Property Mediation Assessment

LEGAL NOTICE
Please read our Privacy Policy and Website Terms of Use before proceeding with the Mediation for Families™ Property Intake.
Family Mediation Disclosure Booklet
I have read the Family Mediation Disclosure Booklet
Terms of Use
I consent to the Terms of Use
Exclusion of Liability & Indemnity
I consent to the Exclusion of Liability and Indemnity
Privacy Policy
I consent to the Privacy Policy.
Confidentiality & Admissibility
I agree to and understand the Confidentiality & Admissibility provisions.

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YOUR DETAILS
Your name*
First Last
Nationality*
Gender*
D.O.B*
Address*
Street Address City Postcode
State*
Email*
Enter Email Confirm Email
Hidden
Phone*
Hidden
Phone*
Phone*
Do you require an interpreter?*
- Yes
- No
Preferred contact time*
- AM
- PM

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OTHER PARTY DETAILS
Other party name*
First Last
Nationality*
Gender*
D.O.B*
Last Known Address*
Street Address City Postcode
State*
Email*
Enter Email Confirm Email
Phone*
This party is aware that I am going through the FDR process.*
- Yes
- No

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YOUR LAWYERS DETAILS
Law practice name*
Name*
First Last
Email*
Phone*

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EMPLOYMENT DETAILS
Your Employment
Your employment status*
Highest level of education?*
Job title*
Annual salary*
Annual income*
Other Party Employment
Employment status*
Highest level of education*
Job title*
Annual salary*
Annual income*
RELATIONSHIP
How long were you in a relationship for?
Enter years
Please enter a number from 0 to 60.
Date of separation or divorce (if applicable)*
Day
Month
Year
Which party initiated the separation?*
- I did
- They did
- It was a genuine mutual decision
What happened?*
How did you feel at that point?*
How do you currently feel about it?*
How did the other party feel about it initially?*
How do you think the other party currently feel about it?*
Do you have access to support? (professional & family)*
- Yes
- No

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CHILDRENS DETAILS
Where do the children live?*
Children of the relationship
This includes children of the relationship. Step and half siblings are detailed in the next step.
How many children?*

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Child 1
Name*
First Last
D.O.B*
Gender*

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Child 2
Name*
First Last
D.O.B*
Gender*

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Child 3
Name*
First Last
D.O.B*
Gender*

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Child 4
Name*
First Last
D.O.B*
Gender*

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Additional children
Provide details of any additional children of relationship
Please include the same details outlined above (name, gender, age etc)
Half & Step Siblings*
Please include the same details outlined above (name, gender, age etc)

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ASSETS
Shares
Do you own shares?*
- Yes
- No
How many companies do you own shares in?*
Please enter a number from 1 to 10.
Company 1: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 2: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 3: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 4: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 5: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 6: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 7: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 8: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 9: Share details*
Enter company name, number of shares held and current value in Australian dollars
Company 10: Share details*
Enter company name, number of shares held and current value in Australian dollars

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ASSETS
Superannuation
Do you have superannuation?*
- Yes
- No
How many funds are you a member of?*
This includes any self managed superfunds (SMSF)
Please enter a number from 1 to 5.
Fund 1: Details*
Enter fund name and current balance in Australian dollars.
Fund 2: Details*
Enter fund name and current balance in Australian dollars.
Fund 3: Details*
Enter fund name and current balance in Australian dollars.
Fund 4: Details*
Enter fund name and current balance in Australian dollars.
Fund 5: Details*
Enter fund name and current balance in Australian dollars.
Cash and Bank Accounts
Do you have cash on hand?*
- Yes
- No
Amount*
Do you have a personal savings account?*
- Yes
- No
Balance*
Enter the total cash value of all personal bank accounts.
Do you have a joint savings account?*
Enter the total cash value of all personal bank accounts.
- Yes
- No
Balance*

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ASSETS
Cars, Bikes, Boats and Recreational Vehicles
Do you own any vehicles?*
This includes cars that are owned or financed and include collectable vehicles.
- Yes
- No
How many cars?*
Please enter a number from 1 to 5.
Car 1: Details*
Enter Make, Model, Year, Kilometres, Approximate Value and identify who normally drives this vehicle.
Car 2: Details*
Enter Make, Model, Year, Kilometres, Approximate Value and identify who normally drives this vehicle.
Car 3: Details*
Enter Make, Model, Year, Kilometres, Approximate Value and identify who normally drives this vehicle.
Car 4: Details*
Enter Make, Model, Year, Kilometres, Approximate Value and identify who normally drives this vehicle.
Car 5: Details*
Enter Make, Model, Year, Kilometres, Approximate Value and identify who normally drives this vehicle.
Do you own any motorcycles?*
This includes motorcycles that are owned or financed and include collectable vehicles.
- Yes
- No
Motorcyles: Details*
Enter the Make, Model, Year, Kilometres, Approximate Value of each motorcycle and identify who normally drives these vehicles.
Do you own any watercraft?*
This includes boats (power or sail) and jet skis that are owned or financed.
- Yes
- No
Watercraft: Details
Enter the Make, Model, Year and Approximate Value of each watercraft and identify who primarily uses these vehicles.
Do you own any recreational vehicles?*
This includes caravans, motorhomes, camper trailers, campervans and hovercrafts that are owned or financed.
- Yes
- No
Recreational vehicles: Details*
Enter the Make, Model, Year and Approximate Value of each recreational vehicle and identify the primary user.

