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Assets And Liabilities Form. This is a Ohio form and can be use in Franklin County (Court Of Common Pleas).
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Tags: Assets And Liabilities, COC-DR-05, Ohio County (Court Of Common Pleas), Franklin
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . IN. THE COURT OF COMMON PLEAS OF FRANKLIN COUNTY, OHIO
.. ..
:
Index No.
DIVISION OF DOMESTIC RELATIONS
CASE NO.
:
Calendar No.
Plaintiff/Petitioner
SOCIAL SECURITY: #
Plaintiff(s)
JUDICIAL SUBPOENA
:ASSETS AND LIABILITIES
-against-
vs.
AS OF
(Date)
:
SOCIAL SECURITY #
:
Defendant/Petitioner
Defendant(s)
:
Instructions: . .You. must .disclose . all . information . requested. . . . . . . pursuant to Court Rule 17 of the Franklin County
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . herein . . .
Court of Commons Pleas, Division of Domestic Relations. List all assets, liabilities, income sources and
retirement accounts separately. Also list value of all assets and whether assets or liabilities are jointly or
individually held. This may be supplemented with additional information on attached sheets.
THE PEOPLE OF THE STATE OF NEW YORK
CONTINGENT LIABILITIES:
ASSETS:
Notes/AccountsPayable:
Cash TO
Guarantor:
Government Bonds
Other Contingent
Checking Accounts:
Liabilities:
Savings Accounts:
Accounts/Notes
GREETINGS:
LIABILITIES:
Receivable:
Notes Payable:
Stocks, Bonds, WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Securities:
,
the Honorable
at the Accounts Payable:
Court
Life Insurance Cash Values:
Loans on Life Ins.:
located at
County of
Real Estate:
in room
, on the
day of
, 20
, Taxes: o'clock in the
at
noon, and at any recessed
Automobiles:
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Mortgages:
Other Assets (itemize):
Debts:
Individual Name:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Income: party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
the
result of your failure to comply.
Gross Income from Employment:
weekly
monthly
Witness, Honorable
Other Court in (itemize): County,
Income
annually
day of
, one of the Justices of the
, 20
Joint Name:
Retirement Accounts, Pensions, 401K Accounts, etc.:
(Attorney must sign above and type name below)
Husband:
Vested:
yes
no
Attorney(s) for
Wife:
Vested:
yes
no
Office and P.O. Address
Plaintiff/Defendant/Petitioner
of
Sworn to and subscribed by the Plaintiff/Defendant/Petitioner before me this
Telephone No.:
20
.
Facsimile No.:
E-Mail Address:
Notary Public
Mobile Tel. No.:
day
COC-DR-05 (Rev. 3-2000)
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