Fill and Sign the Uniform Interrogatories

Name:_________________________________________________ Address:_______________________________________________ City, State. Zip:_________________________________________ Telephone:_____________________________________________ State Bar Code:_________________________________________ Client:_________________________________________________ IN THE SUPERIOR COURT OF THE STATE OF ARIZONA In and for the County of ___________________ ___________________________________________ IN RE THE MARRIAGE OF CASE NO. ______________________________________, Petitioner UNI FORM INTERROGATORIES vs. FOR DOMESTIC R ELATIONS CASES ______________________________________, Respondent _________________________________________________________________________________DR19DIV Appendix to Rule XVII, Interro gatories, "Uniform Rules of Practice of the Superior Court of Arizona". Background and Personal History 1. State your full name, current residence, telephone number, social security number, date of birth, and list any names by which you have been kno wn in the past. Education and Training 2. Please provide: (a) The name and address of each high school, college and technical school attended. (b) The courses of study, specifying major, degrees received, and inclusive dates of attendance. Employment 3. (a) State the name and address of each employer you have had during the last three (3) years and list your job title at each such e mployment. If you have been self -employed at any time during those three (3) years, so state and give months and years. (b) State the gross monthly income from your current employment. (c) State the monthly net take home from your curre nt employment. (d) Have you engaged in any part -time employment in addition to your regular occupation within the past three years? __________. If so, please state whether you are still engaged in this part -time employment and state your monthly income from this employment. (e) Have you received overtime pay, commissions or bonuses within the last three (3) years? __________. If so, please state the monthly gross amount you have earned from overtime pay and the dollar amount of each commission and/or bonus received. (f) Attach you most recent payroll stub and your contract of employment. Deferred Compensation and Retirement Benefits 4. Are you or have you ever been a participant in a deferred compensation progra m or plan (such as a pension, deferred compensation, profit -sharing, stock or investment, thrift, section 401(K), military retirement or disability, or any other deferred compensation plan, hereinafter "plan")? __________. If so: (a) Describe the nat ure of each plan. (b) Indicate whether each plan is qualified with the IRS. (c) State the name of the plan and the name and address of the trustee and the plan administrator. (d) State the date you began the employment which p ermitted you to participate in the plan and the number of years and months in which you have participated and are entitled to credit. (e) Set forth the value of your interest as of the last valuation date and state that date. (f) Attach a copy of your current plan and your most recent plan statement. Health Insurance 5. Do you have health insurance through your present employer? __________. If so, indicate what conversion benefits are available to your spouse at the time of the dissolution of marriage, and indicate the persons presently covered and the cost for dependent coverage, if any. Attach a copy of your current health plan. Other Income 6. Do you have any sources of income other than as described inabove __________. If so, state each source of income and the amount received from each source in this year and in each of the last three (3) calendar years. Attach a copy of each document showing each additio nal source of income. Life Insurance 7. Do you presently own or have an interest in any life insurance or annuity policy? __________. If so, for each policy, please state: (a) The name and address of the insurance company. (b) The type of policy, i.e., term, straight life, universal, whole life, tax deferred annuity or other. (c) Whether that insurance is connected with your employment. (d) The amount and date of each loan taken on the policy. (e) The present cash surrender value of the policy, if any. (f) Cost to you, if any, on an annual basis. (g) The name of each beneficiary. (h) Attach a copy of each insurance policy. Employment Benefits 8. Do you receive or do you expect to receive or have you received in the past calendar year, any employment related benefits, such as a vehicle or vehicle allowance, stock options, pension or profit sharing payments, vacation pay or expense account payments or reimbursements? __________. If so, specify the benefits you receive or received. Custody of Children 9. (a) Do you believe that you and your spouse can reach an agreement concerning custody and visitation without the intervention of the Court or Conciliation Services? (b) If so, please state your understanding of what the agreement will be between you and your spouse regarding custody and visitation. (c) If so, and if joint custody is part of the agreement, please state the substance of the joint custody plan that you and your spouse have agreed to. (d) Have there ever been allegations of child abuse, neglect, abandonment or incorrigibil ity filed against either you or your spouse through Child Protective Services, any law enforcement agency or any juvenile courts in any state of the United States? (e) Please provide sufficient details regarding disposition of said allegations or investigation, including specific dates, names of investigators and other persons involved. (f) Is there a child of the marital relationship with special needs, disabilities or other developmental handicaps? If so, how does the agreement between you and your spouse or the joint custody plan address these needs? Further, what provision, excluding court ordered child support, will be made for the extraordinary expenses associated with caring for this child. Domestic Violence 10. (a) Have you or your spouse been a party to any litigation, in any court of this state or any other state in the United States, which relates to domestic violence? (b) If so, please provide the location of the court where the action was filed; the nature of the complaint; the