Formstack

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 must make full and frank disclosure of your financial circumstances.
Failure to do so is likely to be detrimental 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*

Your gender*

First Name

Last Name

Your email address*

Your date of birth*

Your residential address*

Your mailing address if different*

City

State/Province

Zip/Postal

City

State/Province

Your country of birth*

When did you arrive in Australia?*

How well do you speak English?*

Your mobile phone number*

Zip/Postal

Very well
Well
Not very well
I need an interpreter
Are you*

Your phone number*

Presently in Australia?
An Australian citizen?

A number that you would be comfortable to be called on

Ordinarily residing in Australia?

Domiciled in Australia
Check All
Select all that apply

Your Spouse's Details

Your spouse includes a marriage or de facto partner (de facto relationship of at least two years)
Full name of spouse*

First Name

Your spouse's address*

Last Name

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City
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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?*

Is your spouse legally represented?*

Very well
Well
Not very well
I need an interpreter
Name of lawyer acting for your spouse*

First Name

Name of lawyer acting for your spouse*

Last Name

City

State

Postcode

Your employment details at the commencement of cohabitation

Were you employed at the commencement of cohabitation?*

What was your occupation at the commencement of cohabitation?*

Yes
No
What was the name of your employer?*

Give details of your employment*

full time
part time
permanent
casually
on contract
What was the address of your employer?*

City

State/Province

When did you start work with that employer?*

Zip/Postal

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Were you self employed?*

Name of company/trust/partnership/business*

Yes
No
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?*

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

Yes
No
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?*

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

Yes
No
What was your spouse's weekly income before tax?*

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

Provide approximate figure if can't remember exactly

Your employment history during the relationship

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

Nature of your work, experience and qualifications:*

Yes
No
Are you employed?*

What is your current occupation?*

Yes
No
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What is the name of your current employer?*

Give details of your employment*

full time
part time
permanent
casually
on contract
What is the address of your employer?*

City

State/Province

Since when have you been employed at this place?*

Zip/Postal

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

Is your spouse employed?*

Yes
No

No
Spouse's occupation*

Give details of your spouse's employment*

full time
part time
permanent
casually
on contract
How many hours does your spouse work per week?*

Spouse's current employer*

Approximate number of hours if not sure

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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*

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

Lack of training

Weekly income before tax

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?*

Do you live together with your current partner?*

Yes
No
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

Full Name of current partner*

partner?*
First Name
For example paying a mortgage, car expenses, bills etc.

Last Name
Address of current partner*

City

State/Province

Is your current partner employed?*

DOB of current partner*

Zip/Postal
Occupation of current partner*

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Income of current partner*

Financial commitments of current partner*

$
Give a short description

Weekly income
Current partner employer's address*

City

State/Province

Zip/Postal

About the relationship of the parties

Your marital status*

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

Married
Divorced

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

De facto
When did you and the other party marry?*

Country of marriage ceremony?*

Give date if you have married

Country of marriage

Location of marriage ceremony*

Location of Marriage Certificate*

In my possession
City of marriage

In the possession of my spouse

I don't know
Other:

When did you and the other party finally separate?*

Brief reasons for separation*

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

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

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

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Start of first period of separation *

End of first periods of separation *

Approximate start date of period of separation

Approximate date of period of separation

Start of second period of separation *

End of second period of separation *

Approximate date of period of separation

Approximate date of period of separation

Start of third period of separation *

End of third period of separation *

Approximate date of period of separation

Approximate date of period of separation

When did you and the other party get divorced?*

Where did you and the other party get divorced?*

Give date of divorce order if applicable

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

How many children?*

relationship?*
Include all children of either party
Child 1*

Child 2*

First Name

First Name

Last 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?*

Full name of mother Child 2*

First Name

First Name

Last Name

Last Name

Full name of father Child 1*

Full name of father Child 2*

First Name

First Name

Last 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*

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

Mother

Mother

Father

Father

Other:

Other:

Days of the week Child 1 lives with you:*

Days of the week Child 2 lives with you:*

Monday

Monday

Tuesday

Tuesday

Wednesday

Wednesday

Thursday

Thursday

Friday

Friday

Saturday

Saturday

Sunday

Sunday

Other:

Other:

