Family Law Financial Affidavit (Long Form) — Property & Finances

a. General Information

1. My age is: Enter how old you are right now in years. 2. My occupation is: Write the kind of work or job you do, such as nurse, teacher, or driver. a.___ Unemployed Check this box if you do not have a job right now. Describe why you are unemployed, your efforts to find employment, how soon you expect to be employed, the pay you expect to receive, and your highest gross earned income in the past five years: Explain why you are out of work, what you are doing to find a job, when you expect to start working, and the most money you earned in any year over the last five years. b.___ Employed by: Check this box if you currently have a job. b.___ Employed by: Write the name of the company or person you work for. Address: Enter the street address where you work. City, State, Zip code: Write the city, state, and ZIP code of your workplace. Telephone Number: Enter the phone number for your workplace. Pay rate: $ ___ Write the dollar amount you get paid before taxes and other deductions are taken out. ( ) every week Check this box if you get paid once every week. ( ) every other week Check this box if you get paid every two weeks. ( ) twice a month Check this box if you get paid two times each month. ( ) monthly Check this box if you get paid once a month. ( ) other: If your pay schedule is different from the choices listed, describe how often you get paid here. If you are expecting to become unemployed or change jobs soon, explain why, describe the change you expect, and explain why and how it will affect your income: If you think you will soon lose your job or switch jobs, explain why, describe the change, and tell how it will change the money you make. c. Retired. Check this box if you are retired and no longer working. Date of retirement: Enter the date you retired from your job. Employer from whom retired: Write the name of the company you retired from. Address: Write the street address of the company you retired from. City, State, Zip code: Write the city, state, and ZIP code of the company you retired from. Telephone Number: Write the phone number of the company you retired from. If you have an anticipated retirement date, please provide the date: If you plan to retire on a certain date in the future, write that date here. Check here if you are in or planning to enter the DROP program or any other deferred compensation plan or anticipated retirement plan. Check this box if you are in, or plan to join, the DROP program or another retirement or deferred pay plan. YEAR Write the year you are reporting income for, such as last year. Your Income $ Write your total income before taxes for that year. Other Party's Income (if known) $ Write the other party's total income before taxes for that year, if you know it. Leave blank if you do not know. 1. $ Gross salary or wages Write your monthly pay before any taxes or deductions are taken out. 2. Bonuses, commissions, allowances, overtime, tips, and similar payments Write the monthly amount you get from bonuses, commissions, allowances, overtime, or tips. 3. Business income from sources such as self-employment, partnerships, close corporations, and/or independent contracts (Gross receipts minus ordinary and necessary expenses required to produce income.) (Attach sheet itemizing such income and expenses.) Write your monthly income from a business you own or contract work, after subtracting business costs. Attach a sheet listing the income and costs. 4. Disability benefits/SSI for you Write the monthly amount you get from disability benefits or SSI. 5. Workers' compensation Write the monthly amount you get from workers' compensation. 6. Reemployment assistance Write the monthly amount you get from unemployment or reemployment assistance. 7. Pension, retirement, or annuity payments Write the monthly amount you get from a pension, retirement plan, or annuity. 8. Social Security benefits Write the monthly amount you get from Social Security. 9. Alimony actually received (Add 9a and 9b) Add the amounts from lines 9a and 9b and write the total monthly alimony you actually receive. 9a. From this case: Write the monthly alimony you receive from this case. 9b. From other case(s): Write the monthly alimony you receive from any other cases. 10. Interest and dividends Write the monthly amount you earn from interest and dividends, like from bank accounts or investments. 11. Rental income (gross receipts minus ordinary and necessary expenses required to produce income) (Attach sheet itemizing such income and expenses for each property.) Write your monthly income from renting out property, after subtracting the costs. Attach a sheet listing the income and costs for each property. 12. Income from royalties, trusts, or estates Write the monthly amount you get from royalties, trusts, or estates. 13. Reimbursed expenses and in-kind payments to the extent that they reduce personal living expenses (Attach sheet itemizing such income and expenses.) Write the monthly value of paid-back expenses or non-cash payments that lower your living costs. Attach a sheet listing them. 14. Gains derived from dealing in property (not including nonrecurring gains) Write the monthly amount you make from buying and selling property, not counting one-time gains. Any other income of a recurring nature (identify source): Write any other income you get on a regular basis and name where it comes from. 15. Use this line to list any extra income source and its monthly amount. 16. Use this line to list another extra income source and its monthly amount. 17. $ TOTAL PRESENT MONTHLY GROSS INCOME (Add lines 1 through 16). Add up lines 1 through 16 and write the total monthly income before taxes. Federal, state, and local income tax (corrected for filing status and allowable dependents and income tax liabilities) Enter the total amount you pay each month for federal, state, and local income taxes. Base it on your filing status and the number of dependents you claim. 18a. Filing Status Write how you file your taxes, such as single, married filing jointly, or head of household. 18b. Number of dependents claimed Enter how many dependents you claim on your tax return. FICA or self-employment taxes Enter the monthly amount taken out for Social Security taxes, or what you pay if you are self-employed. Medicare payments Enter the amount taken out of your pay each month for Medicare. Mandatory union dues Enter the monthly union dues you are required to pay. Leave blank if you do not belong to a union. Mandatory retirement payments Enter the amount you are required to pay into a retirement plan each month. Only include payments you must make.

