F ORM 7A SC JDF 108 R 1 - 1 8 PATTERN INTERROGATORIES UNDER CRCP 369(g) BUSINESS Page 1 of 6 County Court County, Colorado Court Address: Plaintiff(s)/Petitioner(s): v. Defendant(s)/Respondent(s): COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom PATTERN INTERROGATORIES UNDER C.R.C.P. 369(g) - BUSINESS The following Pat t er n Interrogatories are propounded to (name of Judgment Debtor) pursuant to C.R.C.P. 369(g). Answer all of the questions and each and every part thereof fully and completely. Your answer s must be filed with the Court and a copy mailed to the sender no later than 1 4 days after you receive them. Use a separate sheet of paper, if necessary. Do not use Post Office boxes for any address provided in your answers unless you request and receive permission from the Court. 1. State the name , business address , home address, business phon e, home phone, and date of birth of the person answering these questions, and the relationship to the Business : Name: Home address: Business address: Home phone: Business phone: Date of Birth: 2. If the Business is a corporation, list the name, home address, b usiness address, home phone, business phone, and date of birth and the title of each officer, director and shareholder owning 5% or more of the outstanding shares. Name: Title: Date of Birth: Home address: Business address: Home phone: Business phone: Name: Title: Date of Birth: Home address: Business address: Home phone: Business phone: American LegalNet, Inc. www.FormsWorkFlow.com F ORM 7A SC JDF 108 R 1 - 1 8 PATTERN INTERROGATORIES UNDER CRCP 369(g) BUSINESS Page 2 of 6 3. If the Business is not a corporation, state the form of entity (sole proprietorship, partnership, limited liability compan y, or otherwise) and list the name, homes address, business address, home phone, business phone, and date of birth and the title of each owner, general or limited partner, or member owning 5% or more of the Business. Type of entity: Name: Title: Date of Birth: Home address: Business address: Home phone: Business phone: Name: Title: Date of Birth: Home address: Business address: Home phone: Business phone: Name: Title: Date of Birth: Home address: Business address: Home phone: Business phone: 4. Provide the EIN and/or Federal Ta x Id Number of the B usiness. EIN: Federal Tax Id: 5. List by year, make, model, purchas e price, VIN, loan balance, if any, and current location of any and all cars, trucks, motorcycles, boats, trailers, and other motor vehicles owned, used by or titled in the Business during the last four years. If the property is not owned by the Business, list the name and address of the owner. If the property has been transferred to another person or entity, list the name, address and telephone number of the transferee, the date of transfer, and the amount paid by transferee. Make: Model : Year: VIN: Purchase Date: Price: Loan Balance, if any: Current Location: Nam e of Owner if not you: Address of Owner: Name of Person Property Transferred to: Address: Phone Number: Make: Model: Year: VIN: Purchase Date: Price: Loan Balance, if any: Current Location: Name of Owner if not you: Address of Owner: Name of Person Property Transferred to: Address: Phone Number: American LegalNet, Inc. www.FormsWorkFlow.com F ORM 7A SC JDF 108 R 1 - 1 8 PATTERN INTERROGATORIES UNDER CRCP 369(g) BUSINESS Page 3 of 6 6. List each and every financial institution, including banks, savings and loan associations, credit unions, brokerage houses, or otherwise, where the Business is named on an account or has signature authority, including the name, address and telephone number of the i nstitution, the account number, and the current balance of each account. Name: Telephone Number: Address: Typ e of Account: Current Balance: Account Number (last 4 - digits): Name: Telephone Number: Address: Type of Account: Current Balance: Account Number (last 4 - digits): Name: Telephone Number: Address: Type of Account: Current Balance: Account Number (last 4 - digits): 7. List any and all real or personal property owned by the Business during the last four years, or in whic h the Business has an interest, where the purchase price or present value exceeds $500 .00 , including a detailed description, purchase price, current value, amount of any loan balance against the property, and the location including the county. If the prop erty has been transferred to another person or entity, list the name, address and telephone number of the transferee, the date of transfer, and the amount paid by transferee. Description of Property: Purchase Date: Price: Current Value: Loan Balance: Location (including the County ) : Transfer Date: Price Paid: Name: Address of Purchaser: Telephone Number: Description of Property: Purchase Date: Price: Current Value: Loan Balance: Location (including the County ) : Transfer Date: Price Paid: Name: Address of Purchaser: Telephone Number: Description of Property: Purchase Date: Price: Current Value: Loan Balance: Location (including the County ) : Transfer Date: Price Paid: Name: Address of Purchaser: Telephone Numb er: American LegalNet, Inc. www.FormsWorkFlow.com F ORM 7A SC JDF 108 R 1 - 1 8 PATTERN INTERROGATORIES UNDER CRCP 369(g) BUSINESS Page 4 of 6 8. If the Business owns any property which is leased to another person or entity, identify the property , the amount of lease payments, and the dates that the payments are due. Address: Telephone Number: Term of Lease: Lease Payment Amount: Payment Due Dates: Address: Telephone Number: Term of Lease: Lease Payment Amount: Payment Due Dates: 9. List every person or entity which owes money to the Business in excess of $500 .00 , including the name, address and phone number, the amount owed, if payments are due, the amount and dates they are due, and the reaso n the moneys are owed. Name: Telephone Number: Amount Owed: Address: Payment Amount: Payment Due Da tes: Reason(s) the moneys are owed: Name: Telephone Number: Amount Owed: Address: Payment Amount: Payment Due Dates: Reason(s) the moneys are owed: Name: Telephone Number: Amount Owed: Address: Payment Amount: Payment Due Dates: R eason(s) the moneys are owed: 10. List every person or entity currently using the services or products of the Business averaging more than $100 .00 per month, including the address and phone number, t he amount billed or purchased each month, and the billing dates. Name: Telephone Number: Address: Amount Billed or Purchased each Month: Billing Dates: Name: Telephone Number: Address: Amount Billed or Purchased each Month: Billing Dates: Name: Telephone Number: Address: Amount Billed or Purchased each Month: Billing Dates: American LegalNet, Inc. www.FormsWorkFlow.com F ORM 7A SC JDF 108 R 1 - 1 8 PATTERN INTERROGATORIES UNDER CRCP 369(g) BUSINESS Page 5 of 6 11. Produce and attach to your answers, copies of the following documents for the last four years: a. For corporations, the articles of inc orporation, bylaws, and corporate minutes. b. For partnerships, the partnership agreement. c. For limited liability companies, the articles of organization and operating agreement. d. For all entities, annual: i. Federal and state tax returns. ii. Profit and loss statemen ts. iii. Balance sheets. iv. Inventory lists. 12. If the Business wishes to propose an arrangement to pay the judgment, state the proposed terms. If the Business is no longer in business, answer the following questions: 13. State the date and exact reasons the B usiness went out of business. Date: Reason(s): 14. I f the Business disposed of any of its assets when it went out of business, describe each item which was disposed of, the name, address and telephone number of the person or entit y which took possession of the item, any amounts paid for the item, and the reason for the disposition. Description: Amount Paid: Name: Telephone Num ber: Address: Reason for Disposition: Description: Amount Paid: Name: Telephone Number: Address: Reason for Disposition: 15. If the Business has any remaining assets, describe each item, including the current value, location and amo