STATE OF MINNESOTA DISTRICT COURT
COUNTY OF JUDICIAL DISTRICT
FAMILY COURT DIVISION
In Re the Marriage of: Court File No.
,
Petitioner,
INTERROGATORIES
(Post-Dissolution,
AND Ex-Spouse Not
Remarried)
,
Respondent,
* * * * * * * * * * * * * * * * * *
TO: ____________________ , ____________________ ABOVE-NAMED, BY AND THROUGH
(HIS)(HER) ATTORNEY, ____________________ , ____________________ .
YOU WILL PLEASE TAKE NOTICE that ____________________ demands Answers
under oath by ____________________ , within thirty (30) days of the service hereof pursuant to
Minn. R. Civ. P. 26 and 33, to the following Interrogatories. If information is discovered by or
becomes known to you or to your attorneys or to anyone acting on your behalf, after answering the
same and before trial, which would change or add to the answers given, you are hereby directed to
promptly furnish such information to the undersigned.
State your present residence address, the name of each person living with you at that
address, how long each person has occupied the residence with you, your relationship to
that individual, whether he or she owns or claims any interest in the residence and the nature
and extent of that interest, the investment by that person in the residence, and any
contribution by that person to the maintenance of the residence.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
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- 1 -
For each employment you have had from ____________________ to the present, state:
a. The name, address and telephone number of each employer;
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
b. The date of each employment;
_____________________________________________________________
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_____________________________________________________________
c. Your job titles and positions;
_____________________________________________________________
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d. Your gross salary per hour, week or month;
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e. The number of hours per week normally worked;
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f. Your gross earnings each year;
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g. The number of pay periods per year and the exact amount of take - home pay for
each pay period;
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h. The amount deducted from your gross salary for each pay period for federal income
tax, state income tax, Social Security, union dues, retirement, insurance and
anything else.
_____________________________________________________________
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- 2 -
i. The amount of overtime worked;
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j. Any bonuses or other compensation received, earned or accrued; and
_____________________________________________________________
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k. Any fringe benefits provided by the employment.
_____________________________________________________________
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If you have received any income from any source not disclosed in your Answer to
Interrogatory No. 2 from ____________________ to the present, state:
a. The source of such income; and
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
b. The amount received.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Set forth in detail each and all of your assets having a fair market value in excess of Five
Hundred Dollars ($500.00), including all real and personal property, furnishing as to each
such asset the following information:
a. A complete description of each asset (if real property, set forth the common address
and the full legal description, and, if securities, set forth the name of the issuer, the
date of issue, the certificate number and the number of shares or other type of
denomination);
_____________________________________________________________
_____________________________________________________________
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b. The exact name or names of the record and/or registered owners thereof
_____________________________________________________________
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c. The date of acquisition;
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- 3 -
_____________________________________________________________
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d. The original cost, if any (and, if the same was acquired in any other manner than by
purchase on your part, describe the manner of such acquisition);
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e. The current fair market value as of the date of the Answers to these Interrogatories;
and
_____________________________________________________________
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f. The encumbrances, if any, against the asset, setting forth the name and address of
the encumbrancee, the date of the encumbrance, the original amount thereof, the
present balance thereof, and the nature of the payoff.
_____________________________________________________________
_____________________________________________________________
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Set forth the name and address of each depository in which you have had any checking
account, savings account, money market account, certificate of deposit, trust certificate, and
any other account in your name, or with any other party, since ___________________ and
state the balances in each of said accounts as of (the date of these interrogatories)
( ___________________ ).
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Set forth the name and address of each of your creditors, the basis for each debt, the
contents of any written evidence of each debt (or attach a copy of such written evidence),
the date each debt was incurred, the terms for repayment, the amount due on each debt as of
the date of the Answers to these Interrogatories, whether the obligation is contingent, and a
description of any such contingency.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
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Describe in complete detail the contents of any books, records or other documents reflecting
income and/or expenses that you have prepared or maintained since __________________ .
In lieu thereof, copies of such documents may be attached hereto.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
- 4 -
Set forth with particularity an itemized schedule of your average monthly living expenses
stating separately, wherever possible, all expenses relating to any other persons residing
with you including, but not limited to, the minor child(ren) from your marriage to
__________________ .
_____________________________________________________________
_____________________________________________________________
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As to each expense, state whether it is typically paid by check, money order, cash, or some
other medium of payment.
_____________________________________________________________
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If you anticipate an increase or decrease in your income or in any of your stated expenses,
state what will increase or decrease, the reason for the increase or decrease, and the date you
expect the increase or decrease to occur.
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Describe in detail the parenting responsibilities assumed by each party and specifically set
forth the time spent by each party with the minor child(ren).
_____________________________________________________________
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If you or any of the minor child(ren) of the parties have been seen, tested, evaluated, or
treated by any professional person such as a psychiatrist, psychologist, sociologist, social
worker, family counselor, or other professional, since __________________ , identify the
professional by name, address and area of practice, state the date of each contact with the
professional, explain the purpose of each contact, and indicate whether the contacts are
continuing.
_____________________________________________________________
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If you suffer from any physical or mental impairment or infirmity, describe such
impairment or infirmity in detail and include a complete description of the diagnosis, course
of treatment, any restrictions imposed and the prognosis.
_____________________________________________________________
_____________________________________________________________
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If you have been involved in any legal proceedings of any kind since
__________________ , for each matter state the:
a. type of matter and nature of the claims;
- 5 -
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
b. names of the involved parties;
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c. date proceedings were commenced; and
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d. venue, case caption, and case number of any such proceedings.
_____________________________________________________________
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If you have been cited for any offense or charged with any crime since
__________________ , for each matter state the:
a. date you were charged or cited;
_____________________________________________________________
b. offense or violation for which you were charged or cited;
_____________________________________________________________
c. date of the alleged offense or violation;
_____________________________________________________________
d. names of any persons who were witnesses to the alleged offense or
violation;
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e. disposition or outcome of the charge or citation;
_____________________________________________________________
f. dates of any incarceration or treatment;
_____________________________________________________________
g. county and state in which you were charged or cited; and
_____________________________________________________________
h. name and location of the court in which proceedings occurred as a
result of the charge or citation.
- 6 -
_____________________________________________________________
_____________________________________________________________
For each criminal, civil, domestic abuse, or other incident reported to the police, in which
you have been involved since __________________ , state the:
a. nature and substance of the complaint or incident;
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_____________________________________________________________
b. county and state in which the complaint or incident occurred; and
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c. disposition of the complaint or incident.
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State the name and address of each witness, expert or otherwise, that you intend to call on
your behalf in this proceeding, and for each such witness, state:
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
a. the substance of the facts and opinions to which the witness is expected to testify;
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
b. a summary of the grounds for each opinion; and
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
c. the contents of any documents upon which the witness will rely.
_____________________________________________________________
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Dated: ____________________ _________________________
Firm
By __________________________________
_________________________
- 7 -
Printed Name
_________________________
_________________________
_________________________
Address
_________________________
Telephone
Attorney for ______________
- 8 -
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