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Form 12. Inventory of Property and Debts

Arizona Revised Statutes AnnotatedRules of Family Law Procedure

Arizona Revised Statutes Annotated
Rules of Family Law Procedure (Refs & Annos)
Forms
17B A.R.S. Rules Fam.Law Proc., Form 12
Form 12. Inventory of Property and Debts
Currentness
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 __________
 
Case No.
 
Petitioner
ATLAS No.
 
 
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
Acquired
Value
Contested
Position
Proposed
allocation
[H or W]
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
last
Payment
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

Credits

Added Oct. 19, 2005, effective Jan. 1, 2006. Amended Sept. 5, 2007, effective Jan. 1, 2008.
17B A. R. S. Rules Fam. Law Proc., Form 12, AZ ST RFLP Form 12
State Court Rules are current with amendments received and effective through March 15, 2023. The Code of Judicial Administration is current with amendments received through March 15, 2023.
End of Document