<p> 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)</p><p>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:</p><p>1. VALUE OF ASSETS OWNED ON VALUATION DATE (a) LAND . ? NATURE & TYPE f e d</p><p> e Applicant’s Position Respondent’s Position NATURE & ADDRESS R</p><p>OF OWNERSHIP / e</p><p>COMMENTS r b</p><p>(State percentage interest where OF OWNERSHIP g a A relevant) T APPLICANT RESPONDENT APPLICANT RESPONDENT Matrimonial Home</p><p> www.DIVORCEmate.com Net Family Property Worksheet (Page 2) Court file number</p><p>(A) TOTALS: Value of Land $0.00 $0.00 $0.00 $0.00</p><p>(b) GENERAL HOUSEHOLD ITEMS AND VEHICLES . ? f e d</p><p> 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</p><p>Cars, boats, vehicles</p><p>Jewellery, art, electronics, tools, sports & hobby, equipment</p><p>Other special items</p><p>(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</p><p>(c) BANK ACCOUNTS AND SAVINGS, SECURITIES AND PENSIONS . f ? e CATEGORY d</p><p> e Applicant’s Position Respondent’s Position</p><p>ACCOUNT R / (Savings, Checking, GIC, INSTITUTION COMMENTS e r NUMBER b g RRSP, Pensions, etc.) a A T APPLICANT RESPONDENT APPLICANT RESPONDENT</p><p>(C) TOTALS: Value of Accounts and Savings $0.00 $0.00 $0.00 $0.00</p><p>(d) LIFE AND DISABILITY INSURANCE . ? f</p><p>FACE e d</p><p> e Applicant’s Position Respondent’s Position COMPANY TYPE R / OWNER BENEFICIARY AMOUNT COMMENTS e r & POLICY NO. b g ($) a A T APPLICANT RESPONDENT APPLICANT RESPONDENT</p><p>(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</p><p>(e) BUSINESS INTERESTS . f ? e d</p><p> 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</p><p>(E) TOTALS: Value of Business Interests $0.00 $0.00 $0.00 $0.00</p><p>(f) MONEY OWED TO YOU . f ? e d</p><p> e Applicant’s Position Respondent’s Position R / DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT</p><p>(F) TOTALS: Money Owed to You $0.00 $0.00 $0.00 $0.00</p><p>(g) OTHER PROPERTY . ? f e d</p><p> e Applicant’s Position Respondent’s Position R / CATEGORY DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT</p><p>(G) TOTALS: Value of Other Property $0.00 $0.00 $0.00 $0.00</p><p>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)</p><p>2. VALUE OF DEBTS AND OTHER LIABILITIES ON VALUATION DATE Net Family Property Worksheet (Page 5) Court file number</p><p>DEBTS AND OTHER LIABILITIES . f ? e d</p><p> e Applicant’s Position Respondent’s Position R / CATEGORY DETAILS COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT</p><p>TOTALS: Value of Debts and Other Liabilities, (TOTAL 2) $0.00 $0.00 $0.00 $0.00</p><p>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</p><p> 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</p><p>TOTAL OF PROPERTY ITEMS $0.00 $0.00 $0.00 $0.00 Debts and other liabilities</p><p>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</p><p>4. VALUE OF PROPERTY EXCLUDED UNDER SUBS. 4(2) OF “FAMILY LAW ACT” . f ? e d</p><p> e Applicant’s Position Respondent’s Position R / ITEM COMMENTS e r b g a A T APPLICANT RESPONDENT APPLICANT RESPONDENT</p><p>TOTALS: Value of Excluded Property (TOTAL 4) $0.00 $0.00 $0.00 $0.00</p><p>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</p><p>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</p><p>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</p>