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FAMILY LAW PROPERTY SETTLEMENT

THE PARTIES

Your Full Name………………………………………………………………

Your Full Address………………………………………………………………

………………………………………………………………

Your PhoneHome:Work:

Mobile:

Your Email Address………………………………………………………………

Your Date of Birth………………………………………………………………

Prior MarriagesYesNo

Spouse’s Full Name………………………………………………………………

Spouse’s Full Address ………………………………………………………………

………………………………………………………………

Spouse’s PhoneHome:Work:

Mobile:

Spouse’s Email Address………………………………………………………………

Spouse’s Date of Birth………………………………………………………………

IMPORTANT DATES

Date of Marriage………………………………………………………………

Date of Separation………………………………………………………………

Date of any other periods of

separation 3 months or more ………………………………………………………………

Date of Divorce (if relevant)………………………………………………………………

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CHILDREN OF THE RELATIONSHIP

Name / Date of Birth
Lives with you
other parent / Age
Name / Date of Birth
Lives with you
other parent / Age
Name / Date of Birth
Lives with you
other parent / Age

PRESENT ARRANGEMENTS

What are the present arrangements for a child or children to spend time with the parent they don’t live with?

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

CHILDREN OF OTHER RELATIONSHIPS

Name / Date of Birth
Lives with you
other parent / Age
Name / Date of Birth
Lives with you
other parent / Age
Name / Date of Birth
Lives with you
other parent / Age

CHILD SUPPORT

Paid by………………………………………………………………………………

To………………………………………………………………………………

At the rate of $ per month

Child Support is paid pursuant to

Private Arrangement

CSA Assessment

Are payments up to date? Yes No – How much in arrears?

ASSETS & LIABILITIES

Assets - what you own (even if subject to a debt) -include any items of significance

For the purposes of this form, disregard furniture unless it is antique or of significant value

Item / Your estimate of market value ($)

Liabilities - what you owe

Item / Amount Outstanding ($)

Details of any private companies and their net worth

......

......

Details of each party’s superannuation

......

......

Other

......

......

OCCUPATION & INCOME

What is your occupation? ......

What is your annual average income after tax? $

Do you receive any other benefits from employment, if so what are they?

......

Do you receive any Centrelink benefits or benefits from the Australian Tax Office e.g. Family Payment. Yes No

Please provide details: ……………………………………………………………………...

......

What is your spouse’s occupation? ......

What is your spouse’s annual average income after tax? $

Does your spouse receive any other benefits from employment, if so what are they?

......

Does your spouse receive any Centrelink benefits or benefits from the Australian Tax Office e.g. family payment. Yes No

Please provide details.

......

GENERAL

Has either party received an inheritance or other windfall during the marriage?

Yes No

If so, how much $

When was it received and how was it spent? ……………………………………………....

………………………………………………………………………………………………

………………………………………………………………………………………………

INITIAL CONTRIBUTIONS

Did you or your spouse have any significant assets or liabilities at the date you commenced living together (as opposed to the date of your marriage if different)? Please detail those initial financial contributions below.

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

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