disposition thereof; and the expiration date of any resultant order. (c) Have you or your spouse been subject to an order of any court of this state or any other state in the United States, which limits or prohibits conduct or actions because of violence or physical abuse? Residence and Real Estate 11. Please complete the attached Residence and Real Estate Chart for each piece of real estate in which you have an interest. Sole and Separate Property 12. (a) Do you own any property which you believe is your sole and separate property? If so, please: (i) Describe that property; (ii) State the present location of the property; (iii) State the value of your interest in th e property on the date of marriage; (iv) State the facts which support your belief that it is sole and separate property. (b) Identify and attach every document in your custody, possession or control which supports your claim that t he property is separate property. (c) Have you used any community funds to improve, protect, pay for or maintain the separate property? __________. If so, identify dates, source and amounts of funds expended and identify any documents which show the expenditures. Bank Accounts 13. (a) If you have had funds in any bank account this year or within the past three (3) years, please complete the attached Bank Accounts Chart. (b) Do you have any money on deposit in any bank account or a ccounts, in any name other than your own? __________. If so, for each account, please state: (i) Where the account is maintained; (ii) The name under which the account is maintained. (c) Atta ch bank statements and a copy of each check register for each account for the past twelve (12) months. Safe Deposit Boxes 14. (a) Within the last three (3) years, have you had access to any safe deposit box, safe or vault or other place of safekeeping (hereinafter "depository")? __________. If so, for each depository, please state the name of the bank or branch or other location where the depository is located. (b) State whether each depository is open or closed as of the date of y our answers to these interrogatories. (c) List present contents of each depository and identify any items removed within the last three (3) years. Business Entities: Corporations, Partnerships, and Sole Proprietorships 15. (a) Identify every business entity (hereinafter "business") in which you have any interest, whether equitable or legal, and identify the type of business (corporation, general partnership, limited partnership, joint venture, sole proprietorship). (b) Wi th respect to each business, describe the type of records maintained in the last five (5) years; e.g., general ledger, general journal, cash disbursements journal, etc. (c) Indicate the name, address, telephone number and job position of each individual or business which has possession, custody or control of the records above described. (d) Provide the name, address and telephone number of each individual or business which has possession, custody or control of the tax returns for each business for the last three (3) years. (e) Provide the current "net worth" of the business and the date that "net worth" was derived. "Net worth" means total assets minus total liabilities. If you have an opinion, please provide the fair market value of the business as of this date. (f) With respect to each business, indicate your and/or your spouse's interest in the business and the name and address of every other person or entity having an interest in any such business you have listed. (g) Attach a copy of the most recent federal tax return filed for each business listed. Law Suits 16. During the last three (3) years have either you or your spouse suffered an injury for which you believe you may receive compensation or have you been a party to any lawsuit? __________. If so, please give all details below. Tax Returns 17. Did you file federal and state income tax returns for any taxable year since _____________ _______________? If so, state as to each year, (a) Whether is was a joint or separate return. (b) Who currently has a copy of that return. (c) Who prepared the return. (d) Attach a copy of your most recent personal federal and state tax return with all relevant schedules. Financial Statements 18. Has any financial statement, loan application, and/or credit application been prepared for you or by you or for any business entity listed in your answer above within the past three (3) years? __________. If so, please state: (a) Whether you have a copy of such financial statement(s), loan application(s), and/or credit application(s) in your possession. (b) The name and address of each person, firm, corporation, partnership, mercantile or trade agency, or other organization to whom they were issued. (c) The date of each financial statement(s), loan application(s) and/or credit applica tion(s). (d) Attach a copy of each financial statement or application. Attorneys' Fees and Costs 19. State the terms and conditions of the employment of your attorney in this case, including the hourly rate or other basis for fees. G ive full details of any agreement or understanding between you and your attorney in this case concerning fees and expenses, including information and specific amounts of any payments made to your attorney, the method of payment(s) and the source of the pay ment(s) in connection with this case. Attach the retainer agreement memorializing the employment of your attorney. Witnesses and Exhibits 20. (a) Do you intend to offer in evidence at the time of trial of this case any documents? __________. If so, please state in complete detail: (i) The description, subject matter, form, name and number of each and every document; (ii ) The relevancy, in your opinion, of each and every document to the issues before the court. (b) List each witness you intend to call at the trial of this case, and as to each such person: (i) State that person's name, address, telep hone number and the relevance of the expected testimony to the case; (ii) Give the nature and substance of each such person's expected testimony. (c) Have you employed or do you intend to employ any expert witness for purposes of supp orting any of your allegations in this litigation and/or for purposes of testifying at the trial of this action? __________. If so, please state, for each such technician or expert, the following: (i) The expert's