Fill and Sign the Interrogatories Judgment 497331405 Form

IN THE UNITED STATES DISTRICT COURT FOR THE ________________ (NAME) DISTRICT OF _______________ (STATE) _________________ (NAME) DIVISION ______________________________ Plaintiff (Name of Plaintiff and Judgment Creditor) v. Civil Action No . _________ ______________________________ Defendant (Name of Defendant and Judgment Debtor) First Set of Interrogatories to Judgment Debtor Theses Interrogatories are propounded to you as Judgment Debtor, in aid of the Judgment previously entered against you, and you are required to answer such Interrogatories under oath as provided by Rule 33 and Rule 69(a) of the Federal Rules of Civil Procedure. 1. Please state your present residence, how long have you lived there, and how much you pay for rent, board, services, etc. 2. What salary or income have you received since the Judgment against you in this action was secured? Please state the source, the amount of each payment to you, and the dates of payments. 3. Please describe any uncollected debts or other money coming to you, including the amounts of each and the name and address of each debtor. 4. What is your occupation? 5. Please state what money you have received within the last ninety days from any source, the name of each payor, the dates of receipt and amounts, and describe any disposition of such money, including the names of the payees, their addresses, the dates of payments and the amount of each payment. 6. Please state what back accounts you have, the name of the Bank for each account, when you made your last deposit in each account, and when drew your last check on each account. 7. Please state the money you have you spent since the Judgment in this cause of action was entered against your, the names of the payees, the amounts of each payment and dates of each payment. 8. Have any payments been made on account for you by any third party within the last three years? If so, please state by what person, the names of the payees, the dates of payments and the amounts of payments. 9. Please list by address and legal description any real property or any interest in real property you or your spouse own or have in interest in, and specify with respect to each property its purchase or acquisition date, the amount of the purchase price, the source of - 1 - the purchase price or the manner of the property's acquisition, and from whom it was acquired. 10. Please describe any interest you or your spouse have in any stocks, bonds, or other securities; promissory notes, drafts, bills of exchange, or other commercial papers; judgments; jewelry or antiques; stamp or coin collections; automobiles or trucks; patents, inventions, trade names, trademarks, or copyrights; and/or warehouse receipts, bills of lading, or other documents of title. 11. Please describe any interest you or your spouse have in any other property not inquired about in Interrogatory Numbers 9 and 10 and specify with respect to each property its purchase or acquisition date, the amount of the purchase price, the source of the purchase price or the manner of the property's acquisition, and from whom it was acquired. 12. If any of the property inquired about in Interrogatory Numbers 9,10 or 11 is mortgaged, pledged, encumbered, or subject to any conditional bill of sale, state the full detail the status of same as to the names and addresses of each mortgagee and/or pledgee and the amounts of each mortgage and/or pledge. 13. Please describe any checking or savings account or accounts, stating for each account, the name and address of the bank or savings institution where the account is maintained, the account number, and the amount of the balance in the account as of the date these Interrogatories were served on you. 14. Please give the name and address of each safe deposit box you or your spouse have. 15. Please identify any business you or your spouse own or have part ownership in, your interest in it, the name under which it operates, and whether it is a sole proprietorship, a partnership, limited liability company, limited partnership, limited liability partnership or a corporation. 16. Did you file federal or state income tax returns in the last three years? If so, please state whether or not you retained copies of the returns and where they are located. 17. Have you issued any financial statement in the past three years? If so, please state to whom, when, and for what reason. 18. State what books and records you keep, showing your receipts and disbursements for the last three years and the location of each such book and/or record. 19. Please indicate the full name of your spouse and, if employed, your spouse's occupation, her employer and the employer's address. 20. Please list by address and legal description any real properties you or your spouse have an ownership in within this state or outside of this state and specify with respect to each property its purchase or acquisition date, the amount of the purchase price, the source or the manner of its acquisition, and from whom it was acquired. 21. Please identify any property have you within this state, real or personal, that has not been previously identified, and as to each, list by address and legal description any such - 2 - properties, and specify with respect to each property its purchase or acquisition date, the amount of the purchase price and the source or the manner of its acquisition and from whom it was acquired. 22. Have you made any transfers of real or personal property? If so, state to whom, the dates, and the names of the transferees. 23. Please identify any property have you outside of this state, real or personal, that has not been previously identified, and as to each, list by address and legal description any such properties and specify with respect to each property, state its purchase or acquisition date, the amount of the purchase price, the source or the manner of its acquisition, and from whom it was acquired. 24. What property did you have at the time when this judgment was secured? Trace the disposition of this property. Respectfully submitted, _______________________________ Signature of Plaintiff Printed Name: _______________________ CERTIFICATE OF SERVICE I, the undersigned, _____________________ (Name of Plaintiff) , the Plaintiff, do hereby certify that I have this day mailed, by United States mail, postage prepaid, a true and correct copy of the above and foregoing First Set of Interrogatories to Defendant at: ________________________ (Name of Defendant) _________________________________________________________ (Address of Defendant) DATED, this the ______ day of _______________, 20_____. ________________________________ Printed Name and Signature of Plaintiff __________________________ ( Name of Plaintiff) ________________________________ (Street Address or Post Office Box No,) ________________________________ (City, State, Zip) ________________________________ (Phone Number) - 3 -