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Interim Monthly Income And Expenses Statement Form. This is a New Mexico form and can be use in 1st Judicial District Local District Court.
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Tags: Interim Monthly Income And Expenses Statement, New Mexico Local District Court, 1st Judicial District
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
FIRST JUDICIAL DISTRICT COURT
STATE OF NEW MEXICO
Plaintiff(s)
COUNTY OF
-against-
Calendar No.
JUDICIAL SUBPOENA
:
Case No.:
:
:
,
Defendant(s)
:
. .Petitioner,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.........
-vs.THE PEOPLE OF THE STATE OF NEW YORK
,
Respondent.
TO
INTERIM MONTHLY INCOME AND EXPENSES STATEMENT
GREETINGS:
(fixed percentage for child expenses)
WE EW MEXICO )
STATE OF NCOMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
) ss.
located at
County of OF
COUNTY
)
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
I,
, the Petitioner / Respondent, state under
penalty of perjury that the following is true and correct at this time:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Husband
Wife
Combined
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and2all damages sustained as a
Column 1
Column
Column 3
result of your failure to comply.
Gross monthly income2
a.
Gross monthly
Witness, Honorable wages
Court in b.
County,
day of
Rental income
c.
Self-employment income
d.
Dividends and interest
e.
Other income
2.
Total gross monthly income
3.
Payroll deductions3
a.
Federal withholding
b. State withholding
c.
Estimated tax payments
d.
FICA
1.
, 20
$
$
$
, 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:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Medicare
Plaintiff(s)
Health insurance
-againstLife and disability insurance
Union dues
Mandatory retirement
$
$
$
$
$
j.
.
e.
f.
g.
h.
i.
Other ____________
Calendar No.
:
$
$
JUDICIAL SUBPOENA
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
:
:
:
Defendant(s)
:
. .4.. . . . . Total payroll. deductions. . . . . . . . . . . . . . . . . . . . . . . . .
.
........... .........
5.
(add items in #3)
Net monthly income
THE PEOPLE OF THE STATE OF NEW YORK
(subtract Line 4 from Line 2)
6.
4
Monthly fixed expenses
a.
Residence5
$
$
$
6
b.
Utilities
$
$
$
c.
$
$
$
GREETINGS: Car payments
d.
Insurance premiums
$
$
$
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
$
$
,
the Honorable (1) Car or other vehicle
at the
Court $
7
located at
(2) Life
$
$
$
County of
in room
the
, 20
, at $
o'clock in the
noon, and at any recessed
(3), onHealth7 day of
$
$
or adjourned date, to testify and give8evidence as a witness in this action on the part of the
(4) Homeowners or renters
$
$
$
(5) Other
$
$
$
9
e.
Day care
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
f.
Credit card payments10
$
$
$
result of your failure to comply.
g.
Loan payments
$
$
$
11
h.
Child support
$
$
$
Witness, Honorable payments
, one of the Justices of the
Court in i.
County,
day of
, 20
Medical
$
$
$
j.
Other
$
$
$
7.
Total monthly expenses
TO
(Attorney must sign above and type name below)
$
$
$
8.
(add items in #6 and #7)12
Net spendable income
(Line 5 minus Line 7)
One-half of combined net spendable income
$
$
9.
(½ of Line 8, Column 3)13
Amount transferred and received14
Child support adjustment15
(see table, Use Note 15 below)
Total to be transferred16
$
$
$
$
10.
11.
12.
Attorney(s) for
$
Office and P.O. Address
$
$
$
Telephone No.:$
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
2
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
:
Petitioner/Respondent
:
Subscribed to and sworn to before me this
day of
.
, 2001 by
:
Defendant(s)
:
......................................................
Notary Public
My commission expires:
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.:
3
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
1.
Index No.
Calendar No.
