Fill and Sign the Following Initial Disclosures Are Submitted by the Defendant Pursuant to Wyoming Form

Initial Disclosures July 2 014 Page 1 of 15 STATE OF WYOMING ) IN THE DISTRICT COURT ) ss ) ss COUNTY OF ________________ ) _______________ JUDICIAL DISTRICT Plaintiff: ____________________________, ) Civil Action Case No. __________ (Print name of person filing) ) ) vs. ) ) Defendant: __________________________ . ) (Spouse) (Print name) INITIAL DISCLOSURES The following initial disclosures are submitted by the Defendant pursuant to Wyoming Rule of Civil Procedure 26(a)(1.1). This information is required in all divorc e proceedings to the extent that the information pertains to a particular claim or defense in the action. This information must be made available to the opposing party’s attorney (or the opposing party if he or she does not have an attorney ) within thirty (30) days after the Defendant has been served with the Complaint for Divorce . For any of the following disclosures that do not pertain to you, write “not applicable” on the appropriate schedule . 1. A schedule of financial assets owned individually or join tly, such as savings or checking accounts, stocks, bonds, cash or cash equivalents, including the name and address of the depository, the date such account was established, the type of account, the account number, and whether the account is acknowledged to be a marital asset or asserted to be a non -marital asset and, if asserted to be a non -marital asset, an explanation of the legal and factual basis for such assertion. (See attached Schedule of Financial Assets .) 2. A schedule of non -financial assets , such as personal or real property (i.e. house, land, vehicles, household items, etc.) owned individually or jointly, including the purchase price and the date of purchase or acquiring the property , the present market value, any indebtedness relating to such as set, the state of record ownership, whether purchased from marital asset s or Initial Disclosures July 2 014 Page 2 of 15 obtained by gift or inheritance, and whether acknowledged to be a marital asset or asserted to be a non -marital asset and, if asserted to be a non -marital asset, an explanation of the legal and factual basis for such assertion. (See attached Schedule of Non -Financial Assets .) 3. A schedule of all debts owed individually or jointly, identifyi ng the date any obligation was in curred, the spouse in whose name the debt was incurred, t he present amount of all debts and monthly payments, the use to which the money was put which caused the debt to arise, identification of any asset which serves as security for such debt, and an acknowledgement of whether each debt is a marital or non -mari tal debt, and if asserted to be a non -marital debt, an explanation of the legal and factual basis for such assertion. (See attached Schedule of Debts .) 4. A schedule of safe deposit boxes, including the name and address of the institution where the box is located, the box number, the name and addre ss of the individual(s) who has access to the box, an inventory of the contents, and the value of the assets located therein. (See attached Schedule of Safety Deposit Boxes .) 5. A schedule of employment, including the name and address of your employer; gross monthly wage; payroll deduction(s), specifically identifying the type and amount; the amount of other benefits including transportation, employer contributions to health care, and employer contributions to reti rement accounts; and outstanding bonuses. (See attached Schedule of Employment .) 6. A schedule of all other sources of income, including the name and address of the source and the amount and date the income was received. (See attached Schedule of Other Inc ome .) 7. A schedule of all retirement accounts or benefits, including the name and address of the institution holding the accounts or benefits, the present value if readily ascertainable, the initial date of any account, the expected payment upon retiremen t and the specific retirement date, and the value of the account at the date of the marriage if the account existed prior to marriage. (See attached Schedule of Retirement Accounts or Benefits .) Initial Disclosures July 2 014 Page 3 of 15 8. If seeking custody , or a change in custody , set forth the facts believed to support your claim of superior entitlement to custody. In addition, as to a change of custody, set forth the facts comprising a sub stantial change in circumstances and disclose any supporting documentation. (See attached Schedule of Cust ody .) 