COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Equitable Distribution Affidavit Instructions : Index No. Calendar No. EQUITABLE DISTRIBUTION AFFIDAVIT PREPARATION INSTRUCTIONS : JUDICIAL SUBPOENA Plaintiff(s) (1). READ THESE INSTRUCTIONS CAREFULLY! The affidavit must be fully and -against: accurately prepared. Your interests in this lawsuit may be harmed if your affidavit does : not contain all the information required and is not accurate. : (2). If you have questions, or are unsure how to list certain information, ask your attorney first so that your affidavit will Defendant(s) and correct before it is placed in final be complete : . typed.form. .Failure .to. fully .comply. with .these .instructions may result in your affidavit not ..... ..... ...... . .... ...... .... ..... ......... being allowed into evidence by the court. (3). The affidavit, when filed with the Clerk of Court, must be three typed or reproduced copies. THE PEOPLE OF THE STATE OF NEW YORK TO (4). Each individual item must be listed separately. (5). Only "marital property" should be listed in Part I. Be certain that you understand from your attorney what is and is not "marital property." GREETINGS: WE COMMAND YOU, that designed and excuses being laid aside, you and the of you attend (6). The affidavit form has been all business to provide a "PART" for each of each following before , the Honorable at the Court categories: located at County of in room , on the , 20 Marital , at o'clock in the noon, and at any recessed Part I day of or adjourned date, to testify and give evidence as a witness in this action on the part of the Part II Separate Part III Mixed Part IV Pensions Part V with this subpoena is punishable as a contempt of court and will make you liable to Marital Debts Your failure to comply Part VI the party on whose behalf this subpoena was issued for aIncome and Expenses and all damages sustained as a maximum penalty of $50 result of your failure to comply. Each ofWitness, Honorable in turn, divided into sub-categories whichof the Justices of the Parts I, II & III are, , one have an accompanying alphabetical denomination as shown below: Court in County, day of , 20 A. Real Property B. Motor Vehicles C. Household furnishings D. Bank Accounts E. Jewelry F. Stocks and Bonds G. Miscellaneous personalty (Attorney must sign above and type name below) Attorney(s) for Beginning with Part I, which is indicated at the top of Office and P.O.form, you should mark the affidavit Address the subcategory letter in the blank provided at the top of each page, beginning with "A" and continuing alphabetically for each subcategory for which you have property. You Telephone No.: should also note at the top of each page of the affidavit the subcategory that 1 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Equitable Distribution Affidavit Instructions : Index No. Calendar No. accompanies the letter designation; for example: A. Real Property. After heading the : JUDICIAL SUBPOENA Plaintiff(s) page, proceed to list, in order of declining value, the property that fits within that subcategory. -against: PART I, MARITAL PROPERTY, has been amended in order to try to better match up : the property and valuations of the plaintiff and defendant. The plaintiff, upon filing the : affidavit, shall list the marital assets in the center column of the form. The plaintiff should then provide the information concerning each asset on the left side of the page under Defendant(s) : . the .heading. "Plaintiff"..When. the .affidavit. is. served. on. the defendant, the defendant will ... ....... ......... ..... ... ....... . ...... .. . list, on the same form, the values of the assets listed by the plaintiff when it is agreed that the property is, in fact, marital. If defendant disagrees with the classification, a notation should be made beside the entry in question. If defendant has assets he/she THE PEOPLE OF THE STATE OF NEW YORK deems to be marital which have not been listed by the plaintiff, these should be added at the end of the original column of assets with the information filled in on the right side TO (“Defendant") of the form. Only Part I, Marital Property, has been amended as set forth above. The remaining "Parts" should be completed by listing the appropriate property in order of declining GREETINGS: value. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , theyour property for any subcategory does not fit within a specific subcategory, use the at the Court If Honorable located at County of subcategory designated “Miscellaneous Personalty." in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned needto testify and give evidence as a witness in this action on the part of the your date, more sheets than originally given to you, obtain more from (7). If you attorney. (8). If you are not represented by an attorney, these rules apply equally toand will make you liable to Your failure to comply with this subpoena is punishable as a contempt of court you and it is your responsibility to comply with these instructions. You must file the typed original and the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result copies failure to affidavit with the appropriate designated Clerk of Superior Court as two of your of your comply. provided in Section II of the 30th District Local Rules for Equitable Distribution. Witness, Honorable , one of the Justices of the (9). Court inOmissions or misstatements of fact in your affidavit could constitute perjury and County, day of , 20 may subject you to sanctions by the Court. (Attorney must sign above and type name below) LEGEND FOR ABBREVIATIONS USED ON FORMS NO. ORIG. FMV DOS DOM H. W. INHT AMT. NUMBER Attorney(s) for ORIGINAL FAIR MARKET VALUE DATE OF SEPARATION DATE OF MARRIAGE Office and P.O. Address HUSBAND WIFE INHERITED Telephone No.: AMOUNT 2 Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com