Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Financial Declaration Form. This is a Washington form and can be use in Clark Local County.
Loading PDF...
Tags: Financial Declaration, Washington Local County, Clark
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-against-
Calendar No.
:
JUDICIAL SUBPOENA
:
:
:
IN AND FOR THE STATE OF WASHINGTON
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .COUNTY. OF .CLARK
........ ... .......
)
)
THE PEOPLE OF THE STATE OF NEW YORK
Petitioner,
)
)
TO
vs.
)
)
)
Respondent.
)
GREETINGS:
________________________________)
No.
FINANCIAL DECLARATION
(FNDCLR)
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at INFORMATION
Court
1. GENERAL the
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Name:
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Address (omit, if confidential):
Telephone #:
Employer Name:
Employer Address:
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
Spouse’s Name:
result Spouse’s Employer Name:
of your failure to comply.
Spouse’s Employer Address:
Witness, Honorable
, one of the Justices of the
Court in 1.2 PERSONS (including of
County,
day children) WHOM YOU FINANCIALLY SUPPORT
, 20
Name
Age
Relationship
Address
(Attorney must sign above and type name below)
Attorney(s) for
2. INCOME AND ASSETS
Gross Monthly Income (personal):
Other Income:
Cash:
Savings:
FINANCIAL DECLARATION
Page 1
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
Current spouse or partner living in residence:
:
Home (cash value-againstless amount owing):
Auto (cash value less amount owing):
:
Furniture (approximate value):
Notes, Mortgages, Trusts, Deeds:
:
Stocks, Bonds (approximate value):
Defendant(s)
Other Assets and Property:
:
......................................................
Any Indebtedness Owed to You:
3. MONTHLY EXPENSES
THE PEOPLE OF THE STATE OF NEW YORK
Rent or Mortgage:
TO Food:
Utilities:
Transportation:
Installment payments (per month):
GREETINGS:
Medical & Dental:
Insurance:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Other:
,
the Honorable
at the
Court
located at
County of Monthly Expenses:
Total
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
3.1 DEBTS
Name of Creditor:
Amount Owed:
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
Under the penalty of perjury I declare that I have examined this document
and the preceding information is true and accurate to the best above and type name below)
(Attorney must sign of my knowledge
and ability.
_____________________________
Signature
Attorney(s) for
__________________________
Date
Office and P.O. Address
FINANCIAL DECLARATION
Page 2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
