Carolina 

Divorce Mediators, LLC

 

 

 

(704) 896-5882

Mediation Services for the Greater Charlotte, NC area

Convenient mediator offices at SouthPark and Lake Norman

 

 
   
 
 

This worksheet below is designed to permit the parties to list each room in their residence and all of the property contained in that room.  It is a fast and easy way to identify all of the items in the home and helps prevent one spouse from "forgetting" about a particular item.  List each item and place a check-mark in the appropriate column as to will will retain possession.  If it is a higher value item, assign a value to it and balance the worksheet between the two of you. 

Typically, this form is used by the couples only as most can divide personal belongings equitably without mediator assistance.

A "download and print" version of this form is available here.

                                       Last name __________   Room __________    Page ____ of ____ 

Item

Value to Husband

Value to Wife

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 
 
     
 
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Divorce Mediation Services for the greater Charlotte, NC metropolitan area
Charlotte, North Carolina
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