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Financial Affidavit (Divorced Or Divorce Pending) Form. This is a Florida form and can be use in Manatee Local County.
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Tags: Financial Affidavit (Divorced Or Divorce Pending), Florida Local County, Manatee
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT IN AND FOR
-against:
MANATEE COUNTY
CIVIL ACTION
:
IN RE: THE MARRIAGE OF;
:
,
Defendant(s)
:
......................................................
Former Husband
THE PEOPLE OF THE STATE OF NEW YORK
and
CASE NO.
TO
,
GREETINGS:
Former Wife
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
dayFINANCIAL AFFIDAVIo'clock in the
of
, 20
, at
noon, and at any recessed
T
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Name:
Occupation: failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Your
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Name your failure to
result of of Employer: comply.
AddressWitness, Honorable
of Employer:
Court in
Rate of Pay:
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
PART I -MONTHLY INCOME
Attorney(s) for
INCOME FROM EMPLOYMENT:
Average Monthly Gross Salary or Wages
Bonuses, Commissions, Allowances, Overtime, Tips, Etc.
Total Monthly Gross Income from employment
Office and P.O. Address
Less Deductions:
Federal Income Tax
Social Security
Telephone No.:
Mandatory Retirement/Pension
Facsimile No.:
Health Insurance
E-Mail Address:
Mandatory Union Dues
Mobile Tel. No.:
Court Ordered Child Support being paid
$
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
Total Deductions
$
:
JUDICIAL SUBPOENA
Plaintiff(s)
TOTAL MONTHLY NET INCOME FROM EMPLOYMENT
$
-against:
OTHER MONTHLY INCOME:
Pension/Retirement/Annuity
:
Social Security Benefits
Disability Benefits
:
Unemployment Compensation
Defendant(s)
Workers Compensation
:
......................................................
Alimony from prior marriage
Interest and Dividends
Business Income
THE PEOPLE OF THE STATE OF NEW YORK
Rental Income
Income from Royalties, Trusts or Estates
TO
Reimbursed Expenses
Recurring Gains
Other:
GREETINGS:
Total Other Monthly Income
$
WE COMMAND YOU, that all business
of
TOTAL MONTHLY NET INCOME and excuses being laid aside, you and each $ you attend before
,
the Honorable
at the
Court
located at
County of
PART II - MONTHLY EXPEo'clockSin the
NSE
in room
, on the
day of
, 20
, at
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
HOUSEHOLD EXPENSES:
Rent/Mortgage Payment
Property Taxes not included in mortgage payment
Your failure to comply with
Homeowners Insurance notthis subpoena is punishable as a contempt of court and will make you liable to
included in mortgage payment
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Flood Insurance not included in mortgage payment
result of your failure to comply.
Electricity
Fuel Oil/Natural Gas
Witness, Honorable
, one of the Justices of the
Water, Garbage, Sewer day of
Court in
County,
, 20
Telephone
Pest Control
Cable TV
(Attorney must sign above and type name below)
Repairs & Maintenance
Food & Household Supplies
Other:
Attorney(s) for
Sub-Total Household Expenses
$
TRANSPORTATION EXPENSES
Car Payment
Office and P.O. Address
Operating Expenses (gas, Maintenance, Etc.)
Parking
Public Transportation
Telephone No.:
Other:
Facsimile No.:
Sub-Total Transportation Expenses
E-Mail Address:
$
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
CHILDREN'S EXPENSES:
Child Care
:
School Tuition
Defendant(s)
School Supplies
:
......................................................
School Lunches
Allowances
Clothing
THE PEOPLE OF& Dental
Medical THE STATE OF NEW YORK
Medications & Drugstore Items
TO
Barber, Beauty, etc.
Gifts
Other:
GREETINGS:
Sub-Total Children's Expenses
$
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable EXPENSES:
at the
Court
PERSONAL
located at
County of
Meals Outside Home
in room Medical &on the
, Dental
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Medications & Drugstore Items
Barber, Beauty, Etc.
Laundry/Dry Cleaning
Your failure
Clothing to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party Publications
on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Vacations
Recreation
Witness, Honorable
, one of the Justices of the
Professional/Social Dues
Court in
County,
day of
, 20
Contributions
Gifts:
(Attorney must sign above and type name below)
Insurance (Not Thru Employment):
Medical
Dental
Disability
Life
Child Support/Alimony
Other:
Attorney(s) for
Office and P.O. Address
Sub-Total Personal Expenses
INSTALLMENT PAYMENTS:
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
$
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
-against-
:
Sub-Total Installment Payments
TOTAL MONTHLY EXPENSES
:
$
$
:
PART III - SUMMARY
Defendant(s)
:
......................................................
TOTAL MONTHLY NET INCOME
$
TOTAL MONTHLY EXPENSES
$
THE PEOPLE OF THE STATE OF NEW YORK
TO
NET
$
PART IV - ASSETS
GREETINGS:
CASH ON HAND OR IN BANKS:
Cash
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Checking
,
the Honorable
at the
Court
Savings
located at
County of
Certificates of Depositday of
in room
, on the
, 20
, at
o'clock in the
noon, and at any recessed
Credit Union Account
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Sub-Total Cash on Hand or in Bank
$
INVESTMENTS:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Stocks
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Bonds
result of your failure to comply.