:
Use Notes*
JUDICIAL SUBPOENA
This form is to be used with an Interim Order Allocating Income and
-against:
Expenses, Domestic Relations Form 4A-123 NMRA. Unless, upon motion of
a party, the Court orders the division of separate income and expenses, only
community income and expenses should :be included on this form. In minimal
or negative income cases, the Court will have discretion to fashion an
:
appropriate order.
Plaintiff(s)
Defendant(s)
:
. .2.. . . . . . . . . . . . . . . “Gross .monthly income”. is. income. from.all sources except child support
.
...... .............. . ...... ....
received from a prior court order. For self-employed individuals, gross
monthly income means gross receipts less reasonable and ordinary business
expenses. For varying income and expenses, use the average of the last three
THE PEOPLE OF THE STATE OF NEW YORK
(3) months’ income and expenses.
Gross monthly income is to be computed by using one of the following:
TO
hourly wage x average hours worked per week x 52 divided by 12; weekly
wage x 52 divided by 12; every two weeks wage x 26 divided by 12; twice
monthly x 2. For varying wages, use the average of the last three months’
GREETINGS:
income.
WE COMMAND YOU, that allpayroll deductions for taxes, Social Security, healthyou attend before
3.
“Deductions” are business and excuses being laid aside, you and each of
,
the Honorable
at the
Court
insurance, union dues, retirement and other employer-related deductions.
located at
County of
Payroll deductions are to be computed on a monthly basis as described in Use
in room
, on the
, 20
, at
o'clock in the
noon, and at any recessed
Note 2. day of
or adjourned date, to testify and give evidence as a witness in this action on the part of the
4.
“Monthly fixed expenses” include periodic expenses even though paid
quarterly, semi-annually or yearly. Fixed expenses are to be computed on a
Your failure monthly basis by using one of punishable as a contempt income and will make you liable to
to comply with this subpoena is the following: annual of court or expenses
the party on whose behalf this by 12. For varying expenses, use the average $50 and all three months’
divided subpoena was issued for a maximum penalty of of the last damages sustained as a
result of your failure to comply. expenses.
receipts or
Witness, Honorable
, one of If a party receives
Residence fixed expense is mortgage or rent actually paid.the Justices of the
Court in
County,
, 20
free rent, e.g.,day of
by living with parents, that party’s rent is imputed as zero. If
5.
residence expense is a mortgage payment for the residence of a party, unless
already separately stated, include insurance and taxes.
(Attorney must sign above and type name below)
6.
Include monthly average payments for gas, electricity, water, sewer, refuse
and basic telephone bill, if not paid as part of rent. Use average for last 12
months if known.
Attorney(s) for
7.
Do not include medical, dental, liability, life or other insurance which is
deducted by payroll deduction.
8.
Do not include homeowners insurance premiums if the premium is included
as part of the residence expense, Line 6(a).
9.
Telephone and
Day-care fixed expense is work-related day care No.: does not include baby
Facsimile No.:
sitting or occasional day care.
Office and P.O. Address
E-Mail Address:
Mobile Tel. No.:
4
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
10.
Calendar No.
:
“Credit card payments” is listed as a fixed expense and includes only the
JUDICIAL SUBPOENA
Plaintiff(s)
minimum monthly payment as of the date of the filing of the Petition.
-against-
11.
Index No.
:
Any regular monthly payment ordered by a prior order of child support or
alimony which is actually paid is a fixed :expense.
:
12.
Line 8, “Net spendable income” and “combined net spendable income” are
determined by subtracting Line 7, “total monthly fixed expenses,” from Line
Defendant(s)
:
. . . . . . . . . . . . . . . . . . 5,. “net monthly. income.” . . . . . . . . . . . . . .
. ........... ........
Negative combined net spendable income: If the “combined net spendable
income” (Line 8, Column 3) is a negative number, and there are no children,
adjust the allocations of income or expenses between the parties, or transfer an
THE PEOPLE OF THE STATE OF NEW YORK
amount from one party to another so that the amount of net spendable income
for “Husband” and “Wife” on Line 9 is equal. Do not complete Lines 10, 11
TO
and 12.