b. Health & Medical Support

Health insurance payments for you only (including medical, dental, and vision), excluding portion paid for any third party or minor children of this relationship Enter the monthly cost of health, dental, and vision insurance for yourself only. Do not include the cost for others or your children in this case.

c. Child Support

Court-ordered child support actually paid for children from another relationship Enter the monthly child support you actually pay for children from a different relationship under a court order. Court-ordered alimony actually paid (Add 25a and 25b) Enter the total monthly alimony you pay under court orders. Add the amounts from 25a and 25b together. 25a. From this case: Enter the monthly alimony you pay because of this court case. 25b. From other case(s): Enter the monthly alimony you pay because of any other court cases. TOTAL DEDUCTIONS ALLOWABLE UNDER SECTION 61.30, FLORIDA STATUTES (Add lines 18 through 25). Add up all your monthly deductions from lines 18 through 25 and enter the total here. PRESENT NET MONTHLY INCOME (Subtract line 26 from line 17). Subtract your total deductions (line 26) from your total income (line 17) and enter what is left. List the number of additional households for which you incur expenses: Enter how many other households you pay expenses for besides your main home. Enter zero if there are none. Mortgage or rent payments Enter what you pay each month for your mortgage or rent. Property taxes (if not included in mortgage) Enter your monthly property tax cost. Skip this if it is already part of your mortgage payment. Insurance on residence (if not included in mortgage) Enter your monthly home insurance cost. Skip this if it is already part of your mortgage payment. Condominium maintenance fees and homeowner's association fees Enter what you pay each month for condo or homeowner's association fees. Electricity Enter your average monthly electric bill. Water, garbage, and sewer Enter your average monthly cost for water, garbage, and sewer service. Telephone Enter your average monthly phone bill, including cell phone. Fuel oil or natural gas Enter your average monthly cost for heating fuel or natural gas. Repairs and maintenance Enter what you usually spend each month to fix and keep up your home. Lawn care Enter your average monthly cost for yard and lawn care. Pool maintenance Enter your average monthly cost to maintain a pool. Leave blank if you do not have one. Pest control Enter your average monthly cost for pest or bug control. Misc. household Enter your average monthly cost for other household items not listed elsewhere. Food and home supplies Enter your average monthly spending on groceries and household supplies. Meals outside home Enter your average monthly spending on eating out or ordering food. Cable t.v./internet Enter your average monthly cost for cable TV and internet service. Subscription streaming services Enter your monthly cost for streaming services like Netflix, Hulu, or Spotify. Alarm service contract Enter what you pay each month for a home security or alarm monitoring service. Service contracts on appliances Enter your monthly cost for warranties or service plans on appliances. Housekeeping service Enter what you pay each month for cleaning or housekeeping help. Communication technology/remote working subscriptions Enter your monthly cost for tech or remote work subscriptions, like internet tools or software. Other: 22. List any other monthly household expense not already covered, and its cost. Other: 23. List another monthly household expense not already covered, and its cost. Other: 24. List another monthly household expense not already covered, and its cost. Other: 25. List another monthly household expense not already covered, and its cost. Other: 26. List another monthly household expense not already covered, and its cost. SUBTOTAL (add lines 1 through 26) Add up all the amounts from lines 1 through 26 and enter the total here. List the number of automobiles for which you incur expenses: Enter how many cars you pay expenses for. Gasoline and oil Enter how much you spend each month on gas and oil for your car. Electric car charging (outside of the home) Enter your monthly cost to charge an electric car away from home. Repairs Enter your average monthly cost for car repairs and maintenance. Auto tags Enter your monthly cost for car tags and registration. Divide a yearly fee by 12. Insurance Enter how much you pay each month for car insurance. Payments (lease or financing) Enter your monthly car loan or lease payment. Rental Enter what you spend each month renting a car, if any. Alternative transportation (bus, rail, carpool, taxi, ridesharing, etc.) Enter your monthly cost for buses, trains, taxis, carpools, or rideshare apps. Tolls and parking Enter how much you spend each month on tolls and