Net Family Property Worksheet

ONTARIO Court File Number Superior Court of Justice Family Court Branch (Name of Court) at 297 Pembroke Street East, Pembroke Ontario K8A 3K2 (Court office address)

Applicant(s) Full legal name Law Firm (Lawyer’s full legal name) Joseph P. Hamon B.A. LL.B. C.S. (Family Law) FMC Cert. CFM Certified Specialist (Family Law) • Mediator • Collaborative Family Lawyer P.O. Box 188 535 Perrier Road Combermere, Ontario K0J 1L0 Tel: 613-371-6556 Fax: 1-888-567-0812 [email protected] LSUC# 31605v Respondent(s) Full legal name Law Firm (Lawyer’s full legal name) Joseph P. Hamon B.A. LL.B. C.S. (Family Law) FMC Cert. CFM Certified Specialist (Family Law) • Mediator • Collaborative Family Lawyer P.O. Box 188 535 Perrier Road Combermere, Ontario K0J 1L0 Tel: 613-371-6556 Fax: 1-888-567-0812 [email protected] LSUC# 31605v NET FAMILY PROPERTY WORKSHEET Valuation Date: Statement Date:

1. VALUE OF ASSETS OWNED ON VALUATION DATE (a) LAND . ? NATURE & TYPE f e d

e Applicant’s Position Respondent’s Position NATURE & ADDRESS R

OF OWNERSHIP / e

COMMENTS r b

(State percentage interest where OF OWNERSHIP g a A relevant) T APPLICANT RESPONDENT APPLICANT RESPONDENT Matrimonial Home

www.DIVORCEmate.com Net Family Property Worksheet (Page 2) Court file number

(A) TOTALS: Value of Land $0.00 $0.00 $0.00 $0.00

(b) GENERAL HOUSEHOLD ITEMS AND VEHICLES . ? f e d

e Applicant’s Position Respondent’s Position R / ITEM DESCRIPTION COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT Household goods & furniture

Cars, boats, vehicles

Jewellery, art, electronics, tools, sports & hobby, equipment

Other special items

(B) TOTALS: Value of General Household Items and Vehicles $0.00 $0.00 $0.00 $0.00 Net Family Property Worksheet (Page 3) Court file number

(c) BANK ACCOUNTS AND SAVINGS, SECURITIES AND PENSIONS . f ? e CATEGORY d

e Applicant’s Position Respondent’s Position

ACCOUNT R / (Savings, Checking, GIC, INSTITUTION COMMENTS e r NUMBER b g RRSP, Pensions, etc.) a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

(C) TOTALS: Value of Accounts and Savings $0.00 $0.00 $0.00 $0.00

(d) LIFE AND DISABILITY INSURANCE . ? f

FACE e d

e Applicant’s Position Respondent’s Position COMPANY TYPE R / OWNER BENEFICIARY AMOUNT COMMENTS e r & POLICY NO. b g ($) a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

(D) TOTALS: Cash Surrender Value of Insurance Policies $0.00 $0.00 $0.00 $0.00 Net Family Property Worksheet (Page 4) Court file number

(e) BUSINESS INTERESTS . f ? e d

e Applicant’s Position Respondent’s Position NAME OF FIRM R / INTERESTS COMMENTS e r OR COMPANY b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

(E) TOTALS: Value of Business Interests $0.00 $0.00 $0.00 $0.00

(f) MONEY OWED TO YOU . f ? e d

e Applicant’s Position Respondent’s Position R / DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

(F) TOTALS: Money Owed to You $0.00 $0.00 $0.00 $0.00

(g) OTHER PROPERTY . ? f e d

e Applicant’s Position Respondent’s Position R / CATEGORY DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

(G) TOTALS: Value of Other Property $0.00 $0.00 $0.00 $0.00

VALUE OF PROPERTY OWNED ON THE VALUATION DATE, (TOTAL 1) $0.00 $0.00 $0.00 $0.00 (Add: item A to item G inclusive)

2. VALUE OF DEBTS AND OTHER LIABILITIES ON VALUATION DATE Net Family Property Worksheet (Page 5) Court file number

DEBTS AND OTHER LIABILITIES . f ? e d

e Applicant’s Position Respondent’s Position R / CATEGORY DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

TOTALS: Value of Debts and Other Liabilities, (TOTAL 2) $0.00 $0.00 $0.00 $0.00

3. NET VALUE OF PROPERTY (Other than a Matrimonial Home) AND DEBTS ON DATE OF MARRIAGE PROPERTY, DEBTS AND OTHER LIABILITIES ON DATE OF MARRIAGE . f ? e d

e Applicant’s Position Respondent’s Position R / CATEGORY AND DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT Assets Net Family Property Worksheet (Page 6) Court file number

TOTAL OF PROPERTY ITEMS $0.00 $0.00 $0.00 $0.00 Debts and other liabilities

TOTAL OF DEBTS ITEMS $0.00 $0.00 $0.00 $0.00 NET VALUE OF PROPERTY OWNED ON DATE OF MARRIAGE (NET TOTAL 3) $0.00 $0.00 $0.00 $0.00

4. VALUE OF PROPERTY EXCLUDED UNDER SUBS. 4(2) OF “FAMILY LAW ACT” . f ? e d

e Applicant’s Position Respondent’s Position R / ITEM COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT

TOTALS: Value of Excluded Property (TOTAL 4) $0.00 $0.00 $0.00 $0.00

TOTAL 2: Debts and Other Liabilities $0.00 $0.00 $0.00 $0.00 TOTAL 3: Value of Property Owned on the Date of Marriage $0.00 $0.00 $0.00 $0.00 TOTAL 4: Value of Excluded Property $0.00 $0.00 $0.00 $0.00 TOTAL 5: (TOTAL 2 + TOTAL 3 + TOTAL 4) $0.00 $0.00 $0.00 $0.00 Net Family Property Worksheet (Page 7) Court file number

TOTAL 1: Value of Property Owned on Valuation Date $0.00 $0.00 $0.00 $0.00 TOTAL 5: (from above) $0.00 $0.00 $0.00 $0.00 TOTAL 6: NET FAMILY PROPERTY (Subtract: TOTAL 1 minus TOTAL 5) $0.00 $0.00 $0.00 $0.00

Applicant’s Position Respondent’s Position Applicant Respondent Applicant Respondent Pays To Pays To Pays To Pays To EQUALIZATION PAYMENTS Respondent Applicant Respondent Applicant $0.00 $0.00 $0.00 $0.00