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 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.
If you have remarried since the dissolution of your marriage to ____________________ , state the
date of the remarriage and the name of your spouse.
_______________________________________________________
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
- 1 -
that interest, the investment by that person in the residence, and any contribution by that
person to the maintenance of the residence.
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
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;
_______________________________________________________
_______________________________________________________
_______________________________________________________
c. Your job titles and positions;
_______________________________________________________
_______________________________________________________
_______________________________________________________
d. Your gross salary per hour, week or month;
_______________________________________________________
_______________________________________________________
_______________________________________________________
e. The number of hours per week normally worked;
_______________________________________________________
_______________________________________________________
_______________________________________________________
f. Your gross earnings each year;
_______________________________________________________
_______________________________________________________
_______________________________________________________
g. The number of pay periods per year and the exact amount of take - home pay for
each pay period;
_______________________________________________________
_______________________________________________________
_______________________________________________________
- 2 -
h. The amount deducted from your gross salary for each pay period for federal income
tax, state income tax, Social Security contributions, union dues, retirement, insurance and
anything else.
_______________________________________________________
_______________________________________________________
_______________________________________________________
i. The amount of overtime worked;
_______________________________________________________
_______________________________________________________
_______________________________________________________
j. Any bonuses or other compensation received, earned or accrued; and
_______________________________________________________
_______________________________________________________
_______________________________________________________
k. Any fringe benefits provided by the employment.
_______________________________________________________
_______________________________________________________
_______________________________________________________
If you have remarried and if your spouse has had employment since the date of your
marriage to (him)(her) for all employment held by (him)(her) since the date of your
marriage, state:
_______________________________________________________
_______________________________________________________
_______________________________________________________
a. The name, address and telephone number of the employer;
_______________________________________________________
_______________________________________________________
_______________________________________________________
b. The date the employment commenced;
_______________________________________________________
c. (His)(Her) job title and position;
_______________________________________________________
d. (His)(Her) salary per hour, week or month;
_______________________________________________________
e. The number of hours per week that (he)(she) normally worked;
_______________________________________________________
f. (His)(Her) gross earnings each year;
- 3 -
_______________________________________________________
_______________________________________________________
_______________________________________________________
g. The number of pay periods per year and the exact amount of take - home pay for
each pay period;
_______________________________________________________
_______________________________________________________
_______________________________________________________
h. The amount deducted from (his)(her) gross salary for each pay period for each of
the following:
(1) Federal income tax;
_______________________________________________________
_______________________________________________________
_______________________________________________________
(2) State income tax;
_______________________________________________________
_______________________________________________________
_______________________________________________________
(3) Social Security contributions; and
_______________________________________________________
_______________________________________________________
_______________________________________________________
(4) Other deductions;
_______________________________________________________
_______________________________________________________
_______________________________________________________
i. The amount of overtime worked;
_______________________________________________________
_______________________________________________________
_______________________________________________________
j. Any bonuses or other compensation received, earned or accrued; and
_______________________________________________________
_______________________________________________________
_______________________________________________________
k. Any fringe benefits provided by the employment.
_______________________________________________________
_______________________________________________________
- 4 -
_______________________________________________________
If you have received any income from any source not disclosed in your Answer to
Interrogatory No. 3 from ____________________ to the present, state:
a. The source of such income; and
_______________________________________________________
b. The amount received.
_______________________________________________________
If you have remarried and if your present spouse has received any income from any source
not disclosed in your Answer to Interrogatory No. 4 from the date of your marriage to (him)
(her) 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 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);
_______________________________________________________
_______________________________________________________
_______________________________________________________
b. The exact name or names of the record and/or registered owners thereof;
_______________________________________________________
_______________________________________________________
_______________________________________________________
c. The date of acquisition;
_______________________________________________________
_______________________________________________________
_______________________________________________________
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);
_______________________________________________________
- 5 -
_______________________________________________________
_______________________________________________________
e. The current fair market value as of the date of the Answers to these Interrogatories;
and
_______________________________________________________
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
_______________________________________________________
_______________________________________________________
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) ( ____________ ).
_______________________________________________________
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
_______________________________________________________
_______________________________________________________
Set forth with particularity an itemized schedule of your average monthly living expenses
stating separately, wherever possible, all expenses relating to any persons residing with you
including, but not limited to, the minor child(ren) from your marriage to ____________ .
_______________________________________________________
_______________________________________________________
_______________________________________________________
- 6 -
As to each expense, state whether it is typically paid by check, money order, cash, or some
other medium of payment.
_______________________________________________________
_______________________________________________________
_______________________________________________________
If you or your spouse anticipate an increase or decrease in your incomes or any of your
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).
_______________________________________________________
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
_______________________________________________________
_______________________________________________________
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;
_______________________________________________________
_______________________________________________________
_______________________________________________________
b. names of the involved parties;
_______________________________________________________
_______________________________________________________
- 7 -
_______________________________________________________
c. date proceedings were commenced; and
_______________________________________________________
_______________________________________________________
_______________________________________________________
d. venue, case caption, and case number of any such proceedings.
_______________________________________________________
_______________________________________________________
_______________________________________________________
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;
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
- 8 -
_______________________________________________________
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;
_______________________________________________________
_______________________________________________________
b. county and state in which the complaint or incident occurred; and
_______________________________________________________
_______________________________________________________
c. disposition of the complaint or incident.
_______________________________________________________
_______________________________________________________
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.
_______________________________________________________
_______________________________________________________
Dated: ____________________ _________________________
Firm
By _________________________
_________________________
Printed Name
_________________________
- 9 -
_________________________
_________________________
Address
_________________________
Telephone
Attorney for ______________
- 10 -