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Final Declaration Of Disclosure Of Assets Debts Income And Expenses (Joint Dissolution With Children) Form. This is a Montana form and can be use in District Court Statewide.
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Tags: Final Declaration Of Disclosure Of Assets Debts Income And Expenses (Joint Dissolution With Children), Montana Statewide, District Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
_______________________________ Plaintiff(s)
Name
-against_____________________________________
Address
_____________________________________
City
State
Zip Code
_____________________________________
Phone Number
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
WIFE, PETITIONER PRO SE
:
......................................................
_______________________________
Name
_____________________________________
Address
THE PEOPLE OF THE STATE OF NEW YORK
_____________________________________
City
State
Zip Code
TO
_____________________________________
Phone Number
HUSBAND, PETITIONER PRO SE
GREETINGS:
MONTANA _______________ JUDICIAL DISTRICT COURT
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
_____________________ COUNTY
,
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
In re the date, to testify
or adjourned Marriage of: and give evidence as a witness in this action on the part of the
Cause No.: _________________
________________________,
Petitioner,
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
[ ] Wife’s/[ ] Husband’s
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
and
Final Declaration of Disclosure of
result of your failure to comply.
Assets, Debts, Income, and Expenses
________________________,
Witness, Honorable
Petitioner.
Court in
County,
day of
, one of the Justices of the
, 20
Warning: Montana law requires the full disclosure of all assets, debts, income, and
(Attorney must sign above and type name below)
expenses. Failure of either party to file a complete financial disclosure statement shall
authorize the Court to accept the statement of the other party as accurate. Any
deliberately false statement made hereon or on any schedules or attachments may subject
Attorney(s) for
you to the penalty of perjury or other appropriate relief and may be considered a fraud
upon the Court.
If you need additional space on which to list your assets, Office and P.O. Address
debts, income, or expenses, please
attach additional sheets of paper as necessary. Do not write in the margins or on the reverse
sides of the pages of this document.
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 1 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
1.
Disclosure of Assets
a.
Plaintiff(s)
Real Estate
-against-
Description
Calendar No.
:
JUDICIAL SUBPOENA
:
Estimated.
:
Value
Name(s) on Title
:
Defendant(s)
Address: ___________________________________
:
......................................................
Legal Description:____________________________
___________________________________________
Is there a secured debt on the property? [ ] Yes [ ] No
THE PEOPLE OF THE STATE OF NEW YORK / /
If yes, amount owed: __________ As of:
Lender: ____________________________________
TO
Address: ___________________________________
GREETINGS:
Legal Description:____________________________
___________________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Is there a secured debt on the property? [ ] Yes [ ] No
,
the Honorable
at the
Court
If yes,
/ /
located at
County of amount owed: __________ As of:
Lender: ____________________________________at
in room
, on the
day of
, 20
,
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
b.
Vehicle(s)
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
Description
Estimated Value Name(s) on Title
result of your failure to comply.
Witness, Honorable
Year/Make/Model: ___________________________
Court in _____________________________________
County,
day of
, 20
VIN#:
Is there an outstanding loan on the vehicle?
[ ] Yes [ ] No If yes, amount owed: _____________
Lender: _____________________
As of:
/ /
Year/Make/Model: ___________________________
VIN#: _____________________________________
Is there an outstanding loan on the vehicle?
[ ] Yes [ ] No If yes, amount owed: _____________
As of:
/ /
Lender: _____________________
, one of the Justices of the
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 2 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Description
Plaintiff(s)
-against-
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Estimated Value Name(s) on Title
:
Year/Make/Model: ___________________________
VIN#: _____________________________________
Is there an outstanding loan on the vehicle?
[ ] Yes [ ] No If yes, amount owed: _____________
Defendant(s)
As of:
/ /
Lender: _____________________
:
:
:
......................................................
Year/Make/Model: STATE OF NEW YORK
THE PEOPLE OF THE ___________________________
VIN#: _____________________________________
TO Is there an outstanding loan on the vehicle?
[ ] Yes [ ] No If yes, amount owed: _____________
As of:
/ /
Lender: _____________________
GREETINGS:
c.
Bank Accounts and business and excuses being laid aside, you and each of you attend before
WE COMMAND YOU, that allCash
,
the Honorable
at the
Court
located at account
County of
Description (include name of bank and
Balance as of
Name(s) on
in room
, on the
day of
, 20
, at
o'clock in the Account and at any recessed
noon,
/ /
number)
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.
