PROPERTY and DEBT WORKSHEET, SHC-1000

You must use black ink to fill out this form. Your Name: Your Case No.: Date form completed: Description of Property Who has it? Who gets the item?

List all property and accounts, Put an X under the person For each item of marital property, regardless of who owns or possesses who currently possesses or write the current fair market value them. Describe each item as clearly has sole access to the item. (e.g., the Craigslist or garage sale as possible with as much identifying Also, under “Marital,” put an value) in the column of the person information as you have. X to indicate whether it is you think should get the item. If you marital property. Property is think the item should be divided in If you do not have the type of property marital if it was bought or some way, state what that split described, leave that row blank. received during the marriage should be. or benefited the marriage. Me Other Marital Me Other Spouse

Banks or credit union accounts: $ $ $ $ $ $ $ $ $ $ $ $ Retirement account(s) (list each one): $ $ $ $ $ $ $ $ Real estate: Home $ $

Real Estate: Other $ $

Vehicles, Snow machines, or 4-Wheelers $ $ $ $ $ $ $ $ $ $ $ $ Boats or Planes $ $ $ $ SUB-TOTAL FOR THIS PAGE: $ $

PROPERTY and DEBT WORKSHEET Page 1 of 3 SHC-1000 (11/17) Civil Rules 26.1 & 90.1 You must use black ink to fill out this form. Description of Property Who has it? Who gets the item?

List all property, regardless of who Put an X under the person For each item of marital property, owns or possesses it. Describe each who currently possesses or write the current fair market value item as clearly as possible with as has sole access to the item. (e.g., the Craigslist or garage sale much identifying information as you Also, under “Marital,” put an value) in the column of the person have. X to indicate whether it is you think should get the item. If you marital property. Property is think the item should be divided in If you do not have the type of property marital if it was bought or some way, state what that split described, leave that row blank. received during the should be. marriage or benefited the marriage. Me Other Marital Me Other Spouse

Gun(s) I summarized value here and itemized on attached page. $ $ $ $ $ $ Tools I summarized value here and itemized on attached page. $ $ $ $ $ $ Jewelry, coins, furs, ivory etc. I summarized value here and $ $ itemized on attached page. $ $ $ $ TVs, Computers and other electronics $ $ $ $ $ $ Household goods and furnishings $ $ $ $ $ $ $ $ $ $ Other assets $ $ $ $ $ $ $ $ SUB-TOTAL THIS PAGE $ $ SUB-TOTAL THE PREVIOUS PAGE $ $ Me $ OtherSpouse TOTAL VALUE OF PROPERTY TO EACH PERSON: (Get total by adding together SUB-TOTALS from this $ and the previous page.)

PROPERTY and DEBT WORKSHEET Page 2 of 3 SHC-1000 (11/17) Civil Rules 26.1 & 90.1 You must use black ink to fill out this form.

Description of Debt Whose is it? Who gets the debt? For Describe each debt as clearly as each debt, put an X under the For each marital debt, write the possible with as much identifying person(s) on the account or current amount owed in the column information as you have. debt. Put an X if it is a of the person who you want to pay marital debt. Debt is marital if for it. If you do not know how much If you do not have the type of debt it was received during the is owed, enter the percentage that described, leave that row blank. marriage or benefited the should be paid by each person. marriage. Me Other Marital? Me Other Spouse

Mortgages on real estate: Home $ $ $ $ Other $ $ $ $ Charge/credit cards: $ $ $ $ $ $ $ $ $ $ Car loans: $ $ $ $ Bank/credit union loans: $ $ $ $ Student loans: $ $ $ $ Other: $ $ $ $ $ $ $ $ $ $ A. TOTAL DEBT TO BE PAID BY EACH PERSON: Me Other Spouse $ $ B. TOTAL VALUE OF PROPERTY FOR EACH PERSON Me Other Spouse (Total Value of Property from bottom of page 2) $ $ FINAL PROPERTY AND DEBT DIVISION Me Other Spouse (Total Property in B – Total Debt in A) $ $

PROPERTY and DEBT WORKSHEET Page 3 of 3 SHC-1000 (11/17) Civil Rules 26.1 & 90.1