California Schedule of Assets and Debt Form
In the case of a spouse involved in a divorce case in the State of California wanting to disclose his assets and debts to the court, the following form has to be completed and submitted.
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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. PROPDATE ACQUIRED ASSETS DESCRIPTION ITEM NO. $$ 1. REAL ESTATE (Give street addresses and attach copies of deeds with legal descriptions and latest lender's statement.) 2. HOUSEHOLD FURNITURE, FURNISHINGS, APPLIANCES (Identify.) 3. JEWELRY, ANTIQUES, ART, COIN COLLECTIONS, etc. Page 1 of 4 Form Approved for Optional Use Judicial Council of California FL-142 [Rev. January 1, 2005] SCHEDULE OF ASSETS AND DEBTS (Family Law) Code of Civil Procedure, §§ 2030(c), 2033.5 www.courtinfo.ca.gov (Identify.) THIS FORM SHOULD NOT BE FILED WITH THE COURT 4. VEHICLES, BOATS, TRAILERS (Describe and attach copy of title document.) 5. SAVINGS ACCOUNTS (Account name, account number, bank, and branch. Attach copy of latest statement.) 6. CHECKING ACCOUNTS (Account name and number, bank, and branch. Attach copy of latest statement.) 7. CREDIT UNION, OT HER DEPOSIT ACCOUNTS (Account name and number, bank, and branc h. Attach copy of latest statement.) 8. CASH (Give location.) 9. TAX REFUND 10. LIFE INSURANCE WITH CASH SURRENDER OR LOAN VALUE (Attach copy of declaration page for each policy.) SCHEDULE OF ASSETS AND DEBTS (Family Law) Page 2 of 4 FL-142 [Rev. January 1, 2005] $$ AMOUNT OF MONEY OWED OR ENCUMBRANCE CURRENT GROSS FAIR MARKET VALUE SEP. PROP DATE ACQUIRED ASSETS DESCRIPTION ITEM NO. 11. STOCKS, BONDS, SECURED NOTES, MUTUAL FUNDS(Give certificate number and atta ch copy of the certificate or copy of late st statement.) 12. RETIREMENT AND PENSIONS (Attach copy of latest summary plan documents and latest benefit statement.) 13. PROFIT - SHARING, ANNUITIES, IRAS, DEFERRED COMPENSATION (Attach copy of latest statement.) 14. ACCOUNTS RECEIVABLE AND UNSECURED NOTES (Attach copy of each.) 15. PARTNERSHIPS AND OTHER BUSINESS INTERESTS (Attach copy of most curr ent K-1 form and Schedule C.) 16. OTHER ASSETS 17. TOTAL ASSETS FROM CONTINUATION SHEET $ $ 18. TOTAL ASSETS SCHEDULE OF ASSETS AND DEBTS (Family Law) FL-142 [Rev. January 1, 2005] Page 3 of 4 $$ AMOUNT OF MONEY OWED OR ENCUMBRANCE CURRENT GROSS FAIR MARKET VALUE SEP. PROP DATE ACQUIRED ASSETS DESCRIPTION ITEM NO. DEBTS—SHOW TO WHOM OWEDSEP. PROP. ITEM NO. TOTAL DATE OWING INCURRED $ 19. STUDENT LOANS (Give details.) 20. TAXES (Give details.) 21. SUPPORT ARREARAGES (Attach copies of orders and statements.) 22. LOANS—UNSECURED (Give bank name and loan number and attach copy of latest statement.) 23. CREDIT CARDS (Give creditor's name and address and the account number. Attach copy of latest statement.) 24. OTHER DEBTS (Specify.): 25. TOTAL DEBTS FROM CONTINUATION SHEET $ 26. TOTAL DEBTS pages are attached as continuation sheets. 27. I declare under penalty of perjury under t he laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE OF DECLARANT) SCHEDULE OF ASSETS AND DEBTS (Family Law) Page 4 of 4 FL-142 [Rev. January 1, 2005] (Specify number):
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