Fill and Sign the Montana Declaration Form

___________________________ Name ___________________________ Mailing Address ___________________________ City, State Zip Code ___________________________ Phone Number ___________________________ E-mail Address (optional) ☐ Petitioner ☐ Respondent ☐ Co Petitioner Appearing without a lawyer MONTANA ____________ JUDICIAL DISTRICT COURT, _______________COUNTY In re the Marriage of: _________________________________, ☐ Petitioner ☐ Co Petitioner , and _________________________________, ☐ Respondent ☐ Co Petitioner . Case No: _________________________ ☐ Petitioner ☐ Respondent ☐ Agreed ☐ Court Ordered ☐ Proposed ☐ Amended Property Distribution Warning: Montana law, §40-4-252, M.C.A. requires the full disclosure of all assets, debts, income, and expenses. I understand that I am required to tell my spouse about all of the assets, debts, income and expenses that I know about. My spouse is required to do the same for me. This Proposed Property Distribution along with Form MP-510 Disclosure of Income and Expenses has been served on my spouse. If I don’t tell my spouse about something, the court may give me a penalty. The court gets to decide what the penalty will be. I am giving all of the information I know about the assets and debts listed on this form and writing “unknown” in the spaces for the information I don’t know. 1. Real Property. Real property is land and the building(s) on the land. Real property MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 1 of 9 also includes part ownership, for example when all the members of a family share a ranch. Real property does not include trailer, mobile, or manufactured homes unless the Department of Justice has officially recognized said structure as an improvement to the land pursuant to MCA 15-1-116 and issued appropriate documentation of such as required by law. Any owned parcel upon which a trailer, mobile, or manufactured home sits is real property regardless of the status of said structure. Choose One. ☐ I do not own any real property and my spouse does not own any real property OR ☐ I am listing the real property that my spouse and I own, regardless of whether we own it separately or together. I request distribution as follows: Description Value Name on Title Distributed to Address: ________________________ ________________________________ Legal Description:__________________ ________________________________ ________________________________ ________________________________ Is there a secured debt on the property? ☐ Yes ☐ No If yes, amount owed: __________ As of: / / Lender: __________________________ ☐ Petitioner ☐ Respondent ☐ Petitioner ☐ Respondent Other:______ ___________ ___________ ( If you have additional real property, complete and staple Form MP-500-A to this document.) 2. Vehicles. Any trailer, mobile, or manufactured home, regardless of whether it was constructed before or after 1976, is considered a vehicle unless otherwise deemed an improvement to land by the Department of Justice pursuant to MCA 15-1-116. Choose one. ☐ Neither my spouse or I have any vehicles. OR ☐ My spouse and I have the following vehicles and request distribution as follows: Description Value Name on Title Distributed to MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 2 of 9 Year/Make/Model: _________________ VIN#:___________________________ Is there an outstanding loan on the vehicle? ☐ Yes ☐ No If yes, amount owed: _______________ As of: / / Lender: _________________________ ☐ Petitioner ☐ Respondent Other:_________ ______________ Year/Make/Model: _________________ VIN#:___________________________ Is there an outstanding loan on the vehicle? ☐ Yes ☐ No If yes, amount owed: _______________ As of: / / Lender: _________________________ ☐ Petitioner ☐ Respondent Other:_________ ______________ ( If you have additional vehicles, complete and staple Form MP500-B to this document.) 3. Bank Accounts, Certificates of Deposit, and Cash. Choose One. ☐ Neither my spouse nor I have any bank accounts, certificates of deposit, or cash. OR ☐ I am listing the bank accounts and cash that my spouse and I own, regardless of whether we own them separately or together. I request distribution of the bank accounts and cash as follows: Description Include name of bank and only the last four digits of the account number Balance as of __/___/___ Percentage of Ownership Distributed to: %___ Petitioner %___ Petitioner %___ Respondent %___ Respondent Other:________ %___ Petitioner %___ Petitioner %___ Respondent %___ Respondent Other:________ %___ Petitioner %___ Petitioner %___ Respondent %___ Respondent Other:________ ( If you have additional Bank Accounts, complete and staple Form MP-500-C to this document.) 