The mediation process aims to effectively and efficiently arrive at an outcome that meets each party’s needs and resolves their concerns as far as possible. On mediation day, Deborah will work with both parties, either separately or joint, to promote negotiations by asking questions, encouraging open discussions, considering different points of view and communicating issues in an alternative approach, as well as reality testing options.
Your Personal Information
Your full name
Your email address
Your mobile number
Your date of birth
Your address
Other Parties Information
Other parties full name
Other parties email address (not required)
Other parties mobile number (not required)
Other parties date of birth
Other parties address (not required)
Relationship Information
Date you started your relationship
Date you started living together
Date of marriage (if applicable)
Date of separation (or tick a  box not separated yet)
Assets
Do you or your former partner own any real estate?
How many properties do you or your former partner own?
Property 1
What is the address of the property?
Who owns the property?
If company, enter company name or number
If trust, enter name of trust 
If third party, enter name of the third party
If third party, enter share owned by third party
What is the value of the property?
Any further information (not required)
Property 2
What is the address of the property?
Who owns the property?
If company, enter company name or number
If trust, enter name of trust 
If third party, enter name of the third party
If third party, enter share owned by third party
What is the value of the property?
Any further information (not required)
Property 3
What is the address of the property?
Who owns the property?
If company, enter company name or number
If trust, enter name of trust 
If third party, enter name of the third party
If third party, enter share owned by third party
What is the value of the property?
Any further information (not required)
Property 4
What is the address of the property?
Who owns the property?
If company, enter company name or number
If trust, enter name of trust 
If third party, enter name of the third party
If third party, enter share owned by third party
What is the value of the property?
Any further information (not required)
Property 5
What is the address of the property?
Who owns the property?
If company, enter company name or number
If trust, enter name of trust 
If third party, enter name of the third party
If third party, enter share owned by third party
What is the value of the property?
Any further information (not required)
Do you or your former partner own vehicles/motor bikes?
How many motor vehicles/motor bikes do you or your former partner own?
Vehicle 1
Make and model of vehicle
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Vehicle 2
Make and model of vehicle
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Vehicle 3
Make and model of vehicle
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Vehicle 4
Make and model of vehicle
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Vehicle 5
Make and model of vehicle
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Do you own a boat/jest ski
Boat 1
Type of boat
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Boat 2
Type of boat
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Boat 3
Type of boat
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Do you own a caravan?
Caravan 1
Type of caravan
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Caravan 2
Type of caravan
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Caravan 3
Type of caravan
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Do you own a trailer/camper trailer?
Trailer/camper 1
Type of railer/camper trailer
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Trailer/camper 2
Type of railer/camper trailer
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
Trailer/camper 3
Type of railer/camper trailer
Registration number
Owner
If company, enter company name
If trust, enter name of trust 
Value
Any further information (not required)
How many bank accounts do you have?
Bank account 1
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 2
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 3
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 4
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Bank account 5
Account number
Owner
If company, enter company name
If trust, enter name of trust 
Current balance
Any further information (not required)
Do you or your former partner own any shares?
Shares 1
Company shares are owned in
Number of shares
Owner
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Shares 2
Company shares are owned in
Number of shares
Owner
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Shares 3
Company shares are owned in
Number of shares
Owner
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Do you or your former partner own any managed funds?
Managed funds 1
Name of managed fund
Number of units in the managed fund
Owner
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Managed funds 2
Name of managed fund
Number of units in the managed fund
Owner
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Managed funds 3
Name of managed fund
Number of units in the managed fund
Owner
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Do you or your former partner have any term deposits?
Term deposit 1
Bank name
Account number (not required)
Owner
Current balance
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Term deposit 2
Bank name
Account number (not required)
Owner
Current balance
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Term deposit 3
Bank name
Account number (not required)
Owner
Current balance
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Do you or your former partner have any bonds?
Bond 1
Bond issuer name
Account number (not required)
Owner
Current balance
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Bond 2
Bond issuer name
Account number (not required)
Owner
Current balance
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Bond 3
Bond issuer name
Account number (not required)
Owner
Current balance
If company, enter company name
If trust, enter name of trust 
Any further information (not required)
Do you or your partner own any jewellery?
What is the approximate value of jewellery currently in your former partner's possession?
Further information about your former partners jewellery
What is the approximate value of jewellery currently in your possession?
Further information about your jewellery
What is the approximate value of furniture currently in your possession?
What is the approximate value of furniture currently in your former partner's possession?
Would you like to prepare a schedule of furniture and household items?
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
Item 9
Item 10
Item 11
Item 12
Item 13
Item 14
Item 15
Item 16
Item 17
Item 18
Item 19
Item 20
Item 21
Item 22
Item 23
Item 24
Item 25
Item 26
Item 27
Item 28
Item 29
Item 30
Item 31
Item 32
Item 33
Item 34
Item 35
Item 36
Item 37
Item 38
Item 39
Item 40

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