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FL-145ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SHORT TITLE: FORM INTERROGATORIES– FAMILY LAW CASE NUMBER:Asking Party: Answering Party: Set No.: Sec. 1. Instructions to Both Parties Sec. 4. Instructions to the Answering PartyThe interrogatories on page 2 of this form are intended to You must answer these interrogatories under oath within 30provide for the exchange of relevant information without days, in accordance with Code of Civil Procedure sectionunreasonable expense to the answering party. They do not 2030.260.change existing law relating to interrogatories, nor do theyaffect the answering party’s right to assert any privilege or You must furnish all information you have or can reasonablymake any objection. Privileges must be asserted. find out, including all information (not privileged) from your attorneys or under your control. If you don’t know, say so.Sec. 2. Definitions If an interrogatory is answered by referring to a document, the document must be attached as an exhibit to the response and referred to in the response. If the document has more than one page, refer to the page and sectionWords in boldface in these interrogatories are defined as where the answer can be found.follows:(a) Person includes a natural person; a partnership; any kind ofbusiness, legal, or public entity; and its agents or employees.If a document to be attached to the response may also be(b) Document means all written, recorded,or graphic materials, attached to the Schedule of Assets and Debts (form FL-142),however stored, produced, or reproduced. the document should be attached only to the response, and(c) Asset or property includes any interest in real the form should refer to the response.estate or personal property. It includes any interest in a If an interrogatory cannot be answered completely, answerpension, profit-sharing, or retirement plan. as much as you can, state the reason you cannot answer the(d) Debt means any obligation, including debts paid since rest, and state any information you have about the unansweredthe date of separation. portion.(e) Support means any benefit or economic contributionto the living expenses of another person, including gifts. Sec. 5. Oath(f) If asked to identify a person, give the person’s Your answers to these interrogatories must be under oath,name, last known residence and business addresses, dated, and signed. Use the following statement at the endtelephone numbers, and company affiliation at the date of the of your answers:transaction referred to. I declare under penalty of perjury under the laws of the(g) If asked to identify a document, attach a copy of the State of California that the foregoing answers are true anddocument unless you explain why not. If you do not attach the correct.copy, describe the document, including its date and nature, and give the name, address, telephone number, and occupation of the person who has the document.Sec. 3. Instructions to the Asking Party ( DATE) (SIGNATURE)Check the box next to each interrogatory you want the answering party to answer.Page 1 of 2Form Approved for Optional Use FORM INTERROGATORIES– FAMILY LAW Code of Civil Procedure,Judicial Council of California §§ 2030.010–2030.410, 2033.710FL-145 [Rev. January 1, 2006]electronic form  2005 WWW.LawCA.com Law Publishers FL-145 1.Personal history. State your full name, current 12. Property valuations. During the past 12 months, residence address and work address, social security have you received written offers to purchase or hadnumber, any other names you have used, and the written appraisals of any of the assets listed on yourdates between which you used each name. completed Schedule of Assets and Debts? If your answer is yes, identify the document. 2. Agreements. Are there any agreements between you and your spouse or domestic partner, made before or 13. Property held by others. Is there any propertyduring your marriage or domestic partnership or after held by any third party in which you have any interest oryour separation, that affect the disposition of assets, over which you have any control? If your answer is yes,debts, or support in this proceeding? If your answer is indicate whether the property is shown on the Scheduleyes, for each agreement state the date made and whether of Assets and Debts completed by you. If it is not,it was written or oral, and attach a copy of the agreement describe and identify each such asset, state its presentor describe its contents. value and the basis for your valuation, and identify the person holding the asset. 3. Legal actions. Are you a party or do you anticipate being a party to any legal or administrative proceeding 14. Retirement and other benefits. Do you have another than this action? If your answer is yes, state your interest in any disability, retirement, profit-sharing, orrole and the name, jurisdiction, case number, and a brief deferred compensation plan? If your answer is yes,description of each proceeding. identify each plan and provide the name, address, and telephone number of the 4. Persons sharing residence. State the name, age, administrator and custodian of records. and relationship to you of each person at your presentaddress. 15. Claims of reimbursement. Do you claim the legalright to be reimbursed for any expenditures of your separate or community property? If your 5. Support provided others. State the name, age, answer is yes, state all supporting facts. address, and relationship to you of each person for whom you have provided support during the past 12 months and the amount provided per month for each. 16. Credits. Have you claimed reimbursement credits for payments of community debts since the date of separation? If your answer is yes, identify the 6.Support received for others. State the name, age, source of payment, the creditor, the date paid, and address, and relationship to you of each person for the amount paid. State whether you have added towhom you have received support during the past 12 the debt since the separation.months and the amount received per month for each. 17. Insurance. Identify each health, life, automobile,7. Current income. List all income you received during and disability insurance policy or plan that you now the past 12 months, its source, the basis for its own or that covers you, your children, or yourcomputation, and the total amount received from assets. State the policy type, policy number, andeach. Attach your last three paycheck stubs. name of the company. Identify the agent and give the address. 8. Other income. During the past three years, have you received cash or other property from any source not 18. Health. Is there any physical or emotional conditionidentified in item 7? If so, list the source, the date, and that limits your ability to work? If your answer is yes,the nature and value of the property. state each fact on which you base your answer. 9. Tax returns. Attach copies of all tax returns and tax 19. Children’s needs. Do you contend that any of schedules filed by or for you in any jurisdiction for the your children have any special needs? If so, identify past three calendar years. the child with the need, the reason for the need, its cost, and its expected duration. 10. Schedule of assets and debts. Complete the Schedule of Assets and Debts (form FL-142) served 20. Attorney fees. State the total amount of attorneywith these interrogatories. fees and costs incurred by you in this proceeding, the amount paid, and the source of the money paid. 11. Separate property contentions. State the facts that Describe the billing arrangements. support your contention that an asset or debt isseparate property. 21. Gifts. List any gifts you have made without the consent of your spouse or domestic partner in the past 24 months, their values, and the recipients.FL-145 [Rev. January 1, 2006] FORM INTERROGATORIES– FAMILY LAW Page 2 of 2