Please tick

Please tick

Child 3*

Child 4*

First Name

First Name

Last 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*

Full name of mother Child 4*

First Name

First Name

Last Name

Last Name

Full name of father Child 3*

Full name of father Child 4*

First Name

First Name

Last Name

Last Name

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

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

Mother

Mother

Father

Father

Other:

Other:

Days of the week Child 3 lives with you:*

Days of the week Child 4 lives with you:*

Monday

Monday

Tuesday

Tuesday

Wednesday

Wednesday

Thursday

Thursday

Friday

Friday

Saturday

Saturday

Sunday

Sunday

Other:

Other:

Please tick

Please tick

Child 5*

Child 6*

First Name

First Name

Last 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*

Full name of mother Child 6*

First Name

First Name

Last Name

Last Name

Full name of father Child 5*

Full name of father Child 6*

First Name

First Name

Last 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*

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

Mother

Mother

Father

Father

Other:
Days of the week Child 5 lives with you:*

Other:
Days of the week Child 6 lives with you:*

Monday

Monday

Tuesday

Tuesday

Wednesday

Wednesday

Thursday

Thursday

Friday

Friday

Saturday

Saturday

Sunday

Sunday

Other:
Please tick

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*

Investment income before tax*

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

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*

Income from business/partnership/company/trust*

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

Weekly income

Maintenance/Child Support*

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

$
Weekly income
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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?*

Total amount of gift*

Yes

No

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?*

Total amount of gift*

Yes

No

From parents of other party

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

Winning amount*

Yes

No

Include amounts higher than $2000

Include amounts higher than $2000

Have you received an inheritance while living together?*

Inheritance*

Yes

No

Value

Has your spouse received an inheritance while living together?*

Your spouse's inheritance*

Yes

No

Value

Personal Weekly Expenditure

Type "0" if none
Income tax*

Superannuation*

State all income tax deducted by your employer weekly

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

Home mortgage payments/Rent*

Other mortgage payments*

Weekly payment for the home in which you live

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

Home rates, unit levies*

Other rates, unit levies*

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

Weekly expenses for properties other than your home

local government charges, and unit levies that you pay

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*

Hire purchase/Lease agreement*

Insert "0" if none

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Loan repayments*

Maintenance payments/child support*

Weekly repayment amount

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

Value of trust interest*

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
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? *

Value of deceased estate interest*

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

I have

Value of LSL interest*

My spouse has
We both have
Neither of us do

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)?*

How many properties did your spouse own?*

Includes real estate owned solely by your spouse or by your spouse and someone else
Address of Property 1 owned by your spouse*

City

State/Province

Address of Property 2 owned by your spouse*

Zip/Postal

City

State/Province

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?*

Zip/Postal

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

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

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

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? *

What was the amount of mortgage on Property 2? *

Include the initial mortgage amount

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?*

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

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

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*

Value of your spouse's bank accountants*

The total value of all investments excluding real property

Include deposits in all types of financial institutions

Value of your spouse's car/s*

Your spouse's interest in a business*

Type "0" if unknown

Type "0" if unknown

Your spouse's household contents*

Your spouse's superannuation interest*

Type "0" if unknown

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*

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

Specify any other personal liability such as HECS debt, any outstanding legal fees, or any taxation other
than income tax

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)?*

How many properties did you own?*

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

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Address of Property 1*

City

Address of Property 2*

State/Province

Zip/Postal

City

State/Province

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?*

Zip/Postal

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

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

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

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? *

What was the amount of mortgage on Property 2? *

Include the initial mortgage amount

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?*

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

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

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*

Address of Property 4*

City

State/Province

Zip/Postal

City

State/Province

Full names of registered owners of Property 3*

Full names of registered owners of Property 4*

Purchase price of Property 3?*

Purchase price of Property 4?*

Give an estimate if you can't remember exact figure

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?*

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

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

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? *

What was the amount of mortgage on Property 4? *

Include the initial mortgage amount

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?*

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

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

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*

Value of your bank deposits*

The total value of all investments excluding real property

Include deposits in all types of financial institutions

Your car value*

Interest in a business*

Type zero if none

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*

Superannuatin interest*

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

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*

Other personal liabilities*

Specify the amount owing by you now

Specify any other personal liability such as HECS debt, any outstanding legal fees, or any
taxation other than income tax

