Australian Family Law Fact Finder

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Transcript of Australian Family Law Fact Finder

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    This form is not a legal advice. You should seek advice from your lawyer about any of the matters in

    this form.

    Family Law - Fact Finder

    The list below contains the type of documents that we would require either at your initial consultation or soon after:

    1) Bank statements and mortgage statements for past three years

    2) Credit cards account statements for past three years

    3) Tax assessments for past three years

    4) Tax returns for past three years

    5) Superannuation last statement (for SMSF - 3 most recent financial statements)

    6) Business activity statements for past three years if applicable

    7) Pay slips for past 12 months

    8) Financial resources - e.g. future entitlements to long service leave, future inheritance

    9) Trust financial statements for past three years

    10) Information about disposal of property in past 12 months

    11) Liabilities and contingent liabilities

    12) Most recent annual return statement for your company if applicable

    13) Copies of any existing court orders, agreements, parenting plans or undertakings

    14) Copies of Certificates of Title if applicable

    15) Copy of Marriage Certificate if applicable

    You mu st make fu l l and frank disc losure of yo ur f inancia l c i rcumstances.

    Fai lure to do so is l ikely to be detr imental to your case.

    Is there a financial binding agreement in relation to property between you and the other party?*

    Please choose the areas of law for which you will be seeking advice*

    Divorce Property settlement Children matters Other:

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    Your Details

    Your name*

    First Name

    Last Name

    Your gender*

    Your email address*

    Your date of birth*

    Your residential address*

    City

    State/Province

    Zip/Postal

    Your mailing address if different*

    City

    State/Province

    Zip/Postal

    Your country of birth*

    When did you arrive in Australia?*

    How well do you speak English?*

    Very well

    Well

    Not very well

    I need an interpreter

    Your mobile phone number*

    Your phone number*

    A number that you would be comfortable to be called on

    Are you*

    Presently in Australia?

    An Australian citizen?

    Ordinarily residing in Australia?

    Domiciled in Australia

    Check All

    Select all that apply

    Your Spouse's DetailsYour spouse includes a marriage or de facto partner (de facto relationship of at least two years)

    Full name of spouse*

    First Name

    Last Name

    Your spouse's address*

    City

    State/Province

    Zip/Postal

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    Spouse's phone number*

    Spouse's email address*

    DOB of Spouse*

    Is there a court order in relation to a previous marriage or de facto

    relationship of your spouse?*

    Applicable if your spouse has been in a previous marriage/de facto relationship

    Spouse's country of birth*

    Date of spouse's arrival in Australia*

    How well does your spouse speak English?*

    Very well

    Well

    Not very well

    I need an interpreter

    Is your spouse legally represented?*

    Name of lawyer acting for your spouse*

    First Name

    Last Name

    Name of lawyer acting for your spouse*

    City

    State

    Postcode

    Your employment details at the commencement of cohabitation

    Were you employed at the commencement of cohabitation?*

    Yes

    No

    What was your occupation at the commencement of cohabitation?*

    Give details of your employment*

    full time

    part time

    permanent

    casually

    on contract

    What was the name of your employer?*

    What was the address of your employer?*

    City

    State/Province

    Zip/Postal

    When did you start work with that employer?*

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    Were you self employed?*

    Yes

    No

    Name of company/trust/partnership/business*

    What were your weekly hours of work?*

    $

    What was your weekly income before tax?*

    $

    Provide approximate number if you can't remember

    Your spouse's employment details at the commencement

    of cohabitation

    Was your spouse employed at the commencement of cohabitation?*

    Yes

    No

    What was the name of your spouse's employer?*

    What was your spouse's occupation?*

    Give details of your spouse's employment at the commencement of cohabitation*

    full time

    part time

    permanent

    casually

    on contract

    Was your spouse self employed at the commencement of cohabitation?*

    Yes

    No

    What was the name of your spouse's company/trust/partnership/business?*

    What was your spouse's weekly income before tax?*

    $

    Provide approximate figure if can't remember exactly

    What were your spouse's weekly hours of work?*

    $

    Your employment history during the relationship

    Have your employment arrangements changed since the commencement of cohabitation?*

