DR 142 Eff. 5/21/03 HOUSEHOLD GOODS AND FURNISHINGS FORM Please Print Please Print Status Description Husband Possession Wife Husband Wife Husband marks only in “Husband” column. American LegalNet, Inc. www.USCourtForms.com Wife marks only in “Wife” column. American LegalNet, Inc. www.USCourtForms.com INSTRUCTIONS FOR HOUSEHOLD GOODS AND FURNISHINGS FORM Each party shall complete an inventory of all household goods and furnishings in their possession. All furniture must be recorded as an individual item. All household items, such as a set dishes, pots/pans, flatware, etc., may be recorded as one item. In completing the inventory, Husband only writes in his column when designating status and possession and Wife only writes in her column when designating status and possession. Upon completion, the inventory must be returned to counsel as ordered by the Court on _____________________________________. Counsel shall exchange the inventory with opposing counsel on _______________________________________. Upon receipt, counsel shall have their client review the other party’s inventory. Upon review, the opposing party shall designate the status of all listed property on _______________________________________. In the event a party believes the other party’s inventory is incomplete, the reviewing party shall add the additional items to the other party’s inventory under the heading of Additional Items and designate status. Upon completion of the review, counsel shall exchange. The completion of the inventory shall be within the time parameters as ordered by the Court. 1. Description: Identify the particular item by name. 2. Status: Husband Column: Husband’s opinion must be indicated in this column by one of the following letters: M = marital asset. H = husband=s separate asset. W = wife=s separate asset. O = other. Wife Column: Wife’s opinion must be indicated in this column by one of the following letters: M = marital asset. H = husband=s separate asset. W = wife=s separate asset. O = other. American LegalNet, Inc. www.USCourtForms.com