IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI FAMILY COURT DIVISION  AT KANSAS CITY  AT INDEPENDENCE IN RE THE MARRIAGE OF: ) ) ) ___________________________ ) Petitioner ) ) Case No._____________ and ) Division No.__________ ) ___________________________ ) Respondent ) ________s Standard Dissolution Interrogatories to_______ The following interrogatories are to be answered as provided in Rule 57.0l, Missouri Rules of Civil Procedure and Jackson County Circuit Court Local Rule 68.4.l. These Interrogatories are continuing and require you to serve timely supplemental answers with any information within the scope of these interrogatories acquired by you, your attorneys, investigators, agents or others employed by or acting in your behalf subsequent to your original answers. Type your answers in the space provided below. the space is insufficient, tyIf pe your additional answer on a separate sheet of paper and attach it as an appendix hereto, noting on this form which appendix contains your answer and noting on the appendix the interrogatory being answered. As used herein child or children refer to a child or children who are a subject of this action, unless otherwise specified. IF NO CHILDREN ARE IN THIS ACTION, DO NOT ANSWER QUESTIONS 14-23 1. State your full name, date of birth and the address of your present residence. ANSWER : 2. State the complete address of all other residences where you resided during the last twelve months, the dates you resided at each such address the namand e and relationship to you of each person who 1 >>>> 2resided with you during that time. ANSWER : 3. As to each of your current employments (other than self-employment as a sole proprietor, partner or in a closely-held or professional corporation in which you have an ownership interest), state: a. The name, address and telephone numof all yber our current employers; b. Your occupation and job title; c. The name, business address and business telephone number of the company payroll records supervisor; d. The average number of hours you work per week; e. Whether the job is full-time or part-time; f. Your rate of pay or salary; g. How frequently you are paid; h. Your gross annual income from this employm for each of the last three full calendar yent ears and this year to date; i. Your base gross earnings per pay period; j. The annual amount and rate of overtime, ift differential, bonuses, comsh missions or other income in addition to your base pay and how this is calculated; k. Date of hire with your present employer;. l. For each economic benefit in addition to cash income you receive or have access to including health, life, dental, vision, legal and disability insurance, use of a company vehicle, club membership and free long distance telephone service, describe each benefit and state the annual value of the benefit to you. m. The date and amount of your last pay raise; n. Whether you expect or have been advised of any increase or decrease in income or benefits in the next 12 months and, if so, when and why; o. If you are reimbursed for any expenses, describe the type of items for which you are reimbursed and list the annual reimbursement by category of expenses for this year to date and for each of the two previous calendar years. If the expenses are reimbursed on a per diem 2 >>>> 3 basis, identify the daily per diem rate and separately list the annual actual expenses incurred. ANSWER : 4. Other than as provided in Interrogatory 3, for each person, firm or corporation by whom you were employed during the last three full calendar years and this year to date, state: a. The name, address and telephone number of the employer; b. Whether each such employment was full-time or part-time; c. The inclusive dates of your employment; d. Your job title; e. The gross annual income from each employer for each of the last three full calendar years; f. The gross income to date in this calendar year. ANSWER : 5. If you were self-employed as a sole proprietor, partner, or shareholder in a closely-held or professional corporation any time during the last three full calendar years and this year to date, state: a. The name and address of each such business; b. The type of entity (sole proprietorship, corporation, partnership, limited partnership, Missouri LLC); c. If a partnership, state: i. your share of the gross annual incom(after business expenses) for each partnership e for each of the last three full calendar years and this year to the date of your answers; ii. the legal name of the partnership; iii. the name, address and telephone number of each partner and each partners percent of ownership of the partnership; iv. the type of business conducted by the partnership; v. the amount of your investment in the partnership; vi. the date your interest in the partnership commenced; vii. the present fair market value of your interest in the partnership; 3 >>>> 4 viii. all economic benefits in addition cash incomto e you receive or have access to including health, life, dental, vision, legal and disability insurance, use of a company vehicle, club membership, expense account and free long distance telephone service. Describe each benefit and the annual value of the benefit to you. d. If a corporation, state: i. your share of the gross annual incom(after business expenses) for each corporation e for each of the last three full calendar years and this year to the date of your answers; ii. the name and address of the corporation; iii. the type of corporation (i.e. Sub S, LLC); iv. the number of shares you own of the corporation; v. your percent of ownership in the corporation; vi. the date your interest in the corporation commenced; vii. the state of incorporation and the date incorporated; viii. the type of business conducted by the corporation; ix. the amount of your investment in the corporation; x. all economic benefits in addition cash incomto e you receive or have access to including health, life, dental, vision, legal and disability insurance, use of a company vehicle, club membership, expense account and free long distance telephone service. Describe each benefit and the annual value of the benefit to you; xi. Your annual salary from the corporation; xii. The annual amount of any loans by the corporation to you in each of the last three calendar years. e. If a sole proprietorship, state: i. your share of the gross annual income (afte