    Yes

    No

    Nature of your work, experience and qualifications:*

    Are you employed?*

    Yes

    No

    What is your current occupation?*

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    Give details of your employment*

    full time

    part time

    permanent

    casually

    on contract

    What is the name of your current employer?*

    What is the address of your employer?*

    City

    State/Province

    Zip/Postal

    Since when have you been employed at this place?*

    Are you self employed?*

    Name of company/trust/partnership/business*

    Are you in one of the following categories:*

    Pensioner or a benefit recipient, or hold a health care card

    Receiving Legal Aid, Abstudy or Austudy

    In prison or otherwise legally detained

    None of the above

    Your spouse's employment history during the relationship

    Have your spouse's employment arrangements changed since the commencement of

    cohabitation?*

    Yes

    No

    Is your spouse employed?*

    Yes

    No

    Spouse's occupation*

    Give details of your spouse's employment*

    full time

    part time

    permanent

    casuallyon contract

    How many hours does your spouse work per week?*

    Approximate number of hours if not sure

    Spouse's current employer*

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    Are you aware of any changes likely to occur in relation to your spouse's employment?*

    Spouses's current employer address*

    City

    State/Province

    Zip/Postal

    Is your spouse self employed?*

    Name of your spouse's company/trust/partnership/business*

    Spouse's current income*

    $

    Weekly income before tax

    Do any of the following factors limit or prevent your spouse's employment?*

    Lack of training

    Age

    Lack of experience

    Years out of the workforce

    Need or desire to be available to the children

    Other:

    Details of current spouse or de facto partner

    Do you currently have a patner?*

    Yes

    No

    Do you live together with your current partner?*

    Do you plan to live together with your current partner?*

    When did you start living together with your current partner?*

    Is there a financial benefit to you arising out of the cohabitation with your current

    partner?*

    For example paying a mortgage, car expenses, bills etc.

    Full Name of current partner*

    First Name

    Last Name

    Address of current partner*

    City

    State/Province

    Zip/Postal

    DOB of current partner*

    Is your current partner employed?*

    Occupation of current partner*

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    Income of current partner*

    $

    Weekly income

    Financial commitments of current partner*

    Give a short description

    Current partner employer's address*

    City

    State/Province

    Zip/Postal

    About the relationship of the parties

    Your marital status*

    MarriedDivorced

    De facto

    When did you and the other party begin living together?*

    If you can't remember the exact date give an approximate date

    When did you and the other party marry?*

    Give date if you have married

    Country of marriage ceremony?*

    Country of marriage

    Location of marriage ceremony*

    City of marriage

    Location of Marriage Certificate*

    In my possession

    In the possession of my spouse

    I don't know

    Other:

    When did you and the other party finally separate?*

    This is the date when you stopped living as husband and wife. You may have separated but continued to live

    under the same roof

    Brief reasons for separation*

    Did any of you leave home?*

    I left home

    My spouse left home

    Other:

    Has there been any significant periods of separation that occurred during the relationship/marriage? *

    Please describe periods of 3 or more months of separation. Do not include periods of separation due to work

    commitments

    How many periods of separation lasting more than 3 months?*

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    Start of first period of separation*

    Approximate start date of period of separation

    End of first periods of separation*

    Approximate date of period of separation

    Start of second period of separation *

    Approximate date of period of separation

    End of second period of separation *

    Approximate date of period of separation

    Start of third period of separation *

    Approximate date of period of separation

    End of third period of separation *

    Approximate date of period of separation

    When did you and the other party get divorced?*

    Give date of divorce order if applicable

    Where did you and the other party get divorced?*

    Country where you divorced

    In what city did you get divorced?*

    City where you divorced

    About the Children

    Please include details about all children that are under 18 years of age.