Mutual Funds
Other: Honorable
Witness,
, one of the Justices of the
Sub-Total Investments
$
Court in
County,
day of
, 20
CASH VALUE OF LIFE INSURANCE
REAL ESTATE:
Home
Other:
$
(Attorney must sign above and type name below)
Attorney(s) for
Sub-Total Real Estate
MOTOR VEHICLES:
Automobiles
Motor Homes
Boats
Other:
Office and P.O. Address
Telephone No.:
Sub-Total Motor Vehicles
Facsimile No.:
OTHER PERSONAL PROPERTY:
$
$
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
Sub-Total Other Personal :Property
$
:
TOTAL ASSETS
$
:
Defendant(s)
:
......................................................
PART V - LIABILITIES
THE PEOPLE OF THE STATE OF NEW YORK
MORTGAGES:
TO
Home Mortgage
Other Mortgages:
Sub-Total Mortgages
GREETINGS:
$
WE COMMAND YOU,
MOTOR VEHICLE LOANS: that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Automobiles
located at
County of
Motor Homes
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Boats
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Other:
Sub-Total Motor Vehicle Loans
$
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
LOANS, DEBTS AND CREDIT CARDS:
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
Sub-Total Loans, Debts, & Credit Cards
day of
, one of the Justices of the
, 20
TOTAL LIABILITIES
$
$
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
If you are employed, but expecting soon to become unemployed or change Calendar No. the change you expect and
jobs, describe
why and how it will affect your income. If currently unemployed, describe your efforts to find employment, how soon
:
you expect to be employed, and the pay you expect to receive.
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
:
:
ALL OF THE FOLLOWING MUST BE ATTACHED TO THE COPY OF THIS FINANCIAL AFFIDAVIT
:
SERVED ON THE OPPOSING PARTY. THE ATTACHMENTS SHALL NOT BE FILED WITH THE COURT.
Defendant(s)
:
. .(1) . . . . All .federal.and . . . . .income .tax .returns. filed . . . your or on your behalf for the past three (3) years;
..
. . . . . . . . . . . state . . . . . . . . . . . . . . . . . by . . . . .
ATTACHED;
NONE FILED OR IN MY POSSESSION;
THE PEOPLEforms W-2, 1099, and K-1YORK past year, if the income tax return for that year has not been
(2)
IRS OF THE STATE OF NEW for the
prepared;
TO
ATTACHED;
NONE;
(3)
Pay
GREETINGS:stubs for the past three (3) months prior to delivery of the financial affidavit;
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
ATTACHED;
NONE. If none, complete the following;
,
the Honorable
at the
Court
located at
County of
MONTH/YEAR , on the
GROSS INCOME , 20
in room
day of
, at SOURCE OF the
o'clock in INCOME/EMPLOYERrecessed
noon, and at any
or adjourned date, to testify and give evidence as a witness in this action on the part of the
(1)
(2)
(3)
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply. the last three (3) years;
(4)
Loan applications for
ATTACHED;
Witness, Honorable
Court in
County,
NONE;
day of
, one of the Justices of the
, 20
I AM AWARE THAT ANY MATERIALLY FALSE STATEMENT KNOWINGLY MADE WITH THE INTENT
TO DEFRAUD OR MISLEAD SHALL SUBJECT ME TO THE PENALTY FOR PERJURY AND MAY BE
CONSIDERED A FRAUD UPON THE COURT.
(Attorney must sign above and type name below)
STATE OF FLORIDA
COUNTY OF MANATEE
Attorney(s) for
BEFORE ME, the undersigned authority, personally appeared
was sworn and says that the foregoing statements are true:
, who
Office and P.O. Address
PETITIONER/PLAINTIFF
SWORN TO AND SUBSCRIBED before me on
who is personally known to me or presented
SEAL
Telephone No.:
as identification.
Facsimile No.:
E-Mail Address:
NOTARY PUBLIC
Mobile Tel. No.:
by the above named Petitioner/Plaintiff,
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Printed or Typed Notary Name
Calendar No.
Plaintiff(s)
-against-
:
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
CERTIFICATE OF SERVICE
:
Plaintiff(s)
JUDICIAL SUBPOENA
I HEREBY CERTIFY that a true copy of the foregoing has been furnished by (mail), (hand delivery) (service of
-against:
process
together
with
attached
:
pleadings)
to:
:
Defendant(s)
:
......................................................
on this
day of
,
.
THE PEOPLE OF THE STATE OF NEW YORK
TO
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Program Attorney Court
located at
County of
Child Support Enforcement
in room
, on the
day of
, 20
, at
o'clock
noon, and at any recessed
Post Office Box 25400 in the
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Bradenton, Florida 34206
(941) 741-4039
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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