Ariz. R. Fam. Law P. Form 12

As amended through August 22, 2024

Form 12 - Inventory of Property and Debts

Name:	________________________________
Mailing Address:	________________________________
City, State, Zip Code:	________________________________
Daytime Phone Number:	________________________________
Evening Phone Number:	________________________________
Representing:	[ ] Self [ ] Petitioner [ ] Respondent
State Bar Number:	________________________________

ARIZONA SUPERIOR COURT, COUNTY OF __________
Case No.
Petitioner
ATLAS No.
INVENTORY OF PROPERTY AND DEBTS
Respondent	[ ] HUSBAND
[ ] WIFE
I. PROPERTY
List all property acquired during your marriage in which you or your spouse claims to have a community interest. If there is a dispute as to whether there is a community interest or obligation, indicate under "Contested Position." Value of the property is its current fair market value, minus any encumbrances. Use additional paper if necessary.

Description	Date Acquired	Value	Contested Position	Proposed allocation [H or W]
A. Cash and Financial Institution Accounts: savings, checking, money market, etc. Include financial institution's name, branch and account number.
1.
2.
3.
4.
5.
B. Investments: stocks, bonds, notes, certificates of deposit, mortgages, deeds of trust, etc.
6.
7.
8.
C. Life Insurance: company name, owner, policy number, insured, beneficiary, death benefits and cash surrender value (if any)
9.
10.
11.
12.
13.
D. Retirement Plans: pension, profit-sharing, 401(k), deferred compensation
14.
15.
16.
17.
18.
19.
E. Real Property:
20.
21.
22.
23.
F. Business Interests: corporations, partnerships, limited liability corporations, joint ventures, proprietorships
24.
25.
26.
27.
G. Vehicles: cars, motorcycles, motor homes, boats, trailers, etc.
28.
29.
30.
31.
32.
33.
H. Personal Property over $100 in Value: household goods, personal effects, antiques, objects of intrinsic value
34.
35.
36.
37.
38.
39.
40.
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.
I. Miscellaneous Assets:
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.

II. DEBTS
List all debts and installment payments you currently owe. Use additional paper if necessary.
Creditor Name	Purpose of Debt	Unpaid Balance	Min. Monthly Payment	Date of last Payment	Contested Position	Proposed Allocation [H or W]
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

_________________________	_________________________
Date	Signature of
[ ] Husband [ ] Wife
[ ] Attorney for [ ] Husband [ ] Wife

Ariz. R. Fam. Law P. Form 12

Added Oct. 19, 2005, effective 1/1/2006. Amended Sept. 5, 2007, effective 1/1/2008.