    Do you or your spouse have any children under 18 together or from a previous

    relationship?*

    How many children?*

    Include all children of either party

    Child 1*

    First Name

    Last Name

    Child 2*

    First Name

    Last Name

    Date of birth Child 1*

    Date of birth Child 2*

    Gender Child 1*

    Gender Child 2*

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    Full name of mother of Child 1?*

    First Name

    Last Name

    Full name of mother Child 2*

    First Name

    Last Name

    Full name of father Child 1*

    First Name

    Last Name

    Full name of father Child 2*

    First Name

    Last Name

    Does Child 1 have any special needs?*

    Does Child 2 have any special needs?*

    Describe daily requirements to meet special needs of Child 1*

    Describe daily requirements to meet special needs of Child 2*

    State with whom Child 1 lives when not in your care*

    Mother

    Father

    Other:

    State with whom Child 2 lives when not in your care*

    Mother

    Father

    Other:

    Days of the week Child 1 lives with you:*

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Other:

    Please tick

    Days of the week Child 2 lives with you:*

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Other:

    Please tick

    Child 3*

    First Name

    Last Name

    Child 4*

    First Name

    Last Name

    Date of birth Child 3*

    Date of birth Child 4*

    Gender Child 3*

    Gender Child 4

    *

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    Full name of mother Child 3*

    First Name

    Last Name

    Full name of mother Child 4*

    First Name

    Last Name

    Full name of father Child 3*

    First Name

    Last Name

    Full name of father Child 4*

    First Name

    Last Name

    State with whom Child 3 lives when not in your care*

    Mother

    Father

    Other:

    State with whom Child 4 lives when not in your care*

    Mother

    Father

    Other:

    Days of the week Child 3 lives with you:*

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Other:

    Please tick

    Days of the week Child 4 lives with you:*

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Other:

    Please tick

    Child 5*

    First Name

    Last Name

    Child 6*

    First Name

    Last Name

    Date of birth Child 5*

    Date of birth Child 6*

    Gender Child 5*

    Gender Child 6*

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    Full name of mother Child 5*

    First Name

    Last Name

    Full name of mother Child 6*

    First Name

    Last Name

    Full name of father Child 5*

    First Name

    Last Name

    Full name of father Child 6*

    First Name

    Last Name

    Describe any special needs of Child 5 if any*

    Describe any special needs of Child 6 if any*

    State with whom Child 5 lives when not in your care*

    Mother

    Father

    Other:

    State with whom Child 6 lives when not in your care*

    Mother

    Father

    Other:

    Days of the week Child 5 lives with you:*

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Other:

    Please tick

    Days of the week Child 6 lives with you:*

    Monday

    Tuesday

    Wednesday

    Thursday

    Friday

    Saturday

    Sunday

    Other:

    Please tick

    About other Court cases and orders

    Are there any ongoing cases in this or any other Court about family law?*

    Yes

    No

    Court name and place*

    Next Court date*

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    State the names of the parties*

    State the nature of the orders sought*

    Eg. Property Settlement, Parenting Orders

    Are there any existing orders, agreements, parenting plans or undertakings to a court about family law, child support, family violence

    or child welfare concerning any of the parties or children listed on this form?*

    Yes

    No

    Is any party currently bankrupt or currently a debtor in bankruptcy proceedings?*

    Yes

    No

    If the matter goes to Court tick the type of orders that you would be seeking*

    Share of land

    Share of cash

    Chattels (detailed list of all assets)

    Accommodation

    Caveat/injunction

    Prevent dissipation of assets or blow-out of overdraft

    Spousal maintenance

    Parenting arrangements

    Child support/maintenance

    Costs

    Other:

    Your Weekly Income

    Type "0" if none

    Total salary or wages before tax*

    $

    Insert a weekly figure for your gross salary or wages from all paid employment

    Investment income before tax*

    $

    Specify a weekly figure for all interest paid to you by any bank, building society or credit union,

    any interest paid to you on a mortgage, any dividend on shares or any income from any rental

    property.

