Username:

Password:

Office Address:
512 W. Hickory, Ste. 202
Denton, Texas 76201

metro:
940.320.1500

fax:
940.320.1502

 

Fee Calculator

When calculating the "current" values, use the balance as of the date that you are filling out this form.

Enter values as whole numbers without dollar signs or cents. (example 100,000)

1) Real Property net value (Fair Market Value - note balance or balances = net value)
  Common Address Current Value  
1 -  
2 -  
3 -  
 
2) Cash and Accounts with Financial Institutions Balances
  Name of Instition last 4 dig. of Acct. # current balance
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
 
3) Motor Vehicles, Boats, Airplanes, Cycles etc. net value (Fair Market Value - note balance = net value)
  Make and Model Current Net Value  
1 -  
2 -  
3 -  
 
4) Retirement Benefits/IRA/SEP (defined contribution plan or defined benefit plan)
  Name of Account Current Value of Account  
1 -  
2 -  
3 -  
 
5) Insurance and Annuities
  Company Name of Insurer Current Cash Value  
1 -  
2 -  
3 -  
 
6) Brokerage/Mutual Fund Accounts
  Name of Company Current Balance  
1 -  
2 -  
3 -  
 
7) Stocks, Bonds, & other Securities
  Name of Issuer Current Value  
1 -  
2 -  
3 -  
 
8) Closely Held Business
  Name of Business Current Business Value  
1 -  
2 -  
3 -  
 
9) Unsecured Debt
  Name of Debt Holder Current Liability Amount  
1 -  
2 -  
3 -  
4 -