If Line 8, Column 3 has a negative or minimal “combined net spendable
income,” and there are children, the Court will need to fashion an appropriate
GREETINGS:
form to divide interim income and expenses of the parties.
WE Line 9, Equalizing spendable income. excuses spendableaside, you on Line 8, Column before
COMMAND YOU, that all business and If “net being laid income” and each of you attend
13.
,
the Honorable3 is a positive number, divided “combined net spendable income” by two and enter
at the
Court
located at
County of
the result in each column of Line 9.
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
14.
Line 10, Amount transferred and received. The party with the larger net spendable
income will transfer an equalizing amount to the party with the smaller net spendable
income. To determine the amount of the transfer or receipt, subtract Line 9 (one-half
Your failure to complyspendable income)is punishable as a contempt of court and will make you liable to
of combined net with this subpoena from Line 8, “net spendable income” and enter
the party on whose behalf on Line 10. This is the amount to be transferred by the party damages sustained as a
the amount this subpoena was issued for a maximum penalty of $50 and all with the
result of your larger to comply.
failure net spendable income to the party with the lower net spendable income. For
example, if the Husband has a net spendable income of $1,000.00 per month and the
Witness, Honorable spendable income of $500.00 per month, divide of the Justices of the
, one the total ($1,500.00)
Wife has a net
Court in
day of
, 20
by two. County,the Husband has the larger net spendable income, enter the result
Since
($750.00) on Line 8,** under Column 1. To determine the amount Husband
transfers, subtract Line 9 of Column 1 from Line 8 of Column 1 ($1,000.00 minus
$750.00 = $250.00) and this amount ($250.00) will be transferred and type name below)
(Attorney must sign above each month by the
Husband to the Wife.
15.
Line 11, Children. If Line 8, Column 3 is a positive number, an adjustment for child
Attorney(s) for
support is made by multiplying the amount on Line 8, Column 3 (“combined net
spendable income”) by the applicable percentage in the table below and enter the
amount in the party column of the party with primary custody of the child or children.
Do not count children who are covered by a prior child support order.
Office and P.O. Address
One child
10%
Two children
15%
Three children
19%
Telephone No.:
Four children
22%
Facsimile No.:
Five children
25%
E-Mail Address:
Six children
28%
Mobile Tel. No.:
5
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COURT
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......... ..
:
:
Index No.
Calendar No.
:
If more than six children, add 3% for each additional child. For example, if the
JUDICIAL SUBPOENA
Plaintiff(s)
combined “net spendable income” of husband and wife (Line 8, Column 3 is
-against$1,500.00) and there is one child, multiply Line : Column 3 ($1,500.00) by 10% and
8,
enter the result ($150.00) on Line 11 in the Husband and Wife columns.
:
16.
Line 12, Total amount transferred. Line 11 is used to adjust the amount to be
:
transferred by a party or received by a party on Line 10 by the parties. Using the
example in Use Notes 14 andDefendant(s) is one child and the combined net spendable
15, if there
:
. . . . . . . . . . . .income . . .the. parties. is. $1,500.00,. an .adjustment of 10% of $1,500.00 ($150.00) is
. . . . . . of . . . . . . . . . . . . . . . . . . . . . . . . . . . .
made for child support. If the wife has primary custody, she will receive another
$150.00. If the husband has primary custody, subtract $150.00 from the amount the
wife is to receive on NEW YORK
THE PEOPLE OF THE STATE OF Line 10. Using the example in Use Notes 14 and 15, if the wife
has primary custody, the Husband will transfer $400.00 to the Wife. If the Husband
has primary custody, the Husband will transfer $100.00 to the Wife.
TO
*Provisional Approval of Domestic Relations Rules, New Mexico Bar Bulletin, Vol. 39, No. 42,
October 19, 2000. These rules are set out as printed.
GREETINGS:
**This may be a typographical error. Try entering the result on Line 9.
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.:
6
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