    Government benefits*

    $

    Specify any payment to you from any government, including any overseas government

    Income from business/partnership/company/trust*

    $

    Weekly income

    Maintenance/Child Support*

    $

    Weekly income

    Is there a formal assessment of child support by Agency?*

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    Date of Child Support Agreement*

    History of child support payments*

    regular

    irregular

    defaulted

    Benefits from employment/business*

    $

    Other income*

    $

    Type "0" if none

    Total weekly income*

    $

    Total weekly income is calculated automatically using the figures above

    Other income earners in your household

    Name, age and relationship to you and gross weekly income*

    Expenses paid by others for your benefit

    Paid by, type of expense and how much*

    Weekly payment

    Gifts, lottery wins and inheritance

    Have you received a gift of money from any of your relatives or friends while living with the other party?*

    Yes

    No

    Total amount of gift*

    $

    From your parents

    Have you received a gift of money from any of the relatives or friends of the other party while living with the other party?*

    Yes

    No

    Total amount of gift*

    $

    From parents of other party

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    Have you or the other party had any lottery wins?*

    Yes

    No

    Include amounts higher than $2000

    Winning amount*

    $

    Include amounts higher than $2000

    Have you received an inheritance while living together?*

    Yes

    No

    Inheritance*

    $

    Value

    Has your spouse received an inheritance while living together?*

    Yes

    No

    Your spouse's inheritance*

    $

    Value

    Personal Weekly Expenditure

    Type "0" if none

    Income tax*

    $

    State all income tax deducted by your employer weekly

    Superannuation*

    $

    State your weekly contribution to superannuation funds other than contributions made by your employer

    Home mortgage payments/Rent*

    $

    Weekly payment for the home in which you live

    Other mortgage payments*

    $

    Specify the weekly mortgage payments made by you on any property other than the home in which

    you live

    Home rates, unit levies*

    $

    Specify for the home you live all compulsory rates and taxes, including water and

    local government charges, and unit levies that you pay

    Other rates, unit levies*

    $

    Weekly expenses for properties other than your home

    Life insurance premiums*

    $

    Other insurance premiums*

    $This covers all insurance other than life insurance (e.g. health, house, contents, car, workesr

    compensation, personal accident and professional negligence

    Motor vehicle registration*

    $

    Insert "0" if none

    Hire purchase/Lease agreement*

    $

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    Loan repayments*

    $

    Weekly repayment amount

    Maintenance payments/child support*

    $

    Insert "0" if none

    Other expenditure*

    $

    Total expenditure*

    $

    Minimum credit card repayments*

    $Weekly repayments

    Financial Resources

    Do you or your spouse has an interest in a trust?*

    I have an interest in a Trust

    My spouse has an interest in a Trust

    Both, my spouse and I have an interest in a Trust

    Neither of us have an Interest in a Trust

    For example: Family or Fixed Trust

    Value of trust interest*

    $

    Who is the Trustee of the Trust?*

    Who are the beneficiaries of the Trust?*

    Do you or the other party has an interest in a deceased estate?*

    I have an interest in a deceased estate

    My spouse has an interest in a deceased estate

    We both have interests in deceased estates

    Neither of us has an interest in a deceased estate

    Value of deceased estate interest*

    $

    Do you or your spouse have any redundancy or long service leave(LSL) entitlements?*

    I have

    My spouse has

    We both have

    Neither of us do

    Value of LSL interest*

    $

    History of property acquisitions

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    Property owned by your spouse at the commencement

    of cohabitation

    Include details of all Australian and foreign owned property

    Did your spouse own any real estate (properties)?*

    Includes real estate owned solely by your spouse or by your spouse and someone else

    How many properties did your spouse own?*

    Address of Property 1 owned by your spouse*

    City

    State/Province

    Zip/Postal

    Address of Property 2 owned by your spouse*

    City

    State/Province

    Zip/Postal

    Full names of registered owners of Property 1*

    Full names of registered owners of Property 2*

    Purchase price of Property 1?*

    $

    Purchase price of Property 2?*

    $

    What was your spouse's financial contribution to the purchase price of Property 1?*

    $

    For example - initial deposit, stamp duty fees, mortgage payments

    What was your spouse's financial contribution to the purchase price of Property 2?*

