Statement Of Assets-Liabilities And Personal Earnings Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Of Assets-Liabilities And Personal Earnings Form. This is a Ohio form and can be use in Portage County (Court Of Common Pleas).
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Tags: Statement Of Assets-Liabilities And Personal Earnings, Ohio County (Court Of Common Pleas), Portage
PORTAGE COUNTY MUNICIPAL COURT www.co.portage.oh.us Ravenna Municipal Court Kent Municipal Court 203 W. Main St. 303 East Main Street P.O. Box 958 Kent, OH 44240 Ravenna, OH 44266 330-678-9170 330-297-3635 STATEMENTOFASSETS,LIABILITIESANDPERSONALEARNINGS PLEASECOMPLETEANDRETURNTOTHECOURT:FAILURETOCOMPLETEANDRETURNTOTHECOURTWITHINSEVEN(7)DAYSWILLSUBJECTYOUTOTHEPENALTIESOFCONTEMPTOFCOURTUNDEROHIOREVISEDCODESECTION2705.Defendant222sNameCaseNumber(1) PERSONAL: SocialSecurity#PhoneNumberPresentAddress:PrivateHome:RentYNAmt.Own:YNAmt.TotalValueAmt.EquityOtherOwn:Car,Truck,etc.YNMortgagePmtsYNAmtMakeModelTitle#Serial#MakeModelTitle#Serial#BankAccount:YNAccount#Type/Acct.BankName:Account#Type/Acct.BankName:Account#Type/Acct.BankName:Account#Type/Acct.MoneyowedtoyouYNDescribeMoneyowedbyyouYNDescribeMartialStatus:SingleMarriedWidowedDivorcedFormalSeparationY/NSpouse222sNameSpouse222sAddress American LegalNet, Inc. www.FormsWorkFlow.com Bonds:YNAmountValueCompanyAmountValueCompanyStocks:YNAmountValueCompanyAmountValueCompanyInsurance:YNCashValuePolicy#CompanyCashValuePolicy#CompanySupportWife:YNSupportChildren:YN(2) EMPLOYMENT: CurrentlyEmployedYNPresentEmployer:Employer222sAddressLengthofEmploymentTypeofWorkWageDatelastworkedWhenPaidUnemployed:YNJobWaiting:YNWhereDisabled:YNReceivingUnemployment,Disability,SocialSecurityYNAmountWelfareAssistance:YNCaseWorkerPhone#Student:YNWhereIdeclarethat:(a)Ihavereadthisstatement(b)thisstatementhasbeenreadtome(strikeoutinapplicablesections)concerningmyfinancialconditionandthatthestatementscontainedthereinaretrue.Defendant222sSignature American LegalNet, Inc. www.FormsWorkFlow.com