This form contains 132 fields organized into 36 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Accounts Receivable and Unsecured Notes
Accounts Receivable/Unsecured Notes Description Text
Provide a detailed description of the accounts receivable or unsecured notes.
Separate Property Indicator Text
Indicate if this account receivable or unsecured note is considered separate property.
Date Acquired Date
Enter the date when this account receivable or unsecured note was acquired.
Current Gross Fair Market Value Number
Enter the current gross fair market value of this account receivable or unsecured note.
Amount Owed or Encumbrance Number
Enter the amount of money owed on or any encumbrance against this account receivable or unsecured note.
Attorney For
Attorney For Name Text
Provide the full name of the attorney this form is being filed for.
Attorney or Party without Attorney Information
Attorney or Party Name and Address Text
Please enter the full name and mailing address of the attorney or the party without an attorney.
Telephone Number Text
Please provide the telephone number of the attorney or the party without an attorney.
Case Number
Case Number Text
Please enter the case number for this form.
Cash Asset
Cash Location Text
Please provide the location where the cash is held.
Separate Property Indicator Text
Indicate if this cash asset is considered separate property. Fill only if 'Cash Location' is filled.
Depends on: Cash Location
Date Acquired Date
Enter the date when this cash asset was acquired. Fill only if 'Cash Location' is filled.
Depends on: Cash Location
Current Gross Fair Market Value Number
Provide the current gross fair market value of this cash asset. Fill only if 'Cash Location' is filled.
Depends on: Cash Location
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance against this cash asset. Fill only if 'Cash Location' is filled.
Depends on: Cash Location
Checking Account Asset
Text
Separate Property Text
Indicate if this checking account is considered separate property. Fill only if is filled.
Depends on:
Date Acquired Date
Enter the date the checking account was acquired. Fill only if is filled.
Depends on:
Current Gross Fair Market Value Number
Enter the current gross fair market value of the checking account. Fill only if is filled.
Depends on:
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance associated with the checking account. Fill only if is filled.
Depends on:
Continuation Sheet Information
Continuation Sheets Attached Checkbox
Check this box if additional pages are attached as continuation sheets for the document.
Text
Depends on: Continuation Sheets Attached
Court County
Court County Name Text
Enter the name of the county for the Superior Court of California.
Credit Cards
Credit Card Details Text
Provide the creditor's name, address, and the credit card account number.
Separate Property Indicator Text
Indicate if this credit card debt is considered separate property.
Total Owing Number
Enter the total amount currently owed for this credit card debt.
Date Acquired Date
Provide the date when this credit card debt was acquired.
Credit Union/Other Deposit Account Asset
Account Details Text
Enter the account name, account number, bank, and branch for this credit union or other deposit account.
Separate Property Text
Indicate if this credit union or other deposit account is considered separate property. Fill only if 'Account Details' is filled.
Depends on: Account Details
Date Acquired Date
Provide the date this credit union or other deposit account was acquired. Fill only if 'Account Details' is filled.
Depends on: Account Details
Current Fair Market Value Number
Enter the current gross fair market value of this credit union or other deposit account. Fill only if 'Account Details' is filled.
Depends on: Account Details
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance on this credit union or other deposit account. Fill only if 'Account Details' is filled.
Depends on: Account Details
Declaration
Declaration Date Date
Enter the date of this declaration.
Declarant Name Text
Enter the full name of the person making this declaration.
First Asset Row (Real Estate)
Real Estate Description Text
Provide a detailed description of the real estate, including street addresses, legal descriptions, and information from the latest lender's statement.
Separate Property Indicator Text
Indicate whether this asset is separate property by entering 'P' for Petitioner or 'R' for Respondent. Fill only if 'Real Estate Description' is filled.
Depends on: Real Estate Description
Date Acquired Date
Enter the date when the real estate asset was acquired. Fill only if 'Real Estate Description' is filled.
Depends on: Real Estate Description
Fair Market Value Number
Enter the current gross fair market value of the real estate. Fill only if 'Real Estate Description' is filled.
Depends on: Real Estate Description
Amount Owed or Encumbrance Number
Enter the total amount of money owed on the real estate or any existing encumbrances. Fill only if 'Real Estate Description' is filled.
Depends on: Real Estate Description
General
Button
Button
Button
Button
Button
Life Insurance Asset
Life Insurance Description Text
Provide a detailed description of the life insurance policy with cash surrender or loan value.
Life Insurance Separate Property Text
Indicate if the life insurance policy is considered separate property. Fill only if 'Life Insurance Description' is filled.
Depends on: Life Insurance Description
Life Insurance Acquisition Date Date
Enter the date when the life insurance policy was acquired. Fill only if 'Life Insurance Description' is filled.