9. NOTE: Supplementation of disclosures and responses. Wyoming Rules of Civil Procedure 26(e)(1): A party who has made a disclosure or responded to a request for discovery with a disclosure or response is under a duty to supplement or correct the d isclosure or response to include information thereafter acquired, if ordered by the court or in the following circumstances: A party is under a duty to supplement at appropriate intervals, its disclosures if the party learns that in some material respect the information disclosed is incomplete or incorrect and if the additional or corrective information has not otherwise been made known to the other parties during the discovery process or in writing. DATED this _____ day of _____________, 20___. Signature Printed Name: Address: Phone Number: Initial Disclosures July 2 014 Page 4 of 15 C E R T I F I C A T E O F S E R V I C E I certify that on (date) a true and accurate copy of th is document was served on the other party by Hand Delivery O R Faxed to this number OR by placing it in the United States mail, postage pre -paid, and addressed to the following: (Print Other Party’s/Other Party’s Attorney’s Name and Address) TO: __________________________ ____________ ______________________________________ ______________________________________ Your signature Print name Initial Disclosures July 2 014 Page 5 of 15 A NOTE ABOUT MARITAL vs. NON -MARITAL ASSETS AND DEBTS In the following table s you will be asked to distinguish marital property/debt from non -marital (separate) property/debt. Marital property/debt will be divided between you and your spouse as part of the divorce; non -marital property/debt usually will not be divided (depending on the situation). The general rule is that marital property and debt is any property or debt acquired during the marriage for the benefit of the marriage , regardless of who paid for it or whose name is on it . However, just because a party acquired proper ty before marriage does not necessarily mean that it won’t be considered marital property. A spouse's premarital separate property can become marital when a married couple demonstrates an intent, through their words or actions during marriage, to treat one spouse's separate property as marital property. Gifts and inheritances are generally separate property, although gifts for the benefit of the marriage, such as a dishwasher, may be considered marital property. "During the marriage" generally means from t he time of marriage until the time of separation. People often dispute what property/debt is marital or how long the marriage lasted. When this happens, you are urged to consult with an attorney to learn about the various legal arguments that may be avail able to you. If you want to read more about divorce and property division, you can review that information here, http://www.legalhelpwy.org/ . Initial Disclosures July 2 014 Page 6 of 15 SCHEDULE -A Not Ap plicable Financial Assets Type of A ccount Checking, Savings, Stocks, Bond s, Cash, Cash Equivalents, other Financial Assets Name and Address of Depository List bank, credit union, brokerage or other location where the financial asset is held. Date Accoun t Opened Present Market Value Last 4 digits of Account Number Record Ownership (Husband , Wife , Joint H/W , Other -describe ) Source of Funds (Marital assets, Gift , Inheritance , Separate assets , Before this marriage , Other -describe ) Asserted as Marital or No n- Marital Asset? **If not a marital asset, an explanation of legal and factual basis for such assertion is required. Please attach additional sheets of paper if more space is needed. a. b. c. d. e. f. g. Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 7 of 15 SCHEDULE -B Not Applicable Non -Financial Assets Description of A sset Purchase Price Date Acquired/ Purchased Present Market Value Amount of debt related to asset Record Ownership (Husband , Wife , Joint H/W , Other -describe) State of Record Ownership (Where asset is recorded, registered or located ) How acquired: (Marital assets, Gift , Inheritance , Separate assets , or Before this marriage) Ass erted as Marital or Non - Marital Asset? **If not a marital asset, an explanation of legal and factual basis for such assertion is required. Please attach additional sheets of paper if more space is needed. List Personal Prope rty (i.e., household furnishing s, jewelry, antiques, guns, collectables, etc .) a. b. c. d. e. f. g. h. i. j. k. l. m. Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 8 of 15 Not Applicable Non -Financial Assets Cont. Description of A sset Purchase Price Date Acquired/ Purchased Present Market Value Amount of debt related to asset Record Ownership (Husband , Wife , Joint H/W , Other -describe) Where asset is recorded, registered or located (Which State?) How acquired: (Marital assets, Gift , Inheritance , Separate assets , or Before this marriage) Asserted as Marital or Non - Marital Asset? **If not a marital asset, an explanati on of legal and factual basis for such assertion is required. Please attach additional sheets of paper if more space is needed. List All Vehicles by Year, Model & VIN a. b. c. d. Real Property (house, land , etc.) (Describe) a. b. c. d. Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 9 of 15 Not Applicable Non -Financial Assets Cont. Description of A sset Purchase Price Da te Acquired/ Purchased Present Market Value Amount of debt related to asset Record Ownership (Husband , Wife , Joint H/W , Other -describe) Where asset is recorded, registered or located (Which State?) How acquired: (Marital assets, Gift , Inheritance , Separate assets , or Before this marriage) Asserted as Marital or Non - Marital Asset? **If not a marital asset, an explanation of legal and factual basis for such assertion is required. Please attach additional sheets of paper if more space is needed. Interest in a ny business (Describe) a. b. c. Any o ther non -financial assets: (Describe) a. b. c. d. e. Attach additional sheets of paper if need ed Initial Disclosures July 2 014 Page 10 of 15 SCHEDULE -C Not Applicable Debts (Incurred Individually or Jointly) Name of Creditor and Last 4 Digits of Account # Date Debt Was Incurred Who I ncurred the debt ? (Husband , Wife , Joint H/W , Other - describe ) Current Balance of Debt Monthly Payment What You Received For Debt or Use to Which Money was Put Asset serving as security for Debt Asserted as Marital or Non - Marital Debt? **If not a marital debt , an explanation of legal and factual basis for such assertion is required. Please attach additional sheets of paper if more space is needed. a. Acct. #: b. Acct. #: c. Acct. #: d. Acct. #: e. Acct. #: f. Acct. #: g. Acct. #: h. Acct. #: i. Acct. #: j. Acct. #: Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 11 of 15 SCHEDULE -D Not Applicab le Safe Deposit Boxes Name and Address of Institution where box is located Box Number All N ame (s) to whom the box is registered Names and Addresses of All Individuals Who Have Access to the B ox Inventory of Contents Value of Contents a. b. c. Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 12 of 15 SCHEDULE -E Not Applicable Employment / Self -Employment Employer’s Name and Address Gross Monthly Wage and Payroll Deductions (Identify Type and Amount) Other Benefits and Amount Received (including transportation, employer contributions to health car e, and employer contributions to retirement account) Outstanding Bonuses (owed to you but not yet received List Amount and Due Date a. Gross: Fed Tax: FICA (Social Security): Medicare: Children’s Health Ins. Premiums: Total Deductions: Net: Am ount: Due Date: b. Gross: Fed Tax: FICA (Social Security): Medicare: Children’s Health Ins. Premiums: Total Deductions: Net: Amount: Due Date: c. Gross: Fed Tax: FICA (Social Security): Medicare: Children’s Health Ins. Premiums: Total Deductions: Net: Amount: Due Date: Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 13 of 15 SCHEDULE -F Not Applicable Other Income (Not Previously Indicated Herein) Name and Address of Source of Other Inc ome: Amount Received Date Received 1. Disability (Indicate type, i.e., Temporary total, permanent partial, permanent total, etc) 2. Unemployment 3. Worker’s Compensation 4. Retirement 5. Any Other Payments Made By Any Payor (de scribe) Attach additional sheets of paper if needed Initial Disclosures July 2 014 Page 14 of 15 SCHEDULE -G Retirement Accounts or Benefits Not Applicable (Pensions, Profit Sh aring, IRA’s, 401K’s, Retirement Plans, etc. ) Name and A ddress of Institution , Carrier, or Plan Administrator holding the account or benefit Who owns the plan? (Husband Or Wife ?) Last 4 Digits of Account or ID Number Type of Plan Date Plan Acquired Value of Account on Date of Marriage Present Value Loans Against Plan Expected Date of Retirement and Expected Payment Amount Asserted as Marital or Non - Marital Asset? **If not a marital asset , an explanation of legal and factual basis for such assertion is required. Please attach additional sheets of pape r if more space is needed. 1. Date: Payment: 2. Date: Payment: 3. Date: Payment: 4. Date: Payment: 5. Date: Payment: Attach additional sheets of paper if nee ded Initial Disclosures July 2 014 Page 15 of 15 SCHEDULE -H Not Applicable Custody 1. If you are seeking custody, set forth the facts supporting your claim to superior entitlement to custody: A. I have been the primary caretaker of the child(ren) as follows: B. I have a good quality of relationship with the child(ren) as follows: C. I have the ability to take care of the child(ren) as follows: D. I am the more fit and competent parent to have custody as follows: E. I am willing to support my child(ren) maintaining a relationship with both parents as follows: F. I have the physical ability to care for the child(ren) as follows: G. Other Attach additional sheets of paper if needed