Domestic Relations Form

American LegalNet, Inc. www.FormsWorkFlow.com 5. Summary of proposed residential arrangements for the children: _____________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ YOU MUST ATTACH: 1. Proposed Child Support Order, Support Worksheets and current pay stubs. Form WPF DR 01-050. 2. Completed Financial Declaration. Form WPF DR 01-055 3. Proposed Parenting Plan, if disputed. MAINTENANCE: 1. 2. Requested: Presently being paid: $_________________ per month, duration: ____________________________________ $_________________ per month, for __________________________________ months. HUSBAND/FATHER INCOME: Employer/Other Source Length Gross Income Net Income Total Income WIFE/MOTHER INCOME: Employer/Other Source Length Gross Income Net Income Total Income FACTORS RELATING TO AWARD OF MAINTENANCE: ______________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ IF ATTORNEY FEES ARE AT ISSUE: 1. 2. 3. Incurred to Date Ordered to Date Requested to Date $ $ $ Paid To Date Paid to Date Estimate to Trial $ $ $ EXHIBIT G ­ KITSAP COUNTY LOCAL COURT RULES . . 2 PROPERTY DIVISION: ASSETS: Real Estate: Home Other Real Property $ $ $ Vehicles (Year/Make): $ $ Household Goods Tools/Equipment Recreational/Hobby Equipment Business/Profession: Husband Wife Investments Life Insurance Cash Value Retirement: Husband Wife IRA's, TSP's, 401-K's, etc.: Husband Wife Receivables Other Assets: $ $ $ $ Debts: TOTALS ($ $ ) $ $ $ $ ($ $ ) $ $ $ $ ($ $ ) $ $ $ $ ($ $ ) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Fair Market Value Debt Owed Net to Husband Net to Wife Equalization: $ -$ divided by two (2) =$ Proposed Percentage Division: Effects of Proposed Division: $_________ to Husband ________ % to Husband $__________ to Wife _________ % to Wife EXHIBIT G ­ KITSAP COUNTY LOCAL COURT RULES . . 3