    $

    For example - initial deposit, stamp duty fees, mortgage payments

    Was there a mortgage on Property 1?*

    Was there a mortgage on Property 2?*

    What was the amount of mortgage on Property 1?*

    $

    Include the initial mortgage amount

    What was the amount of mortgage on Property 2? *

    $

    Include the initial mortgage amount

    Does your spouse still own Property 1?*

    Does your spouse still own Property 2?*

    What is the current market value of Property 1?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What is the current market value of Property 2?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What was the sale price of Property 1?*

    $

    What was the sale price of Property 2?*

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    Value of your spouse's investments*

    $

    The total value of all investments excluding real property

    Value of your spouse's bank accountants*

    $

    Include deposits in all types of financial institutions

    Value of your spouse's car/s*

    $

    Type "0" if unknown

    Your spouse's interest in a business*

    $

    Type "0" if unknown

    Your spouse's household contents*

    $

    Type "0" if unknown

    Your spouse's superannuation interest*

    $

    Type "0" if unknown

    Total of property owned by your spouse at the commencement of cohabitation.*

    $

    Type "0" if unknown

    Your spouse's liabilities at the commencement of cohabitation

    Did your spouse have any liabilities at the commencement of cohabitation?*

    Amount of Loans*

    $

    State the total of all loans including money borrowed from parents or friends

    Your spouse's other personal liabilities*

    $Specify any other personal liability such as HECS debt, any outstanding legal fees, or any taxation other

    than income tax

    Total of your spouse's liabilities at the commencement of cohabitation*

    $

    Property owned by you at the commencement of cohabitation

    Include details of all Australian and foreign owned property

    Did you own any real estate (properties)?*

    Includes real estate owned solely by you or by you and someone else

    How many properties did you own?*

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    Address of Property 1*

    City

    State/Province

    Zip/Postal

    Address of Property 2*

    City

    State/Province

    Zip/Postal

    Full names of registered owners of Property 1*

    Full names of registered owners of Property 2*

    Purchase price of Property 1?*

    $

    Purchase price of Property 2?*

    $

    What was your financial contribution to the purchase price of Property 1?*

    $

    For example - initial deposit, stamp duty fees, mortgage payments

    What was your financial contribution to the purchase price of Property 2?*

    $

    For example - initial deposit, stamp duty fees, mortgage payments

    Was there a mortgage on Property 1?*

    Was there a mortgage on Property 2?*

    What was the amount of mortgage on Property 1?*

    $

    Include the initial mortgage amount

    What was the amount of mortgage on Property 2?*

    $

    Include the initial mortgage amount

    Do you still own Property 1?*

    Do you still own Property 2?*

    What is the current market value of Property 1?*

    $A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What is the current market value of Property 2?*

    $A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What was the sale price of Property 1?*

    $

    What was the sale price of Property 2?*

    $

    Address of Property 3*

    City

    State/Province

    Zip/Postal

    Address of Property 4*

    City

    State/Province

    Zip/Postal

    Full names of registered owners of Property 3*

    Full names of registered owners of Property 4*

    Purchase price of Property 3?*

    $

    Give an estimate if you can't remember exact figure

    Purchase price of Property 4?*

    $

    Give an estimate if you can't remember exact figure

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    What was your financial contribution to the purchase price of Property 3?*

    $

    For example - initial deposit, stamp duty fees, mortgage payments

    What was your financial contribution to the purchase price of Property 4?*

    $

    For example - initial deposit, stamp duty fees, mortgage payments

    Was there a mortgage on Property 3?*

    Was there a mortgage on Property 4?*

    What was the amount of mortgage on Property 3?*

    $

    Include the initial mortgage amount

    What was the amount of mortgage on Property 4?*

    $

    Include the initial mortgage amount

    Do you still own Property 3?*

    Do you still own Property 4?*

    What is the current market value of Property 3?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What is the current market value of Property 4?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What was the sale price of Property 3?*

