VF-4201. Constructive Fraudulent TransferNo Reasonably Equivalent Value Received Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Judge Request by Defendant Given as Modified Requested by Given on Court's Motion Instruction No 1 We answer the questions submitted to us as follows: 1. Did [name of plaintiff] have a right to payment from [name of debtor]? ____ Yes ____ No If your answer to question 1 is yes, then answer question 2. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 2. Did [name of debtor] [transfer property/incur an obligation] to [name of defendant]? ____ Yes ____ No If your answer to question 2 is yes, then answer question 3. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 3. Did [name of debtor] fail to receive a reasonably equivalent value in exchange for the [transfer/obligation]? ____ Yes ____ No If your answer to question 3 is yes, then answer question 4. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 4. [[Was [name of debtor] [in business/about to start a business]/Did [name of debtor] enter into a transaction] when [his/her/its] remaining assets VF-4201. Constructive Fraudulent TransferNo Reasonably Equivalent Value Received Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Judge Request by Defendant Given as Modified Requested by Given on Court's Motion Instruction No 1 were unreasonably small for the [business/transaction]?] [or] [Did [name of debtor] intend to incur debts beyond [his/her/its] ability to pay as they became due?] [or] [Did [name of debtor] believe or should [he/she/it] reasonably have believed that [he/she/it] would incur debts beyond [his/her/its] ability to pay as they became due?] ____ Yes ____ No If your answer to question 4 is yes, then answer question 5. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 5. Was [name of debtor]'s conduct a substantial factor in causing [name of plaintiff]'s harm? ____ Yes ____ No If your answer to question 5 is yes, then answer question 6. If you answered no, stop here, answer no further questions, and have the presiding juror sign and date this form. 6. What are [name of plaintiff]'s damages? VF-4201. Constructive Fraudulent TransferNo Reasonably Equivalent Value Received Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Judge Request by Defendant Given as Modified Requested by Given on Court's Motion Instruction No 1 TOTAL Signed: Dated: $ Presiding Juror After [this verdict form has/all verdict forms have] been signed, notify the [clerk/bailiff/court attendant] that you are ready to present your verdict in the courtroom. _________________________________________________________________________________ New December 2011; Revised June 2016, December 2016