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Getting a divorce? Separation?

Separation & Divorce: Financial Information Questionnaire


Homeowners/Renters
$____________________ $____________________
Auto(s)
$____________________ $____________________
Recreational Vehicle
$____________________ $____________________
Debt Payments:
Vehicle #1
$____________________ $____________________
Vehicle #2
$____________________ $____________________
Home Equity Loan
$____________________ $____________________
Student Loan
$____________________ $____________________
Other Loans
$____________________ $____________________
Credit Card #1
$____________________ $____________________
Credit Card #2
$____________________ $____________________
Credit Card #3
$____________________ $____________________
Educational Expenses:
For Self
$____________________ $____________________
For Children
$____________________ $____________________
Day Care:
For Children
$____________________ $____________________
For Parent(s)
$____________________ $____________________
Transportation Expenses:
Gasoline
$____________________ $____________________
Parking/Commuting
$____________________ $____________________
Vehicle Maintenance
$____________________ $____________________
Licenses
$____________________ $____________________
Food:
Groceries
$____________________ $____________________
Take-out Food
$____________________ $____________________
Restaurants
$____________________ $____________________
School Lunches
$____________________ $____________________
Clothing:
For Self
$____________________ $____________________
For Children
$____________________ $____________________
Repair and Cleaning
$____________________ $____________________
Household Expenses:
Cleaning Supplies
$____________________ $____________________
Cleaning Service
$____________________ $____________________
Yard Maintenance
$____________________ $____________________
Home Maintenance
$____________________ $____________________
Home Security
$____________________ $____________________
Home Improvements
$____________________ $____________________
Home Furnishings
$____________________ $____________________
Appliances
$____________________ $____________________
Uninsured Health-care Costs:
Medical
$____________________ $____________________
Dental
$____________________ $____________________
Prescriptions
$____________________ $____________________
Non-prescription
$____________________ $____________________
Personal Expenses:
Grooming
$____________________ $____________________
Entertainment
$____________________ $____________________
Travel
$____________________ $____________________
Gifts
$____________________ $____________________
Hobbies
$____________________ $____________________
Babysitting
$____________________ $____________________
Pet-care Costs
$____________________ $____________________
Donations
$____________________ $____________________
Other Expenses
$____________________ $____________________
$____________________ $____________________
$____________________ $____________________
$____________________ $____________________
TOTAL EXPENSES:
$____________________ $____________________
Assets
Value / Owe (where appropriate)Value / Owe (where appropriate)
Primary Home
$____________________ $____________________
Vacation Home
$____________________ $____________________
Other Home/Property
$____________________ $____________________
Vehicle(s)
$____________________ $____________________
Recreational Vehicle
$____________________ $____________________
Boat(s)
$____________________ $____________________

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