    $

    What was the sale price of Property 4?*

    $

    Investments*

    $

    The total value of all investments excluding real property

    Value of your bank deposits*

    $

    Include deposits in all types of financial institutions

    Your car value*

    $

    Type zero if none

    Interest in a business*

    $

    State your best estimate of the gross market value as if the business, partnership or the

    shares of the proprietary company were to be sold on the open market today. If owned with

    another person, state the value of your share

    Household contents*

    $

    State the total second hand value of all household contents in your possession

    Superannuatin interest*

    $

    Type zero if none

    Total of property owned by you at the beginning of cohabitation*

    $

    Your liabilities at the commencement of cohabitation

    Did you have any loans at the commencement of cohabitation?*

    Amount of Loans*

    $

    State the total of all loans including money borrowed from parents or friends

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    Credit/Charge cards*

    $

    Specify the amount owing by you now

    Other personal liabilities*

    $

    Specify any other personal liability such as HECS debt, any outstanding legal fees, or any

    taxation other than income tax

    Other personal business liabilities*

    $

    Specify any liabilities that you have arising from an interest you have in a business, either as a

    sole trader or as a partner

    Total of your liabilities at the commencement of cohabitation*

    $

    Property acquired during the course of cohabitation

    Include details of all Australian and foreign owned property

    Did you and/or your spouse acquire any real estate (properties) during the period of

    cohabitation?*

    How many properties did you and/or your spouse acquire during the period of

    cohabitation?*

    Address of Property 1 acquired during cohabitation*

    City

    State/Province

    Zip/Postal

    Address of Property 2 acquired during cohabitation*

    City

    State/Province

    Zip/Postal

    Was Property 1 your matrimonial home?*

    Was Property 2 your matrimonial home?*

    What was the date of purchase of Property 1?*

    Give approximate date if you cant' remember exact date

    What was the date of purchase of Property 2?*

    Give approximate date if you cant' remember exact date

    Who are the registered owners of Property 1*

    I am the sole registered owner

    My spouse is the sole registered owner

    Both, my spouse and I are the registered owners

    Other:

    Who are the registered owners of Property 2*

    I am the sole registered owner

    My spouse is the sole registered owner

    Both, my spouse and I are the registered owners

    Other:

    Purchase price of Property 1?*

    $

    Provide approximate price if you can't remember exact price

    Purchase price of Property 2?*

    $

    Provide approximate price if you can't remember exact price

    Was there a mortgage on property 1?*

    Was there a mortgage on property 2?*

    20

    Wh t th t f t P t 1?* Wh t th t f t P t 2?*

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    What was the amount of mortgage on Property 1?*

    $

    What was the amount of mortgage on Property 2?*

    $

    Do you still own Property 1?*

    Do you still own Property 2?*

    What is the current market value of Property 1?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What is the current market value of Property 2?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    How much is now owing on Property 1?*

    $

    Provide approximate number if you can't remember exact amount

    How much is now owing on Property 2?*

    $

    Provide approximate number if you can't remember exact amount

    What was the sale price of Property 1?*

    $

    What was the sale price of Property 2?*

    $

    What was the date of Sale of Property 1?*

    Provide approximate date if you can't remember exactly

    What was the date of Sale of Property 2?*

    Provide approximate date if you can't remember exactly

    Address of Property 3 acquired during cohabitation*

    City

    State/Province

    Zip/Postal

    Address of Property 4 acquired during cohabitation*

    City

    State/Province

    Zip/Postal

    Was Property 3 your matrimonial home?*

    Was Property 4 your matrimonial home?*

    What was the date of purchase of Property 3?*

    Give approximate date if you cant' remember exact date

    What was the date of purchase of Property 4?*

    Give approximate date if you cant' remember exact date

    Who are the registered owners of Property 3*

    I am the sole registered owner

    My spouse is the sole registered owner

    Both, my spouse and I are the registered owners

    Who are the registered owners of Property 4*

    I am the sole registered owner

    My spouse is the sole registered owner

    Both, my spouse and I are the registered owners

    Other:

    Purchase price of Property 3?*

    $

    Provide approximate price if you can't remember exact price

    Purchase price of Property 4?*

    $

    Provide approximate price if you can't remember exact price

    Was there a mortgage on property 3?*

    Was there a mortgage on property 4?*

    21

    Wh t th t f t P t 3?* Wh t th t f t P t 4?*

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    What was the amount of mortgage on Property 3?*

