House at , Town, State, Zip J J 150,000 200,000 125,000 125,000 Miscellaneous household J J 2,000 1,500 0 0 furnishings Flat screen TV J J 3,000 500 0 0 Washer and dryer J J 300 1000 0 0 Autographed Elvis records J W 1,000 1,000 0 0 Time share J J 10,000 20,000 10,000 10,000 The parties agree that the following property is not marital property because the property (a) was acquired by one party before marriage, (b) was acquired by one party by inheritance or gift from a third person, (c) has been excluded by valid agreement, or (d) is directly traceable to any of those sources: Liens, Description Reason How Fair Encumbrances, or of Not Titled Market Debt Directly Property Marital (H, W, or J) Value ($ amt.) Attributable ($ amt.) (a, b, or c) Husband Wife Husband Wife Husband Wife Asserts Asserts Asserts Asserts Asserts Asserts Fishing equipment a H H 1,0000 1,000 0 0 Golf clubs c H H 1,000 2 0 0 CD worth $8,000 b W W 8,000 8,000 0 0 Tattoo equipment a W W 4,000 4,000 0 0 The parties are not in agreement as to whether the following property is marital or non-marital: Liens, Description Marital? How Fair Encumbrances, or of (Y or N) Titled Market Debt Directly Property (H, W, or J) Value Attributable Husband Wife Husband Wife Husband Wife Husband Wife Asserts Asserts Asserts Asserts Asserts Asserts Asserts Asserts Small Picasso Y N J W 18 Mil 13 Mil 0 0 drawing Beach house N Y H H 800,000 900,000 0 0 Y N W W 130,000 130,000 0 0 Savings account Y N W W 14,000 14,000 0 0 # 438963 at PNC
House at , Town, State, Zip J J 150,000 200,000 125,000 125,000 Miscellaneous household furnishings J J 2,000 1,500 0 0 Flat screen TV J J 3,000 500 0 0 Washer and dryer J J 300 1000 0 0 Autographed Elvis records J W 1,000 1,000 0 0 Time share J J 10,000 20,000 10,000 10,000 The parties agree that the following property is not marital property because the property (a) was acquired by one party before marriage, (b) was acquired by one party by inheritance or gift from a third person, (c) has been excluded by valid agreement, or (d) is directly traceable to any of those sources: Description of Property Reason Not Marital (a, b, or c) How Titled (H, W, or J) Fair Market Value ($ amt.) Liens, Encumbrances, or Debt Directly Attributable ($ amt.) Husband Asserts Wife Asserts Husband Asserts Wife Asserts Husband Asserts Wife Asserts Fishing equipment a H H 1,0000 1,000 0 0 Golf clubs c H H 1,000 2 0 0 CD worth $8,000 b W W 8,000 8,000 0 0 Tattoo equipment a W W 4,000 4,000 0 0 The parties are not in agreement as to whether the following property is marital or non-marital: Description of Property Marital? (Y or N) How Titled (H, W, or J) Fair Market Value Liens, Encumbrances, or Debt Directly Attributable Husband Asserts Wife Asserts Husband Asserts Wife Asserts Husband Asserts Wife Asserts Husband Asserts Wife Asserts Small Picasso drawing Y N J W 18 Mil 13 Mil 0 0 Beach house N Y H H 800,000 900,000 0 0 Y N W W 130,000 130,000 0 0 Savings account # 438963 at PNC Y N W W 14,000 14,000 0 0
Sample%20-%20Completed%20Joint%20Statement%20of%20Marital%20and%20Non-Marital%20Property.docx