parking. Automobile subscriptions and roadside services Enter your monthly cost for car subscriptions or roadside help like AAA. Other: List any other car-related monthly expense and its cost. SUBTOTAL (add lines 28 through 35) Add up the amounts from lines 28 through 35 and enter the total here. Cosmetics, toiletries, and sundries Enter how much you spend each month on items like makeup, soap, shampoo, and other personal care products for your child(ren). Gifts from child(ren) to others (other children, relatives, teachers, etc.) Enter the monthly cost of gifts your child(ren) give to others, such as friends, relatives, or teachers. Camp or summer activities Enter the monthly amount you pay for summer camp or other summer programs for your child(ren). Clubs (Boy/Girl Scouts, etc.) Enter the monthly cost of club memberships for your child(ren), like Boy Scouts or Girl Scouts.

d. Possession & Access

Cost required to exercise time-sharing (supervised visitation, travel and lodging expenses, etc.) Enter the monthly cost of seeing your child(ren), such as supervised visits or travel and lodging for visitation. Religious training Enter the monthly cost of religious classes or training for your child(ren). Remote learning Enter the monthly cost of online or at-home schooling for your child(ren). Subscription service (if not listed on line 17 above) Enter the monthly cost of subscriptions for your child(ren) that you did not already list on line 17. Other Enter any other monthly child(ren) expense not already listed above. SUBTOTAL (add lines 40 through 64) Add up all the amounts from lines 40 through 64 and write the total here. 66. List a monthly expense for child(ren) from another relationship and enter the amount. 67. List another monthly expense for child(ren) from another relationship and enter the amount. 68. List another monthly expense for child(ren) from another relationship and enter the amount. 69. List another monthly expense for child(ren) from another relationship and enter the amount. SUBTOTAL (add lines 66 through 69) Add up all the amounts from lines 66 through 69 and write the total here.

e. Health & Medical Support

Health insurance (if not listed on lines 23 of deductions or 50 of expenses) Enter your monthly health insurance cost if you did not already list it on line 23 or line 50. Life insurance Enter how much you pay each month for life insurance. Dental insurance (if not listed on lines 23 of deductions or 50 of expenses) Enter your monthly dental insurance cost if you did not already list it on line 23 or line 50. Vision insurance (if not listed on lines 23 of deductions or 50 of expenses) Enter your monthly vision insurance cost if you did not already list it on line 23 or line 50. Long term care insurance Enter how much you pay each month for long-term care insurance. Disability insurance Enter how much you pay each month for disability insurance. Other: 77. List any other insurance you pay for monthly and enter the amount. 78. List another type of insurance you pay for monthly and enter the amount. SUBTOTAL (add lines 71 through 78) Add up all the amounts from lines 71 through 78 and write the total here. Dry cleaning and laundry Enter how much you spend each month on dry cleaning and laundry. Clothing Enter how much you spend each month on clothing for yourself. Medical, dental, and prescription (unreimbursed only) Enter your monthly medical, dental, and prescription costs that insurance does not pay back. Psychiatric, psychological, or counselor (unreimbursed only) Enter your monthly therapy or counseling costs that insurance does not pay back. Non-prescription medications, cosmetics, toiletries, and sundries Enter your monthly cost for over-the-counter medicines, makeup, and personal care items. Grooming Enter how much you spend each month on haircuts and other grooming. Gifts Enter how much you spend each month on gifts for others. Pet care Enter how much you spend each month on caring for your pets. Club dues and membership Enter your monthly cost for club dues and memberships. Sports and hobbies Enter how much you spend each month on sports and hobbies. Entertainment Enter how much you spend each month on entertainment, like movies, dining out, or events. 91. _______ Periodicals/books/other subscription service Enter what you spend each month on magazines, books, or online subscription services. 92. _______ Charitable donations Enter the amount you give to charities each month. 93. _______ Gambling and lottery Enter what you spend each month on gambling or lottery tickets. 94. _______ Tobacco, alcohol, and vaping Enter your monthly cost for tobacco, alcohol, or vaping products. 