    $

    What was the amount of mortgage on Property 4?*

    $

    Do you still own Property 3?*

    Do you still own Property 4?*

    What is the current market value of Property 3?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    What is the current market value of Property 4?*

    $

    A formal valuation may be required with details about the value of the property at the

    commencement of cohabitation, at date of separation and present date

    How much is now owing on Property 3?*

    $

    Provide approximate number if you can't remember exact amount

    How much is now owing on Property 4?*

    $

    Provide approximate number if you can't remember exact amount

    What was the sale price of Property 3?*

    $

    What was the sale price of Property 4?*

    $

    What was the date of sale of Property 3?*

    Give approximate date if you cant' remember exact date

    What was the date of sale of Property 4?*

    Give approximate date if you cant' remember exact date

    Funds in banks and other financial institutions*

    $

    Insert "0" if none

    Investments*

    $

    The total value of all investments excluding real property

    Life insurance policies*

    $

    State the value of all policies of life insurance on your life or owned by you on the life of

    another

    Car one value*

    $

    Type zero if none

    Car two value*

    $

    Type zero if none

    Do you have an interest in any of the following:*

    Business

    Company

    Sole Trader

    Partnership

    Other:

    Who are the company directors?*

    Type all directors' names

    Who are the company shareholders?*

    Type all shareholders' names

    22

    Date of incorporation* Interest in a business*

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    Date of incorporation

    Interest in a business*

    $

    State your best estimate of the gross market value as if the business, partnership or the

    shares of the proprietary company were to be sold on the open market today. If owned with

    another person, state the value of your share

    Household contents*

    $

    State the total second hand value of all household contents in your possession

    Award of damages in a personal injury claim*

    $

    Date of Award*

    Other personal property*

    $

    Identify all other personal property owned by you or in your possession, such as money owed

    to you, a boat or jewellery. If owned with other person, state the value of your share.

    Do you have a Self Managed Superannuation Fund(SMSF)?*

    Who is the Trustee of the SMSF?*

    Who are the Members of the SMSF?*

    Superannuatin interest*

    $

    Type zero if none

    Total of property owned*

    $

    Your Current Liabilities

    Home mortgage*

    $

    Amount owing

    Other mortgages*

    $

    Amount owing

    Total income tax assessed for the current financial year*

    $

    State the total income as assessed and still owing including penalties. Do not include amounts

    automatically deducted from your income by your employer

    Total income tax assessed and unpaid in previous financial years*

    $

    State the total income tax assessed and still owing, including penalties, from previous financial

    years

    Loans*

    $

    State the total of all loans including money borrowed from parents or friends

    Credit/Charge cards*

    $

    Specify the amount owing by you now

    23

    Hire purchase/lease* Other personal liabilities*

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    Hire purchase/lease

    $

    Specify the amount required to pay this debt in full immediately - payout figure

    Other personal liabilities

    $

    Specify any other personal liability such as HECS debt, any outstanding legal fees, or any

    taxation other than income tax

    Other personal business liabilities*

    $

    Specify any liabilities that you have arising from an interest you have in a business, either as a

    sole trader or as a partner

    Have you disposed of any assets in the 12 months before separation?*

    $

    Please, indicate what amount you have received if any

    Total of your liabilities*

    $

    Contributions during the relationship and marriage

    Financial Contributions made by me

    (s 79(4)(a) or s 90SM(4)(a) as applicable)

    Did you contribute the property and assets that you owned at the commencement of cohabitation to the

    relationship?*

    Did you apply the income that you earned during the relationship to

    the benefit of your family during the times when you lived together?

    *

    Did you make a direct financial contribution to the conservation of property?*

    Examples would be payment of the cost of ordinary repairs and maintenance to a matrimonial home, such as

    roofing, guttering, plumbing, electrical repairs, garden maintenance etc.

    Did you make a direct financial contribution to improvement of

    property?*

    For example building a family room at the back of the matrimonial home,

    constructing a garage, or adding a second story. An act of improvement

    results in an increase of the value or utility of the property.

