Form 12 Inventory of Property and Debts
Forms
Rule Text
Name:
Mailing Address:
City, State, Zip Code:
Daytime Phone Number:
Evening Phone Number:
Representing:
[ ] Self [ ] Petitioner [ ] Respondent
State Bar Number:
ARIZONA SUPERIOR COURT, COUNTY OF __________
Petitioner
INVENTORY OF PROPERTY AND DEBTS
Respondent
[ ] HUSBAND
[ ] WIFE
I. PROPERTY
List all property acquired during your marriage in which you or your spouse claims to have a community interest. If there is a dispute as to whether there is a community interest or obligation, indicate under “Contested Position.” Value of the property is its current fair market value, minus any encumbrances. Use additional paper if necessary.
Description
Date
Value
Contested
Proposed
A. Cash and Financial Institution Accounts: savings, checking, money market, etc. Include financial institution's name, branch and account number.
1.
2.
3.
4.
5.
B. Investments: stocks, bonds, notes, certificates of deposit, mortgages, deeds of trust, etc.
6.
7.
8.
C. Life Insurance: company name, owner, policy number, insured, beneficiary, death benefits and cash surrender value (if any)
9.
10.
11.
12.
13.
D. Retirement Plans: pension, profit-sharing, 401(k), deferred compensation
14.
15.
16.
17.
18.
19.
E. Real Property:
20.
21.
22.
23.
F. Business Interests: corporations, partnerships, limited liability corporations, joint ventures, proprietorships
24.
25.
26.
27.
G. Vehicles: cars, motorcycles, motor homes, boats, trailers, etc.
28.
29.
30.
31.
32.
33.
H. Personal Property over $100 in Value: household goods, personal effects, antiques, objects of intrinsic value
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
I. Miscellaneous Assets:
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
II. DEBTS
List all debts and installment payments you currently owe. Use additional paper if necessary.
Creditor Name
Purpose of Debt
Unpaid Balance
Min. Monthly Payment
Date of
Contested Position
Proposed Allocation [H or W]
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
_________________________
Date
Signature of
[ ] Husband [ ] Wife
[ ] Attorney for [ ] Husband [ ] Wife
Amendment history: Added Oct. 19, 2005, effective Jan. 1, 2006. Amended Sept. 5, 2007, effective Jan. 1, 2008.