95. _______ Attorney fees and court costs Enter your total monthly cost for lawyer fees and court costs. The next two lines break this down. 95a. _______ Related to this case Enter the part of your monthly lawyer and court costs that relates to this case. 95b. _______ Other Enter any monthly lawyer or court costs for other matters not part of this case. 96. _______ Professional training fees (unreimbursed only) Enter what you pay each month for job or professional training that no one pays you back for. 97. _______ Vacations Enter the amount you set aside or spend each month on vacations. 98. _______ Religious organizations Enter what you give each month to your church or other religious groups. 99. _______ Bank charges/credit card fees Enter your monthly bank fees and credit card charges, like service or annual fees. 100. _______ Education expenses (unreimbursed only) Enter your monthly school or education costs that no one pays you back for. 101. _______ Other: (include any regular and recurring expenses not otherwise mentioned in the items listed above) ____ List any other regular monthly expense not already covered above, then enter its amount. 102. ____ List another regular monthly expense and its amount if you have one. 103. ____ List another regular monthly expense and its amount if you have one. 104. ____ List another regular monthly expense and its amount if you have one. 105. $_______ SUBTOTAL (add lines 80 through 104) Add up all the expense amounts on lines 80 through 104 and enter the total. 106. $____ Enter the monthly payment and the creditor's name for a debt you are currently paying. Use only the last 4 digits of the account number. 107. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 108. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 109. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 110. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 111. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 112. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 113. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 114. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 115. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 116. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 117. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 118. ____ Enter another monthly payment and creditor name if you have one. Use only the last 4 digits of the account. 119. $_______ SUBTOTAL (add lines 106 through 118) Add up all the creditor payment amounts on lines 106 through 118 and enter the total. 120. $_______ TOTAL MONTHLY EXPENSES: (add lines 27, 39, 65, 70, 79, 105, and 119 of Section II, Expenses) Add the subtotals from lines 27, 39, 65, 70, 79, 105, and 119 and enter your total monthly expenses here. 121. $_______ TOTAL PRESENT MONTHLY NET INCOME (from line 27 of SECTION I. INCOME) Copy your total monthly take-home income from line 27 of the income section. 122. $_______ TOTAL MONTHLY EXPENSES (from line 120 above) Copy your total monthly expenses from line 120 above. 123. $_______ SURPLUS (If line 121 is more than line 122, subtract line 122 from line 121. This is the amount of your surplus. Enter that amount here.) If your income (line 121) is more than your expenses (line 122), subtract expenses from income and enter the leftover amount. 124. ($______) (DEFICIT) (If line 122 is more than line 121, subtract line 121 from line 122. This is the amount of your deficit. Enter that amount here.) If your expenses (line 122) are more than your income (line 121), subtract income from expenses and enter the shortfall amount. Requesting to be Awarded Check this box if you want the judge to give this cash to you. Only do this if your case is an original divorce. Title Owner Write who owns this cash, such as you, your spouse, or both of you together. B Marital Assets – Current Fair Market Value Enter the current dollar value of cash you and your spouse own together. Only fill this in for an original divorce. Nonmarital Assets – Current Fair Market Value (Petitioner) If this cash belongs only to the Petitioner and is not shared, write its current value here. Nonmarital Assets – Current Fair Market Value (Respondent) If this cash belongs only to the Respondent and is not shared, write its current value here. Requesting to be Awarded Check this box if you want the judge to give these bank or credit union accounts to you. Only do this in an original divorce. Title Owner Write whose name is on these accounts, such as you, your spouse, or both of you. B Marital Assets – Current Fair Market Value Enter the current total value of bank or credit union money you and your spouse share. Only fill this in for an original divorce. Nonmarital Assets – Current Fair Market Value (Petitioner) If these accounts belong only to the Petitioner and are not shared, write the current value here. Nonmarital Assets – Current Fair Market Value (Respondent) If these accounts belong only to the Respondent and are not shared, write the current value here. Cash (in digital wallets, including but not