Schedule (A1): Separate Assets Owned by {clientName}

   

   

Schedule (A2): Separate Liabilities of {clientName}

   

 

 

 

I, {clientName}, have reviewed the foregoing schedules of separate assets (A1) and liabilities (A2) owned by me. By signing my name below, I affirm that these schedules contain all of the assets and liabilities that I own on the date set forth below, and that the value of each asset and liability is accurate to the best of my knowledge. 

 Date:  {dateOf}

 

 

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{clientName}