Equitable Distribution Affidavit {DCVD-7}

STATE OF NORTH CAROLINA File No. _________________ COUNTY OF _______________________ IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION Plaintiff vs. EQUITABLE DISTRIBUTION AFFIDAVIT OF _____________________________ Defendant THE AFFIANT, being duly sworn and under oath as shown below, states as follows: 1. That I am filing with the Court, as required by its Rules, this affidavit for its use in entering final judgment of equitable distribution of marital assets. 2. That this affidavit consists of this sheet and the attached ____ pages. 3. That I have read and understand the Instructions which accompanied this affidavit, and the information contained in this affidavit is true, accurate, and complete. This the ____ day of _____________________ , 2____ . Affiant (Typed Name) Subscribed and sworn to before me This ___________ day of ________________, 2____ . (Signature of Officer)_______________________ (Title) District 1 Page 1 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 2AFFIDAVIT OF Husband Wife / (P1) (Def) Marital Property Part I, Page _ - - - - t For Court Use and Title Price tion Fair Out Deb tion Only or (W) quired Value Value Item No. of Asset Location Date Ac Original Purchase Source of Funds for AcquisiCurrent Market Current standing Lien or Current Net Fair Market Proposed Distribu (H) or (W) Description Owner (H) District 1 Page 1 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 3 AFFIDAVIT OF Husband Wife / (P1) (Def) Marital Property Part II, Page _ 1. Income and Expense GROSS INCOME STATEMENT Weekly Monthly Bi-Monthly Deductions From Gross Income (continued) Salary & Wages (include commissions, bonuses, Union or Other Dues $ overtime, and tips) $ Pensions and Retirement $ Retirement or Pension Fund $ Social Security $ Savings $ Disability and Unemployment Benefits $ Other Deductions (specify) $ Public Assistance (AFDC payments, food stamps, etc.) $ $ Rents $ $ Child Support/Alimony Payments $ $ Dividends and Interest $ $ Income From All Other Sources (list each) $ $ $ TOTAL DEDUCTIONS $ $ NET INCOME (Gross Income less Deductions) $ $ $ Expenses: Weekly Monthly Bi-Monthly $ Residence Payments $ TOTAL GROSS INCOME $ Rent or Mortgage $ Taxes and Insurance $ Deductions from GROSS INCOME Maintenance $ Federal Income Taxes $ Food and Household Supplies $ State Income Taxes $ Clothing and Laundry $ Social Security $ Medical and Dental $ Medical Insurance $ Child Care $ Other $ TOTAL EXPENSES (Add lines) $ (The expenses should reflect only the expenses of the affiant and not others of the household for which the affiant has no legal obligation.) District 1 Page 2 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 4AFFIDAVIT OF Husband Wife / (P1) (Def) Separate Property Part II, Page _ ired n For Court Use Only and Date Fair Price Value Value Other Present Market Market Item No. of Asset Location Acqu Original Purchase Current Current g Lien or MortgageCurrent Net Fair Relevant Description Outstandin Informatio $ $ $ $ Total of this page of Part II-2; and if this is last page, total of all pages of II-2. $ $ $ $ District 1 Page 3 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 5 AFFIDAVIT OF Husband Wife / (P1) (Def) Separate Property Part II, Page _ 2. List All Real Or Personal Property Which Is Your Separate Property. This Means Property Owned By You Which Is Not Marital Property And Was Not Listed In Part I Of This Affidavit. n For Court Use Only and Date Price Fair Value Value Other of Asset Present Market Market Item No. Location Acquired Original PurchaseCurrent Current g Lien or MortgageCurrent Net Fair Relevant Description Outstandin Informatio $ $ $ $ Total of this page of Part II-2; and if this is last page, total of all pages of II-2. District 1 Page 4 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 6AFFIDAVIT OF Husband Wife / (P1) (Def) Separate Property Part II, Page _ 3. a. Have you been married prior to your marriage to the opposing party in this case? b. If so, what support obligations do you now have arising out of that marriage? (List only if not included in answer to Part II, 1.) (Monthly, weekly, etc.) Per $ 4. a. State the date of marriage and number of years married to the opposing party: (Date) _______________________ _____________ Years b. State your present age and date of birth: _______________ Years ______________________ , 19 _____ . c. Name and describe all physical or mental disorders, illnesses, diseases, or conditions which you now have: 5. a. Do you now have custody of any children born of your marriage to the opposing party? b. If so, do you want and need to own or occupy the marital residence and to use or own its household effects: c. If so, state reasons: (You may refer to complaint/answer in existing case file.) District 1 Page 5 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 7AFFIDAVIT OF Husband Wife / (P1) (Def) Separate Property Part II, Page _ 6. Complete The Following Concerning All Pension Or Retirement Rights Which Are Separate Property And Which You Will Receive Or Expect To Receive.. ll For Court Use Only Fund Date Begin Total Value Begin Etc.) Other Or Will Current At Time Or Wi (Weekly, Amount Be Paid Relevant Source Of You Began You began How Paid Annually, Pension Or Retirement Total Value Monthly Or Paid Or To Payments To Payments To Information TOTALS r r r r District 1 Page 6 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 8AFFIDAVIT OF Husband Wife / (P1) (Def) Separate Property Part II, Page _ 7. (Leave Blank; for use by Court only,). 8. Did you, by direct or indirect contribution, help educate or develop the career potential of the other spouse: If so, describe in detail: District 1 Page 7 of 6 FDCVD-7 Equitable Distribution Affidavit 9/83 <<<<<<<<<********>>>>>>>>>>>>> 9AFFIDAVIT OF Husband Wife / (Pl) (Def) Separate Property Part II, Page _ 9. If There Was An Increase In Value, During The Course Of Your Marriage, Of An Item Claimed By The Opposing Party As Separate Property, Did You Make A Direct Contribution To That Increased Value? ______________________ e Of Of on n For Court Use Only Your on To Value Your Property Contributi Tim Contributi Detailed Description Amount Of Increase In Explanatio District 1 Page 8 of 6 FDCVD-7 Equitable Distribution Affida