Cash Witness, Honorable
Court in
County,
d.
, one ofXXXXXXXXthe
the Justices of
day of
, 20
Pensions/Retirement Accounts; Life Insurance (Cash Value); Stocks, Bonds,
Secured Notes, Mutual Funds
(Attorney must sign above and type name below)
Description
Estimated Value
Attorney(s) for
Name(s) on
Account
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 3 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
e.
Description
Index No.
Calendar No.
:
Personal Property (including appliances, furniture, jewelry, art, guns, etc.)
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
:
Estimated Value
:
:
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:
Declaration of Disclosure, Page 4 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
f.
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
Business Interests (including equipment, tools, livestock, etc.)
-against-
:
Estimated Value
:
Description
Name(s) on Title
:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
g.
Other Assets
Description
Estimated Value
Name(s) on Title
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.
2.
Disclosure of Debts
Witness, Honorable
County, Creditor
day of
Description
Court in
Secured Debt on Real
Property
(See 1(a) above)
Vehicle Loan(s)
(See 1(b) above)
Utility Bill(s):
, one of the Justices of the
, 20
Amount
Owed
Name on Debt
XXXXX
XXXXXXXXX
(Attorney must sign above and type name below)
XXXXX
XXXXXXXXX
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 5 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Description
Creditor
:
Plaintiff(s)
-against-
:
Credit Card(s):
Index No.
Calendar No.
JUDICIAL SUBPOENA
Amount
Name on Debt
Owed
:
:
Defendant(s)
:
......................................................
Student Loan(s):
THE PEOPLE OF THE STATE OF NEW YORK
TOMedical Expenses:
GREETINGS:
Other Liabilities:
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
3.
Disclosure of Income
result of your failure to comply.
The [ ]Wife/ [ ]Husband has the following income:
Witness, Honorable
Source
Court in of IncomeCounty,
, one of the Justices of the
day of
, 20
Amount per Month
Gross Wages, Salary, Commissions
Rents, Interests, Dividends
(Attorney must sign above and type name below)
Self Employment Earnings
Unemployment or Worker’s Compensation
Attorney(s) for
Social Security Benefits, including SSI
Public Assistance
Food Stamps
Office and P.O. Address
Pension, Retirement
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 6 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Source of Income
Child Support
Plaintiff(s)
-against-
:
Index No.
Calendar No.
JUDICIAL SUBPOENA
Amount per Month
:
Dependent’s Benefits
:
Other Income (describe):
:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
4.
Disclosure of Expenses
The [ ] Wife/[ ] Husband has the following expenses:
GREETINGS:
Amount per Month
Description of Expense
Taxes WE COMMAND YOU, that from income excuses being laid aside, you and each of you attend before
and other money withheld all business and
,
the Honorable
at the
Court
located at
County of
Retirement
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Health Insurance (self and give evidence as a witness in this action on the part of the
or adjourned date, to testifyand children)
Medical Expenses
Housing (rent or mortgage payment)subpoena is punishable as a contempt of court and will make you liable to
Your failure to comply with this
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
Property Taxes
result of your failure to comply.
Property Insurance
Witness, Honorable
County,
Transportation
Court in
, one of the Justices of the
day of
, 20
Car Insurance
Student Loans
(Attorney must sign above and type name below)
Utilities
Telephone
Attorney(s) for
Clothing
Food and Household Supplies
Child Care
Office and P.O. Address
Child Support Payments
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 7 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Description of Expense
Plaintiff(s)
-againstOther Expenses (describe):
:
Index No.
Calendar No.
JUDICIAL SUBPOENA
Amount per Month
:
:
:
Defendant(s)
:
......................................................
DATED this ____ day of _______________________, 20___.
THE PEOPLE OF THE STATE OF NEW YORK
Signature
TO
Print Name
[ ] Wife/ [ ] Husband, Petitioner Pro Se
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable MONTANA
at the
Court
STATE OF
)
located at ss.
County of
)
inCOUNTY OF , on the
room
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
SUBSCRIBED AND SWORN TO before me this _____ day of ____________________,
20____.
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 (Seal)
County,
day of
, one of the Justices of
Name (printed): ______________________ the
Notary Public for the State of Montana
, 20
Residing at
My commission expires
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Declaration of Disclosure, Page 8 of 8
Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 7/24/02
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com