Depends on: Life Insurance Description
Life Insurance Fair Market Value Number
Enter the current gross fair market value of the life insurance policy. Fill only if 'Life Insurance Description' is filled.
Depends on: Life Insurance Description
Life Insurance Encumbrance Amount Number
Enter the amount of money owed or any existing encumbrance on the life insurance policy. Fill only if 'Life Insurance Description' is filled.
Depends on: Life Insurance Description
Other Assets
Other Asset Description Text
Provide a detailed description of the other asset.
Separate Property Indicator Text
Indicate if the other asset is considered separate property.
Date Acquired Date
Enter the date the other asset was acquired.
Current Gross Fair Market Value Number
Enter the current gross fair market value of the other asset.
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance on the other asset.
Other Debts
Other Debt Details Text
Provide a detailed description of the other debt, including to whom it is owed.
Separate Property Text
Indicate if this other debt is considered separate property.
Total Amount Owing Number
Enter the total monetary amount currently owed for this other debt.
Date Acquired Date
Enter the date when this other debt was acquired.
Partnerships and Other Business Interests
Partnership/Business Description Text
Provide a detailed description of the partnership or other business interest.
Separate Property Indicator Text
Indicate whether this business interest is considered separate property.
Date Acquired Date
Enter the date when the partnership or business interest was acquired.
Fair Market Value Number
Enter the current gross fair market value of the partnership or business interest.
Amount Owed/Encumbrance Number
Enter the amount of money owed or any encumbrance against the partnership or business interest.
Petitioner
Petitioner's Name Text
Please provide the full name of the petitioner.
Profit-Sharing, Annuities, IRAs, Deferred Compensation
Profit-Sharing/Annuity/IRA/Deferred Compensation Description Text
Enter a detailed description of the profit-sharing, annuity, IRA, or deferred compensation asset.
Separate Property Indicator Text
Indicate if this asset is separate property.
Date Acquired Date
Enter the date when this asset was acquired.
Current Gross Fair Market Value Number
Enter the current gross fair market value of the asset.
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance against this asset.
Respondent
Respondent Name Text
Provide the full legal name of the respondent.
Retirement and Pensions
Retirement and Pensions Description Text
Enter a detailed description of the retirement or pension plan, including its name and type.
Separate Property Text
Indicate if this retirement or pension asset is considered separate property.
Date Acquired Date
Provide the date when this retirement or pension asset was acquired.
Current Fair Market Value Number
Enter the current gross fair market value of this retirement or pension asset.
Amount Owed or Encumbrance Number
Enter the total amount of money owed against this retirement or pension asset or any existing encumbrance.
Savings Account Asset
Savings Account Details Text
Provide the name of the financial institution, the account number, the bank name, and the branch for this savings account.
Separate Property Indicator Text
Indicate if this savings account is considered separate property. Fill only if 'Savings Account Details' is filled.
Depends on: Savings Account Details
Date Account Acquired Date
Enter the date when this savings account was opened or acquired. Fill only if 'Savings Account Details' is filled.
Depends on: Savings Account Details
Current Fair Market Value Number
Provide the current gross fair market value of this savings account. Fill only if 'Savings Account Details' is filled.
Depends on: Savings Account Details
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance against this savings account. Fill only if 'Savings Account Details' is filled.
Depends on: Savings Account Details
Schedule Subject
Petitioner's Checkbox
Check this box if the schedule of assets and debts being referred to belongs to the Petitioner.
Respondent's Checkbox
Check this box if the schedule of assets and debts being referred to belongs to the Respondent.
Second Asset Row (Household Furniture)
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance on the household furniture, furnishings, or appliances. Fill only if 'Household Furniture Description' is filled.
Depends on: Household Furniture Description
Fair Market Value Number
Enter the current gross fair market value of the household furniture, furnishings, or appliances. Fill only if 'Household Furniture Description' is filled.
Depends on: Household Furniture Description
Acquisition Date Date
Enter the date when the household furniture, furnishings, or appliances were acquired. Fill only if 'Household Furniture Description' is filled.
Depends on: Household Furniture Description
Separate Property Indicator Text
Indicate if this asset is the separate property of the Petitioner (P) or Respondent (R), or leave blank if it is community property. Fill only if 'Household Furniture Description' is filled.
Depends on: Household Furniture Description
Household Furniture Description Text
Enter a detailed description of the household furniture, furnishings, or appliances.
Stocks, Bonds, Secured Notes, Mutual Funds
Asset Description Text
Enter a detailed description of the stock, bond, secured note, or mutual fund, including any certificate numbers.
Separate Property Indicator Text
Indicate if this asset is considered separate property.
Date Acquired Date
Provide the date when this asset was acquired.