Other personal business liabilities*

Total of your liabilities at the commencement of cohabitation*

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

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

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

cohabitation? *

cohabitation? *

Address of Property 1 acquired during cohabitation*

Address of Property 2 acquired during cohabitation*

City

City

State/Province

Zip/Postal

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?*

What was the date of purchase of Property 2?*

Give approximate date if you cant' remember exact date

Give approximate date if you cant' remember exact date

Who are the registered owners of Property 1*

Who are the registered owners of Property 2*

I am the sole registered owner

I am the sole registered owner

My spouse is the sole registered owner

My spouse is the sole registered owner

Both, my spouse and I are the registered owners

Both, my spouse and I are the registered owners

Other:

Other:

Purchase price of Property 1?*

Purchase price of Property 2?*

Provide approximate price if you can't remember exact price

Provide approximate price if you can't remember exact price

Was there a mortgage on property 1?*

Was there a mortgage on property 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?*

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

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

commencement of cohabitation, at date of separation and present date

How much is now owing on Property 1?*

How much is now owing on Property 2?*

Provide approximate number if you can't remember exact amount

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?*

What was the date of Sale of Property 2?*

Provide approximate date if you can't remember exactly

Provide approximate date if you can't remember exactly

Address of Property 3 acquired during cohabitation*

Address of Property 4 acquired during cohabitation*

City

City

State/Province

Zip/Postal

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?*

What was the date of purchase of Property 4?*

Give approximate date if you cant' remember exact date

Give approximate date if you cant' remember exact date

Who are the registered owners of Property 3*

Who are the registered owners of Property 4*

I am the sole registered owner

I am the sole registered owner

My spouse is the sole registered owner

My spouse is the sole registered owner

Both, my spouse and I are the registered owners

Both, my spouse and I are the registered owners

Other:

Purchase price of Property 3?*

Purchase price of Property 4?*

Provide approximate price if you can't remember exact price

Provide approximate price if you can't remember exact price

Was there a mortgage on property 3?*

Was there a mortgage on property 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?*

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

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

commencement of cohabitation, at date of separation and present date

How much is now owing on Property 3?*

How much is now owing on Property 4?*

Provide approximate number if you can't remember exact amount

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?*

What was the date of sale of Property 4?*

Give approximate date if you cant' remember exact date

Give approximate date if you cant' remember exact date

Funds in banks and other financial institutions*

Investments*

Insert "0" if none

The total value of all investments excluding real property

Life insurance policies*

Car one value*

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

Type zero if none

another
Car two value*

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

Business

Type zero if none

Company
Sole Trader
Partnership
Other:

Who are the company directors?*

Who are the company shareholders?*

Type all directors' names

Type all shareholders' names

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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*

Award of damages in a personal injury claim*

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

Other mortgages*

Amount owing

Amount owing

Total income tax assessed for the current financial year*

Total income tax assessed and unpaid in previous financial years*

State the total income as assessed and still owing including penalties. Do not include amounts State the total income tax assessed and still owing, including penalties, from previous financial
automatically deducted from your income by your employer

years

Loans*

Credit/Charge cards*

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

Specify the amount owing by you now

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Hire purchase/lease*

Other personal liabilities*

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

Specify any other personal liability such as HECS debt, any outstanding legal fees, or any
taxation other than income tax

Other personal business liabilities*

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

Specify any liabilities that you have arising from an interest you have in a business, either as a Please, indicate what amount you have received if any
sole trader or as a partner
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

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

relationship?*

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

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

Did you make a direct financial contribution to improvement 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.

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?*

Have you provided the free use of property which resulted in

savings?*

For example parents, grandparents or other relatives providing rent free accommodation
Have you made a gift to your spouse which has enabled your spouse to acquire an asset or discharge a

Were there any agreements between the parties about the use of

debt?*

their money? *

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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

regular basis? *

Joint Account/s
My own account/s
Spouse's own account/s
Check All
Other:

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

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

commencement of cohabitation to the relationship?*

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?*

Did your spouse make a direct financial contribution to improvement 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.

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?*

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

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

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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:*

Have you experienced any domestic violence during the relationship?*

Your protection
The protection of your spouse
Neither of the above
Other:

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 illness affect your ability to earn an income?*

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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?*

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 illness 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 form click here.

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