COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Index No. Calendar No. COURT OF COMMON PLEAS : JUDICIAL Plaintiff(s) DOMESTIC RELATIONS DIVISION MEDINA COUNTY -against: Judge Mary R. Kovack DIVORCE CHECKLIST (without children) SUBPOENA : : PLAINTIFF DEFENDANT COUNSEL: COUNSEL: : CASE. NUMBER:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .MARRIAGE DATE: .. ........ .... Pursuant to Loc. R. 5.01 (check off if needed and included) ____ COMPLAINT FOR DIVORCE/ANSWER AND COUNTERCLAIM THE PEOPLE OF THE STATE OF NEW YORK _____ Includes both parties' names, addresses, dates of birth, marriage date; -in long form caption Defendant(s) TO _____ Residency, jurisdiction and venue requirements met _____ Signed by attorney/party, Supreme Court Registration number, address & telephone _____ Allege grounds pursuant to O.R.C. 3105.01 GREETINGS: _____ State a claim upon which relief may be granted WE COMMAND YOU, that all business and excuses being laid aside, you of marital property, restraining _____ Demand for divorce, temporary and permanent support, equitable share and each of you attend before , the Honorable at the Court orders, attorney fees and costs, etc. located at County of ____ room in INSTRUCTIONS FOR SERVICE , 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 If requesting support, file an IV-D form and income information If requesting restraining orders, include an affidavit supporting the request. _____ MOTION FOR SPOUSAL SUPPORT PENDENTE LITE- Form 4.01A Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the ______ Incomebehalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a party on whose and Expense Affidavit- Form 4.01D result of your failure verification- i.e. tax returns and paystubs ______ Income to comply. ______ A Child Support Enforcement Agency Title IV-D Application- Form 4.01B ______ TRIAL BRIEF/MEMORANDUMday of 5.07 Form Court in County, Witness, Honorable , one of the Justices of the , 20 ______ An original SEPARATION AGREEMENT executed by the parties. _____ Personal property division addressed (including vehicles) _____ Real property division addressed _____ Pension division addressed _____ Liabilities and debt division addressed _____ Spousal support addressed - including jurisdiction Office and P.O. Address _____ Spousal support must have an effective date and must address duration 3/02 (Attorney must sign above and type name below) _____ Financial division of property addressed (accounts, investments, life insurance, etc.) Attorney(s) for _____ If applicable, must address QDRO and court's jurisdiction over them Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: PAGE 1 OF 2 FORM 5.01A American LegalNet, Inc. www.USCourtForms.com COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : _____ Mandatory CSEA language, if applicable _____ Disclosure statement Index No. Calendar No. Plaintiff(s) : : JUDICIAL SUBPOENA -against- ____ JUDGMENT ENTRY/DECREE OF DIVORCE- (filed at conclusion of divorce) : ______ Includes both parties' names, addresses, dates of birth in long form caption ______ Residency, jurisdiction and venue requirements met ______ States grounds ______ Signed by attorneys/parties : Defendant(s) : . . . ______ . .Contains. date. of. hearing . . . . . . . . . . . . . . . . . . . . . . . . ...... ...... ... . ...... THE PEOPLE OF THE STATE OF NEW YORK if applicable ______ Contains mandatory CSEA language TO ______ Statement that wife wishes to be restored to former name if applicable ______ Allocates payment of court costs and attorney fees 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 3/02 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: PAGE 2 OF 2 FORM 5.01A American LegalNet, Inc. www.USCourtForms.com