    Has a member of your family provided free or subsidised accommodation?*

    For example parents, grandparents or other relatives providing rent free accommodation

    Have you provided the free use of property which resulted in

    savings?*

    Have you made a gift to your spouse which has enabled your spouse to acquire an asset or discharge a

    debt?*

    Were there any agreements between the parties about the use of

    their money?*

    24

    Did you and your spouse maintain any of the listed accounts during the relationship?* Has any of your family members provided free child minding on a

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    Did you and your spouse maintain any of the listed accounts during the relationship?

    Joint Account/s

    My own account/s

    Spouse's own account/s

    Check All

    Other:

    y y y p g

    regular basis?*

    Financial contributions made by my spouse

    (s 79(4)(a) or s 90SM(4)(a) as applicable)

    Did your spouse contribute the property and assets that your spouse owned at the

    commencement of cohabitation to the relationship?*

    Did your spouse apply the income that your spouse earned during the

    relationship to the benefit of your family during the times when you lived

    together?*

    Did your spouse make a direct financial contribution to the conservation of property?*

    Examples would be payment of the cost of ordinary repairs and maintenance to a matrimonial home,

    such as roofing, guttering, plumbing, electrical repairs, garden maintenance etc.

    Did your spouse make a direct financial contribution to improvement of

    property?*

    For example building a family room at the back of the matrimonial home, constructing

    a garage, or adding a second story. An act of improvement results in an increase of

    the value or utility of the property.

    Has a member of your spouse's family provided free or subsidised accommodation?*

    For example parents, grandparents or other relatives providing rent free accommodation

    Has your spouse provided the free use of property which resulted in savings?*

    Has any of your spouse's family members provided free child minding on a regular basis? *

    Non-financial contributions made by me

    (s 79(4)(b) or s 90SM(4)(b) as applicable)

    Have you made any non-financial contributions to the preservation, improvement and preservation of the property of my spouse

    and myself?*

    Include details of any personal work carried out to improve property, for example renovations, building construction

    25

    Non financial contributions made by my spouse

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    Non-financial contributions made by my spouse

    (s 79(4)(b) or s 90SM(4)(b) as applicable)

    Has your spouse made any non-financial contributions to the preservation, improvement and preservation of the property of my

    spouse and myself?*

    Include details of any personal work carried out to improve property, for example renovations, building construction

    Conduct of the Parties during the relationship

    Is there a current Violence Restraining Order for:*

    Your protection

    The protection of your spouseNeither of the above

    Other:

    Have you experienced any domestic violence during the relationship?*

    Contributions made by me to the welfare of the family

    (s 79(4)(c) or s 90SM(4)(c) as applicable)

    Provide particulars of the chores that you performed which were associated with the daily care of the

    children*

    Select the household chores that mainly you were responsible for*

    Cooking

    Ironing

    Cleaning

    Shopping

    Other:

    Your health

    Are you in good health?*

    Is your illness or injury long term?*

    Please give details of your medical condition/s*

    Does your bad health or il lness affect your ability to earn an income?*

    26

    Does your illness or injury affect your ability to care for your children?* Has your ill-health or injury been caused by or contributed to by your spouse?*

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    y j y y y y

    y j y y y y p

    For example through domestic violence

    Is your ill-health or injury likely to affect your life expectancy?*

    Your spouse's health

    Is your spouse in good health?*

    Is your spouse's illness or injury long term?*

    Please give details of your spouse's medical condition/s*

    Does your spouse's bad health or i llness affect your spouse's ability to earn

    an income?*

    Does your spouse's illness or injury affect your spouse's ability to care for the children?*

    Has your spouse's ill-health or injury been caused by or contributed to by you?

    *

    For example through domestic violence

    Is your spouse's ill-health or injury likely to affect your spouse's life expectancy?*

    For online example of this formclick here.

    27

    http://www.formstack.com/forms/tanandtan-property_settlement_contributionshttp://www.formstack.com/forms/tanandtan-property_settlement_contributions