, 12, 13) Current Monthly Payments 1. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ 2. ____ ________ ___ Your Name _______________ Spouse’s Name Both $ TOTAL SECTION V: BANKRUPTCY $ O AT H ( Do N ot Sign Until Notary is Present) I, (print name) swear or affirm that I have read this document and , to the best o f my knowledge and belief, the facts and information stated in this document are true , accurate and co mplete . I understand that if I do not tell the truth, I may be subject to penalties for perjury. Your Signature Sworn before me and signed in my presence this day of , . Notary Public My Commission Expires: Supreme Court of Ohio Uniform Domestic Relations Form – Affidavit 2 Affidavit of Property Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 7 of 7Relevant article from our knowledge database
The affidavit is often used while the affiant or the individual making the affidavit isn't able to be present for any considerable event. Thus, you have to be cautious in drawing up an Affidavit and ought to record the real fact just in the drawn sworn in statement. Before continuing on to know how to compose an affidavit letter, it's important to fully grasp what an affidavit is. Please be aware that the man making the affidavit isn't always necessarily the affiant. A financial affidavit isn't a budget, and you may encounter trouble if you attempt to utilize it as one.
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