4. Pensions/Retirement Accounts; Life Insurance; Stocks, Bonds, Secured Notes, Health Savings Accounts, and Mutual Funds. Choose One: MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 3 of 9 ☐ Neither my spouse or I have any pensions/retirement accounts, life insurance, stocks, bonds, secured notes, health savings accounts, or mutual funds. OR ☐ My spouse and I have the following pensions/retirement accounts, life insurance, stocks, bonds, secured notes, health savings accounts, or mutual funds and request distribution as follows: Description Cash Value Percentage of Ownership Distributed to %___ Petitioner %___ Respondent Other:_________ %___ Petitioner %___ Respondent Other:________ ( If you have additional Accounts, complete and staple Form MP-500-C to this document.) 5. Personal Property (including appliances, pets, furniture, jewelry, art, guns, etc.). Choose One: I request the following distribution of our personal property: Description Value Current Possession Distributed to ☐ Petitioner ☐ Respondent ☐ Other:______ ☐ Petitioner ☐ Respondent Other:________ ☐ Petitioner ☐ Respondent ☐ Other:______ ☐ Petitioner ☐ Respondent O ther:________ ☐ Petitioner ☐ Respondent ☐ Other:______ ☐ Petitioner ☐ Respondent Other:________ ☐ Petitioner ☐ Respondent ☐ Other:______ ☐ Petitioner ☐ Respondent Other:________ ☐ Petitioner ☐ Respondent ☐ Other:______ ☐ Petitioner ☐ Respondent Other:________ ☐ Petitioner ☐ Respondent ☐ Petitioner ☐ Respondent MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 4 of 9 ☐ Other:______ Other:________ ( If you have additional personal property, complete and staple Form MP-500-C to this document.) 6. Business Interests (including equipment, tools, livestock, etc.). Choose One. ☐ Neither my spouse or I have any business interests. OR ☐ My spouse and I have the following business interests and request distribution as follows: Description Cash Value Percentage of Ownership Distributed to %___ Petitioner %___ Respondent Other:_________ %___ Petitioner %___ Respondent Other:_________ %___ Petitioner %___ Respondent Other:_________ %___ Petitioner %___ Respondent Other:_________ ( If you have additional business interests, complete and staple Form MP-500-C_ to this document.) 7. Other Assets. Choose one. ☐ Neither my spouse or I have any other assets. OR ☐ My spouse and I have the following assets and request distribution as follows: Description Cash Value Percentage of Ownership Distributed to %___ Petitioner %___ Respondent %___ _________ %___ Petitioner %___ Respondent %___ Other %___ Petitioner %___ Respondent %___ _________ %___ Petitioner %___ Respondent %___ Other %___ Petitioner %___ Respondent %___ _________ %___ Petitioner %___ Respondent %___ Other %___ Petitioner %___ Respondent %___ _________ %___ Petitioner %___ Respondent %___ Other MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 5 of 9 ( If you have additional assets, complete and staple Form MP-500-C to this document.) 8. Disclosure of Debts. Choose One. ☐ Neither my spouse nor I have any debts. OR ☐ My spouse and I have the following debts and request distribution as follows: Description Creditor Amount Percentage of Responsibility Distributed to Utility Bill(s): %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent Credit Card(s): %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent Student Loan(s): %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent Medical Expenses: MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 6 of 9 %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent Other Liabilities: %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent %___ Petitioner %___ Respondent ( If you have additional debts and liabilities, complete and staple Form MP-500-D to this document.) MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 7 of 9 I declare under penalty of perjury and under the laws of the state of Montana that the information in this document is true and correct. I understand that it is a crime to give false information in this document. Dated this __________day of ___________________, 20__. City ____________________ State ______ Sign Here: ______________________________ Print Name: ______________________________ ☐ Petitioner ☐ Respondent ☐ Co-Petitioner Respondent ☐ Respondent Petitioner (Only complete this section if you are filing jointly as Co Petitioners) I declare under penalty of perjury and under the laws of the state of Montana that the information in this document is true and correct. I understand that it is a crime to give false information in this document. Dated this __________day of ___________________, 20__. City ____________________ State ______ Other spouse sign here: ______________________________ Print Name: ______________________________ ☐ Co-Petitioner ☐ Respondent Petitioner (Leave the following section blank. It is for the judge to use.) Order by the Court  The Court found this property distribution to be equitable.  The Judge’s signature on this document makes this property distribution that parties must follow. Dated this _____ day of ________________________, 20___. MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 8 of 9 ____________________________________ DISTRICT COURT JUDGE MP-500 Proposed Property Distribution and Final Decree Attachment © 2015 Montana Supreme Court and Montana Legal Services Association Page 9 of 9