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ASSETS
Household contents
Value of household contents*
Enter the total value of household contents and furniture.
Jewellery
Value of jewellery*
Enter the total value of all jewellery in the asset pool.
Life Insurance
Cash vale of life insurance*
Enter the cash value of life insurance. If unsure, enter 0.
Other assets
Describe in a few sentences any assets that should be considered as part of the asset pool and why including their value.*
Assets that are important to you
Describe in a few sentences any assets that are important for you to retain and why.
Assets that are relative to the upbringing of the children (if applicable)
Describe in a few sentences any assets that are necessary for the unbringing of the children.

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LIABILITIES
Credit Cards
Do you have credit cards in your or the other parties name?*
- Yes
- No
How many credit cards are there?*
Please enter a number from 1 to 5.
Card 1: Details*
Enter Issuer (i.e Bank), Type (Visa/Mastercard/Amex), Limit Amount and Balance.
Card 2: Details*
Enter Issuer (i.e Bank), Type (Visa/Mastercard/Amex), Limit Amount and Balance.
Card 3: Details*
Enter Issuer (i.e Bank), Type (Visa/Mastercard/Amex), Limit Amount and Balance.
Card 4: Details*
Enter Issuer (i.e Bank), Type (Visa/Mastercard/Amex), Limit Amount and Balance.
Card 5: Details*
Enter Issuer (i.e Bank), Type (Visa/Mastercard/Amex), Limit Amount and Balance.
Personal Loans
Do you have personal loans in your or the other parties name?*
- Yes
- No
How many personal loans are there?*
Please enter a number from 1 to 3.
Personal Loan 1: Details*
Enter Lender name, what the loan was used for, whether it is secured, the balance outstanding and expiry date.
Personal Loan 2: Details*
Enter Lender name, what the loan was used for, whether it is secured, the balance outstanding and expiry date.
Personal Loan 3: Details*
Enter Lender name, what the loan was used for, whether it is secured, the balance outstanding and expiry date.
Personal Debt
Do you or the other party have any personal debt?*
This could include informal debt to friends, family or colleagues such as loans or the future repayment of money to someone.
- Yes
- No
How many personal debts are there?*
Please enter a number from 1 to 3.
Personal Debt 1: Details*
Enter creditor name, what the loan was used for, the balance outstanding and when it is to be repaid.
Personal Debt 2: Details*
Enter creditor name, what the loan was used for, the balance outstanding and when it is to be repaid.
Personal Debt 3: Details*
Enter creditor name, what the loan was used for, the balance outstanding and when it is to be repaid.

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CONTRIBUTIONS
Relationship contributions
Relationship contributions include earnings, savings, gifts, inheritances property owned before the relationship, improvements to property and contributions as a homemaker and parent.
Your contributions*
Other parties contributions*

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OUTCOMES
Have you sought legal advice as to how the asset pool will be divided should an agreement not be met at mediation?*
- Yes
- No
Have you considered the cost and time associated with the court determining the asset split?*
- Yes
- No
Best outcome
In a few sentences, describe what would be the best outcome from the property mediation with the asset division.*
Worst outcome
In a few sentences, describe what would be the worst outcome from the property mediation with the asset division.*
Liveable outcome
In a few sentences, describe what an outcome that is liveable from the property mediation with the asset division.*

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DOCUMENT DRAFTING
Property Agreement
Where agreements are met in mediation, we strongly recommend that it is documented so the intentions of the parties are clear and we recommend doing this without delay. As part of our service we can draft these documents on a fixed fee basis.
Would you like us to draft a Property Agreement after the mediation for signing by both parties?*
- Yes
- No

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FAMILY COURT CERTIFICATES
Mandatory Dispute Resolution Certificates
Where parties cannot meet on all matters at the mediation a court will determine the balance of matters. In order to make an Application for Orders you will be required to submit a Section 60 Certificate and a Dispute Resolution Certificate issued by us (a government accredited service provider). We can draft this document on a fixed fee basis and there's no commitment now.
Would you like us to draft the Family Court Certificates after the mediation?*
- Yes
- No
Do you understand that these are a requirement if applying for orders?*
- Yes
- No

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ACKNOWLEDGMENT
Acknowledgment*
I have read the 'Family Dispute Resolution Booklet' provided to me and I understand that it is not the role of a Mediator or Family Dispute Resolution Practitioner to provide myself or the other party with legal advice. I agree with the terms of use of this website, its privacy policy in addition to the refund policy. Throughout the process I have received information outlining the obligations of the service provider in respect of confidentiality and disclosure under s 10H of the Family Law Act 1975 and have also received information in respect of the practitioners fees for the dispute resolution process.
I agree and hereby acknowledge to the above.

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Property Mediation Assessment

Step 1 of 23

LEGAL NOTICE

YOUR DETAILS

OTHER PARTY DETAILS

YOUR LAWYERS DETAILS

EMPLOYMENT DETAILS

Your Employment

Other Party Employment

RELATIONSHIP

CHILDRENS DETAILS

Children of the relationship

Child 1

Child 2

Child 3

Child 4

Additional children

COURT PROCEEDINGS

MEDIATION

ASSETS

Family Home

Investment Property

Other Investment Properties

ASSETS

Shares

ASSETS

Superannuation

Cash and Bank Accounts

ASSETS

Cars, Bikes, Boats and Recreational Vehicles

ASSETS

Household contents

Jewellery

Life Insurance

Other assets

Assets that are important to you

Assets that are relative to the upbringing of the children (if applicable)

LIABILITIES

Credit Cards

Personal Loans

Personal Debt

CONTRIBUTIONS

Relationship contributions

OUTCOMES

Best outcome

Worst outcome

Liveable outcome

DOCUMENT DRAFTING

Property Agreement

FAMILY COURT CERTIFICATES

Mandatory Dispute Resolution Certificates

ACKNOWLEDGMENT

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Service Charter

Service Location

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