Net Worth Statement Net Worth Statement Identifying Information Adoptive Parent #1's Full Name * Adoptive Parent #2's Full Name * Real Estate Value of your home in dollars * Value of other real estate owned, in dollars. * Estimated value of personal property, in dollars * Vehicles Vehicle Make and Model * Vehicle Year * Current Value in dollars * plus1 Add Vehicle minus1 Remove Vehicle Balance in Checking * Balance in Savings * Value of investment accounts * Type of retirement savings * Current value of retirement savings? * Other assets Type of asset Value of asset plus1 Add Asset minus1 Remove Asset Mortgage Balance * Auto loan balance * Personal loan balance * Credit card balance * Other liabilities (amount) * Total Liabilities Assets minus liabilities Annual salary of adoptive parent #1 Annual salary of adoptive parent #2 Other income Submit