Cash and Deposit Accounts Type of Account # Balance (Savings and Checking) Account Last 4 digits Today Name of Bank or Financial Institution A B T Other Personal Property Type of Value Description of Asset A B T Property Ownership Acquired by G - Gift A = Joint Petitioner A Assets Acquired Value B = Joint Petitioner B I - Inherited Date Acquired Description of Asset Today B - Before Marriage T = Together A B T G I B Real Estate Parcel 1 Parcel 2 Parcel 3 Type of Property Address: Street, City, State Ownership/Title A B T A B T A B T Current Fair Market Value Current Mortgage Balance
Cash and Deposit Accounts (Savings and Checking) Name of Bank or Financial Institution A B T Type of Account Account # Last 4 digits Balance Today Other Personal Property Description of Asset A B T Type of Property Value Assets Acquired Description of Asset Ownership Acquired by Date Acquired Value Today A = Joint Petitioner A B = Joint Petitioner B T = Together G - Gift I - Inherited B - Before Marriage A B T G I B Real Estate Parcel 1 Parcel 2 Parcel 3 Type of Property Address: Street, City, State Ownership/Title A B T A B T A B T Current Fair Market Value Current Mortgage Balance
FA-4139V2.docx