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Form E
Form E Financials

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1FORM E -           _cc781905- 5cde-3194-bb3b-136bad5cf58d_         _cc781905-5cde-3194-bb3b -136bad5cf58d_           _cc781905-5cde -3194-bb3b-136bad5cf58d_         _cc781905-5cde-3194-bb3b- 136bad5cf58d_       _cc781905-5cde- 3194-bb3b-136bad5cf58d_          _cc781905 -5cde-3194-bb3b-136bad5cf58d_ 2The net worth of your capital interest in the matrimonial residence

HK$3

4 The total net worth of your interest in all other properties (excluding the matrimonial home)

5B

HK$6

7The total value of your equity in all bank accounts

8C

HK$9

10 The total net worth of your shares/benefits in all private companies

11D

HK$12

13 The total value of your interests in other businesses

14E

HK$15

16 The total value of all your investments (eg: stocks)

17F

HK$18

19Total value of all your policy benefits

20G

HK$21

22 The total value of your interest in all outstanding debts

23H

HK$24

25 The total value of your valuable personal belongings

26I

HK$27

28 The total value of your other assets

29J

HK$30

31

32 Subtotal:

HK$33

34 The total value of your superannuation (if any)

35K

HK$36

37

38 total:

HK$39

40 deduction: the total value of your debt

41L

HK$42

43

44 Net Worth:

HK$45

46

47

48 Your net worth of capital interests in the matrimonial home

49A

HK$50

51 Total net worth of your interest in all other properties (excluding matrimonial residence)

52B

HK$53

54 The total value of your equity in all bank accounts

55C

HK$56

57 The total net worth of your shares/benefits in all private companies

58D

HK$59

60 The total value of your interests in other businesses

61E

HK$62

63 The total value of all your investments (eg: stocks)

64F

HK$65

66 The total value of all your policy benefits

67G

HK$68

69 The total value of your interest in all outstanding debts

70H

HK$71

72 The total value of your valuable personal belongings

73I

HK$74

75 The total value of your other assets

76J

HK$77

78

79 Subtotal:

HK$80

81 The total value of your superannuation (if any)

82K

HK$83

84

85 total value:

HK$86

87 Deduction: The total value of your debt

88L

HK$89

90

91 net worth:

HK$92

93***** Part 4 Current Monthly Expenses

94***4.1 General expenses

95 items

96 Amount

97 rent

98 Mortgage Payment

99 Miscellaneous charges for public facilities (electricity, gas fuel, rates, telephone, water)

100 management fee

101 Food Expenses

102 Miscellaneous household expenses

103 Car expenses

104 Premium

105 Domestic Helpers

106 Others (please specify)

107 Total monthly household expenses

HK$108

109 Please attach a copy of the most recent rent receipt.

110***4.2 Personal expenses

111 items

112 Amount

113 Expenses for meals out

114 Transportation

115 clothing/shoe fee

116 Personal grooming (including haircuts and cosmetics)

117 Entertainment Fees/Gifts

118 holiday spending

119 Medical/Dental Care Fees

120 Taxes

121 Premium

122 Interim alimony

123 Supporting parents

124 Support for other dependents

125 Others (please specify)

Total monthly expenses of 126 individuals

HK$127

128***4.3 Children

129 items

130 amount

131 Tuition

132 extra tuition fee

133 School Books and Stationery

134 Transportation to school (including school bus)

135 Medical/Dental Care Fees

136 Extracurricular activity fee

137 entertainment fee/gift

138 holiday spending

139 Cost of clothing/shoes

140 Premium

141 Lunch and pocket money

142 Other transportation expenses

143 Child care fee

144 School uniform fee

145 Others (please specify)

146 Total monthly expenses of children

HK$147

148 Total monthly expenses

HK$149

150 (4.1 + 4.2 + 4.3)

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Room 2309, 23/F, No. 68 Chung On Street, Tsuen Wan , New Territories , Hong Kong (Tsuan Wan Chinse Place I)  _cc781905-5cde-3194-bb3b-136bad5_cf58d_ _cc781905-5cde-3194-bb3b-cdecc78855cf58d-1365cf58d_cc781905-5cde-3194-bb3b-136bad5_cf58d_ 3194-bb3b-136bad5cf58d_      

2309, 23/F., 68 Chung On Street, Tsuen Wan,

New Territories, Hong Kong    

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