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Affidavit Of Income And Property (Two Pages) Form. This is a Tennessee form and can be use in Trial And General Sessions Courts Statewide.
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Tags: Affidavit Of Income And Property (Two Pages), Tennessee Statewide, Trial And General Sessions Courts
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
____________ Court
Index No.
AFFIDAVIT OF INCOME
:
Calendar No.
______________County
Case Number
AND PROPERTY JUDICIAL SUBPOENA
:
Plaintiff(s)
________________Tennessee
Page 1 of 2
-against-
:
____________________________________________________ vs. ______________________________________________
:
:
Comes now the Defendant(s) and, subject to the penalty of perjury, makes oath and says that the following facts are true and
that there is NO OTHER source of income or property Defendant(s) described below:
other than that
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.. . List all monthly household expenses:
. ....
Rent/Mortgage:
$
1. Full name:
Utilities:
$
Address:
Health Insurance:
$
Phone #
Transportation Cost:
$
Soc. Sec. No.PEOPLE OF THE STATE OF NEW YORK
THE
Food:
$
Clothing:
$
Employer:
TO
Other:
$
Phone #
$
$
2. List all dependents:
$
Name
Age
Relationship
GREETINGS:
TOTAL
$
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the 7. List all land/house/real estate/property you own:
Court
DESCRIBE
VALUE
located at
County of
$
3. List all income from any source:
in room
, on the
day of
, 20
, at
o'clock in the
noon, and$at any recessed
per/wk /mo ,
$
a
$
from or adjourned date, to testify and give evidence as : witness in this action on the part of the
per/wk
/mo
/mo
$
,
per/wk
$
from
$
from
,
:
8. List all personal property/cars/trucks/
Your failure to comply with this subpoena is punishable as a contempt of court and will makeand its total to
furniture/stocks/bonds/tools/equipment you own you liable
:
the party on whose behalf this subpoena was issued for a value:
maximum penalty of $50 and all damages sustained as a
DESCRIBE
VALUE
result of SUPPORT in the sum of
I receive CHILDyour failure to comply.
per
$
.
Witness, Honorable
4. List all bank accounts:
Court BANK/SOURCE
County,
ACCOUNT in
Checking
Savings
Other:
Other:
5. List all debts:
CREDITOR/ADDRESS
day of
BALANCE
$
$
$
$
BALANCE
$
$
$
$
$
Cars
Trucks
Other
, 20
$
$
, one of the Justices of $
the
$
$
$
(Attorney must sign above and or name below)
9. List all assets/property sold typetransferred in the last six
months:
DESCRIBE
VALUE
$
Attorney(s) for
$
$
$
$
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
____________ Court
Index No.
AFFIDAVIT OF INCOME
:
Calendar No.
______________County
________________Tennessee
Case Number
AND PROPERTY JUDICIAL SUBPOENA
:
Plaintiff(s)
Page 2 of 2
-against-
:
____________________________________________________ vs. ______________________________________________
:
:
Defendant(s)
:
......................................................
10. The last income tax I filed was for
and it reflected
and I attach a copy hereto or will
an income of $
file the same within seven days.
THE PEOPLE OF THE STATE OF NEW YORK
LIST ALL PROPERTY YOU CLAIM TO BE EXEMPT
PURSUANT TO LAW:
TO
All clothing for myself and my family; all receptacles for said
clothing; family portraits; family Bible; school books; and
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
County of AND OATH: Comes now the at
VERIFICATION
in room
on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Petitioner(s) / Defendant(s) ,and makes oath, subject to the
penaltyor adjourned date, information in this Motion for as a witness in this action on the part of the
of perjury, that the to testify and give evidence
Installment Payment is true to the best of Petitioner's
knowledge, information and belief.
Defendant(s)
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.
Sworn to and subscribed before me
Witness,
on ____________________ Honorable
Court in
County,
, one of the Justices of the
day of
, 20
Clerk/Deputy Clerk/Notary Public
(Attorney must sign above and type name below)
Commission Expires:
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