limited to Venmo, Apple Wallet, and PayPal) Enter the total money you keep in apps like Venmo, Apple Wallet, or PayPal. List the current balance in those accounts. Virtual currency and cryptocurrency (attach a schedule that shows number of units held of virtual currency or cryptocurrency and unit value at time of preparation of this form) Enter the value of any digital money you own, like Bitcoin or other crypto. Attach a list showing how many units you have and what each was worth when you filled out this form. Non-Fungible Tokens (NFT) and the like Enter the value of any NFTs or similar digital collectibles you own. Use the current market value. Stocks/Bonds, investment/brokerage accounts Enter the value of any stocks, bonds, or investment accounts you own. Use the most recent balance. Notes (money owed to you in writing) Enter the total amount others owe you when there is a written promise to pay, like a signed loan agreement. Money owed to you (not evidenced by a note) Enter the total amount others owe you when there is no written agreement, such as a personal loan to a friend. Real estate: (Home) Enter the current value of the home you live in. This is what the property would sell for today. Real estate (Other) Enter the value of any other property or land you own besides your home. Use the current market value. Business interests (also indicate % of ownership interest next to each entity listed) List any businesses you own a share of, and write the percentage you own next to each one. Include the value of your share. Automobiles List the cars you own and what each one is worth. Use the resale value, not what you paid. Boats List any boats you own and what each one is worth. Other vehicles List other vehicles like motorcycles, RVs, or trailers, and their value. Retirement plans (Profit Sharing, Pension, IRA, 401(k)s, etc.) List retirement accounts such as a 401(k), pension, or IRA, along with their current value. Furniture & furnishings in home List the value of the furniture and household items inside your home. Furniture & furnishings elsewhere List the value of furniture and household items you keep somewhere other than your home, like in storage. Collectibles and commodities (including but not limited to cards, precious metals, coins, stamps, and art) List items you collect that have value, such as trading cards, gold, silver, coins, stamps, or artwork. Jewelry List valuable jewelry you own and what it is worth. Life insurance (cash surrender value) List the cash value of any life insurance policy, which is the money you would get if you cashed it in now. Sporting, hobby, and entertainment (T.V., stereo, etc.) equipment Enter the current dollar value of your TVs, stereos, sports gear, and other hobby or entertainment items. Tools Enter the current dollar value of any tools you own. Firearms and ammunition Enter the current dollar value of any guns and ammunition you own. Judgments (owed to you) Enter the value of any money a court has ordered someone else to pay you. Patents, trademarks, copyrights Enter the value of any patents, trademarks, or copyrights you own. Other assets: List and value any other items of worth you own that are not already covered above. Total Fair Market Value of Marital Assets (add column B) Add up all the values in the marital assets column and enter the total here. Total Fair Market Value of Nonmarital Assets (add column C) Add up all the values in the nonmarital assets column and enter the total here. Student loans (list each loan individually) List each student loan you owe, one at a time. Include the lender name and how much you still owe. Medical liabilities Write down any unpaid medical or dental bills you still owe. Auto loans List any car loans you have and the amount still owed on each one. Bank/Credit Union loans List loans you got from a bank or credit union and how much you still owe. Tax liabilities Write down any taxes you still owe, such as income or property taxes. Notes (money you owe in writing) List money you owe that is written down in a signed agreement or promissory note. Money you owe (not evidenced by a note) List money you owe that is not in writing, like a verbal loan from a friend or family member. Judgments (against you) List any court orders that say you must pay money to someone. Other liabilities: List any other debts not already covered above. Total Amount Owed on Marital Liabilities (add column B) Add up all the marital debt amounts from column B and enter the total here. Total Amount Owed on Nonmarital Liabilities (add column C) Add up all the nonmarital debt amounts from column C and enter the total here. Total Assets (enter total of Column B in Asset Table; Section A) Add up everything you own from the Asset Table and write the total dollar amount here. Total Liabilities (enter total of Column B in Liabilities Table; Section B) Add