C. Bank Accounts - list all checking and saving accounts held either in your name alone or in your name and that of another person. Give the name of the institution, the names on the account and the account number. Be sure to include here all time deposits and certificates of deposit, etc.
___________________________
___________________________
___________________________
___________________________
___________________________ | $ |  |  | $ |
D. Household Goods - include all appliances, furniture, silver, antiques, televisions, stereos, etc. Attach list of each item with a value of at least $100 or more showing present value, how acquired, date acquired, and amount owed.
E. Personal Goods - include jewelry, furs, guns cameras, coin and stamp collections, fishing and camping equipment, etc. Attach a list of each item with a value of at least $100 or more showing present value, how acquired, date acquired, and amount owed.
F. Cash on Hand – list only that in your possession.
G. Securities – list all stocks, bonds, promissory notes, mortgages and all other such property in which you have an interest and give the names in which the securities are held and identification numbers, if any.
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
H. Life Insurance - list the kind of policy, name of issuing company, policy number, owner of policy, insured, beneficiaries, face value and cash surrender value of the policy, if any (include any policies furnished by your employer)
___________________________
___________________________
___________________________
___________________________ | $ | XXXXX
XXXXX | XXXXX
XXXXX | XXXXX
$ |
I. Retirement, Pension and/or profit Sharing Plans - list name of the company and its present total value and percentage vested.
___________________________
___________________________
J. Any Interest in any trust - give name of the trust, name of the trustee, name of settlor, name of beneficiaries, nature of the interest you have in the trust and attach to this list a copy of the trust instrument.
___________________________
K. Any Interest in a contract mad but not yet performed list the parties to the contract and the expected date of performance, if any.
___________________________
L. Any Interest in any Pending Litigation or Suits yet to be filed.
___________________________
M. Any Interest in any farm equipment, animals, or crops - give the nature of the property and its location.
___________________________
N. Any debt owed to you by others - list the name of the debtor, any security, date of loan and due date, if any, etc.
__________________________
O. Future Interest - list the interest you hold, the property involved and the present owner.
__________________________ | $ |  |  | $ |
P. Partnership Interest - (list the name of partners and percentage interest). Attach a copy of the partnership agreement or set forth its terms with assets and liabilities.
___________________________
Q. List any other asset not already listed herein
___________________________
___________________________ |  |  |  |  |
* How acquired - state whether the property was purchased, inherited, etc. See also Section 452.330.2, RSMo, which defines “marital property” and which lists exceptions to the rule that property acquired by either spouse subsequent to the marriage is “marital property.” For example, property acquired by gift or inheritance is excluded. |