Current Gross Fair Market Value Number
Enter the current gross fair market value of the asset.
Amount Owed or Encumbrance Number
Enter the total amount of money owed on the asset or any existing encumbrance.
Student Loans
Student Loan Details Text
Enter the name of the lender, creditor, and any other relevant details for this student loan.
Separate Property Text
Indicate if this student loan is considered separate property.
Total Owing Number
Enter the total amount currently owed for this student loan.
Date Acquired Date
Enter the date on which this student loan was acquired.
Support Arrearages
Support Arrearages Details Text
Provide detailed information about the support arrearages, including to whom they are owed.
Separate Property Text
Indicate if these support arrearages are considered separate property.
Total Owing Number
Enter the total monetary amount of support arrearages currently owed.
Date Acquired Date
Enter the date when the support arrearages were acquired or the obligation began.
Tax Refund Asset
Text
Text
Depends on:
Date
Depends on:
Number
Depends on:
Number
Depends on:
Taxes
Tax Details Text
Provide specific details about the taxes owed, including the type of tax and to whom it is owed.
Separate Property Text
Indicate whether the tax debt is considered separate property.
Total Taxes Owing Number
Enter the total monetary amount of taxes owed.
Date Acquired Date
Enter the date the tax debt was incurred or acquired.
Third Asset Row (Jewelry, Antiques, Art)
Jewelry, Antiques, Art Description Text
Provide a detailed description of the jewelry, antiques, art, coin collections, or similar items.
Separate Property Indicator Text
Indicate if this asset is separate property by entering 'P' for Petitioner or 'R' for Respondent. Fill only if 'Jewelry, Antiques, Art Description' is filled.
Depends on: Jewelry, Antiques, Art Description
Acquisition Date Date
Enter the date when these assets were acquired. Fill only if 'Jewelry, Antiques, Art Description' is filled.
Depends on: Jewelry, Antiques, Art Description
Fair Market Value Number
Enter the current gross fair market value of these assets. Fill only if 'Jewelry, Antiques, Art Description' is filled.
Depends on: Jewelry, Antiques, Art Description
Amount Owed or Encumbrance Number
Enter the amount of money owed or any encumbrance on these assets. Fill only if 'Jewelry, Antiques, Art Description' is filled.
Depends on: Jewelry, Antiques, Art Description
Total Assets
Total Gross Fair Market Value Number
Enter the total current gross fair market value of all assets.
Total Amount Owed or Encumbrance Number
Enter the total amount of money owed or encumbrance on all assets.
Total Assets from Continuation Sheet
Total Separate Property Assets from Continuation Sheet Number
Enter the total monetary value of separate property assets from the continuation sheet. Fill only if 'a continuation sheet' is used
Date Acquired Assets from Continuation Sheet Date
Enter the acquisition date of the total assets from the continuation sheet. Fill only if 'a continuation sheet' is used
Fair Market Value Assets from Continuation Sheet Number
Enter the current gross fair market value of the total assets from the continuation sheet. Fill only if 'a continuation sheet' is used
Amount Owed or Encumbrance Assets from Continuation Sheet Number
Enter the total amount of money owed or encumbrance on the assets from the continuation sheet. Fill only if 'a continuation sheet' is used
Total Debts
Total Debts Amount Number
Provide the grand total amount of all debts owed.
Total Debts From Continuation Sheet
Total Debts From Continuation Sheet - Separate Property Number
Enter the total amount of debts from the continuation sheet that are separate property.
Total Debts From Continuation Sheet - Total Owing Number
Enter the total amount owing for debts listed on the continuation sheet.
Total Debts From Continuation Sheet - Date Acquired Date
Enter the date when the total debts from the continuation sheet were acquired.
Unsecured Loans
Bank Name and Loan Number Text
Provide the name of the bank or lender and the corresponding loan number for this unsecured loan.
Separate Property Indicator Text
Indicate if this unsecured loan is considered separate property.
Total Amount Owing Number
Enter the total outstanding amount owed for this unsecured loan.
Date Acquired Date
Provide the date when this unsecured loan was acquired.
Vehicle, Boat, or Trailer Asset
Asset Description Text
Please provide a detailed description of the vehicle, boat, or trailer asset.
Separate Property Text
Indicate if this asset is considered separate property. Fill only if 'Asset Description' is filled.
Depends on: Asset Description
Date Acquired Date
Enter the date the asset was acquired. Fill only if 'Asset Description' is filled.
Depends on: Asset Description
Fair Market Value Number
Enter the current gross fair market value of the asset. Fill only if 'Asset Description' is filled.
Depends on: Asset Description
Amount Owed or Encumbrance Number
Enter the amount of money owed or the encumbrance on the asset. Fill only if 'Asset Description' is filled.
Depends on: Asset Description