name, or other means of identificat ion, last known complete address and telephone number; (ii) The expert's profession, job title, or occupation and the field in which that person is an expert; (iii) Whether you intend to call the expert as a witness during the trial of this action; (iv) At what address the expert is presently employed; (v) Attach a copy of each expert's resume or curriculum vitae. Spousal Affidav its and Inventories 21. (a) Please complete a Court approved form "spousal affidavit" and sign the affidavit in the presence of a notary public, if you have not already done so. (b) Please complete the attached inventory of securities you o wn, and list the items of personal property you own, including vehicles, which have a value greater than $100.00. __________________________________________________________________________________________ ___ Address Type of Date Purchase Down Loans & Liens Opinion as to Property Acquired Price Payment Original Present Fair Market Amount Payoff Value __________________________________________________________________________________________ ___ 1. __________________________________________________________________________________________ _ 2.________________________________________________________________________________________ ___ 3.________________________________________________________________________________________ ___ 4.________________________________________________________________________________________ ___ 5.________________________________________________________________________________________ ___ 6.__________________________________________________________________ ______________________ ___ 7.________________________________________________________________________________________ ___ 8.________________________________________________________________________________________ ___ 9.________________________________________ ________________________________________________ ___ 10._______________________________________________________________________________________ ___ __________________________________________________________________________________________ ___ ____________ ______________________________________________________________________________ ___ Describe Date Purchase Price Present Value Security Acquired __________________________________________________________________________________________ ___ 1. __________________________________________________________________________________________ _ 2.__________________________________________ ______________________________________________ ___ 3.________________________________________________________________________________________ ___ 4.________________________________________________________________________________________ ___ 5.________________ ________________________________________________________________________ ___ 6.________________________________________________________________________________________ ___ 7.____________________________________________________________________________________ ____ ___ 8.________________________________________________________________________________________ ___ 9.________________________________________________________________________________________ ___ 10._______________________________________________________________________________________ ___ __________________________________________________________________________________________ ___ ____________________________________________________________________ __________ _____________ * If you have a brokerage account, provide statements for the past twelve (12) months. __________________________________________________________________________________________ __ Name of Bank Address Name in which Date Who can sign Balance as of Date (including branch) Account is held Opened on Acct. of most Recent Statement _______________________________ ___________________________________________________________ ___ 1. __________________________________________________________________________________________ _ 2.________________________________________________________________________________________ ___ 3.__ ______________________________________________________________________________________ ___ 4.________________________________________________________________________________________ ___ 5.______________________________________________________________________ __________________ ___ 6.________________________________________________________________________________________ ___ 7.________________________________________________________________________________________ ___ 8.____________________________________________ ____________________________________________ ___ 9.________________________________________________________________________________________ ___ 10._______________________________________________________________________________________ ___ __________________________________________________________________________________________ ___ * Include checking and savings accounts, credit unions, certificates of deposit, money market and investment accounts, etc. LIST OF PERSONAL PROPERTY _____ _____________________________________________________________________________________ ___ ITEM OPINION OF VALUE ___________________ _______________________________________________________________________ ___ 1. __________________________________________________________________________________________ _ 2.____________________________________________________________________________________ ____ ___ 3.________________________________________________________________________________________ ___ 4.________________________________________________________________________________________ ___ 5.__________________________________________________________ ______________________________ ___ 6.________________________________________________________________________________________ ___ 7.________________________________________________________________________________________ ___ 8.________________________________ ________________________________________________________ ___ 9.________________________________________________________________________________________ ___ 10._______________________________________________________________________________________ ___ ________ 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