up everything you owe from the Liabilities Table and write the total dollar amount here. TOTAL NET WORTH (Total Assets minus Total Liabilities) Subtract your total liabilities from your total assets and write the result. This shows what you are worth, not counting possible future assets. Stock Options Check this box if you want the court to give the stock options to you. Stock Options - Title Owner Write the name of the person who legally owns the stock options. Stock Options - B Marital Contingent Assets – Possible Value If the stock options are shared marital property, write their possible dollar value. Stock Options - C Nonmarital Contingent Assets – Petitioner If the stock options belong only to the petitioner, write their possible dollar value here. Stock Options - C Nonmarital Contingent Assets – Respondent If the stock options belong only to the respondent, write their possible dollar value here. Other Check this box if you want the court to give this other possible asset to you. Other Describe any other possible asset, like a lawsuit, bonus, or inheritance you might receive. Other - Title Owner Write the name of the person who legally owns this other asset. Other - B Marital Contingent Assets – Possible Value If this other asset is shared marital property, write its possible dollar value. Other - C Nonmarital Contingent Assets – Petitioner If this other asset belongs only to the petitioner, write its possible dollar value here. Other - C Nonmarital Contingent Assets – Respondent If this other asset belongs only to the respondent, write its possible dollar value here. Contingent Asset (blank row 1) - Requesting to be Awarded Check this box if you want the court to give this possible asset to you. Contingent Asset (blank row 1) - Description Describe another possible asset you may receive in the future. Contingent Asset (blank row 1) - Title Owner Write the name of the person who legally owns this asset. Contingent Asset (blank row 1) - B Marital Contingent Assets – Possible Value If this asset is shared marital property, write its possible dollar value. Contingent Asset (blank row 1) - C Nonmarital Contingent Assets – Petitioner If this asset belongs only to the petitioner, write its possible dollar value here. Contingent Asset (blank row 1) - C Nonmarital Contingent Assets – Respondent If this asset belongs only to the respondent, write its possible dollar value here. Contingent Asset (blank row 2) - Requesting to be Awarded Check this box if you want the court to give this possible asset to you. Contingent Asset (blank row 2) - Description Describe another possible asset you may receive in the future. Contingent Asset (blank row 2) - Title Owner Write the name of the person who legally owns this asset. Contingent Asset (blank row 2) - B Marital Contingent Assets – Possible Value If this asset is shared marital property, write its possible dollar value. Contingent Asset (blank row 2) - C Nonmarital Contingent Assets – Petitioner If this asset belongs only to the petitioner, write its possible dollar value here. Contingent Asset (blank row 2) - C Nonmarital Contingent Assets – Respondent If this asset belongs only to the respondent, write its possible dollar value here. Total Possible Value of Marital Contingent Assets (add column B) Add up all the dollar amounts in Column B and write the total here. Total Possible Value of Nonmarital Contingent Assets (add column C) Add up all the dollar amounts in Column C and write the total here. Requesting to be Responsible For Name the possible debt you think you should pay if it ever comes due. A contingent debt is one you might owe later, like a loan you co-signed. Debtor/ Obligor / Title Holder Write the name of the person who legally owes the debt or holds the title to the item tied to it. Creditor Write the name of the company or person the money may be owed to. B Marital Contingent Liabilities – Possible Amount Owed Enter the dollar amount that might be owed if this debt is shared with your spouse from the marriage. C Nonmarital Contingent Liabilities – Possible Amount Owed - Petitioner Enter the dollar amount the Petitioner alone might owe on this debt, separate from the marriage. C Nonmarital Contingent Liabilities – Possible Amount Owed - Respondent Enter the dollar amount the Respondent alone might owe on this debt, separate from the marriage. Attorney Fees List any lawyer fees you might owe as a possible future debt. Total Possible Amount Owed on Contingent Liabilities - Marital Add up all the marital possible amounts owed and enter the total here. Total Possible Amount Owed on Contingent Liabilities - Petitioner Add up all the Petitioner's separate possible amounts owed and enter the total here. Total Possible Amount Owed on Contingent Liabilities - Respondent Add up all the Respondent's separate possible amounts owed and enter the total here.