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Petitioner Respondent Pretrial Information Form. This is a Washington form and can be use in Pierce Local County.
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Tags: Petitioner Respondent Pretrial Information, Washington Local County, Pierce
IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
IN AND FOR THE COUNTY OF PIERCE
)
Petitioner,
)
)
vs.
)
)
Respondent.
)
______________________________)
STATE OF WASHINGTON
)
) ss.
County of Pierce
)
NO. ______________________
PETITIONER/RESPONDENT
PRETRIAL INFORMATION
FORM
PCLSPR 94.04 (b)DISSOLUTIONS
The undersigned, being first duly sworn, submits the following:
I.
GENERAL INFORMATION
A. Ages:
Petitioner: ______
Respondent: ______
B. Date of marriage: ___________
Date of most recent separation: ____________
C. Dependent children of this marriage living with either party:
Name
Age
Residing With
D. Dependent children from prior marriages:
Name
Age
Residing With
Support provided/received for children of this marriage: $________
Support provided/received for children of prior marriage: $_______
E. Is wife pregnant: ________
II.
INCOME AND EXPENSES
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Attach itemized monthly income from all sources and expenses for person submitting this
form by current Financial Declaration.
III.
CHILD SUPPORT
Attach all completed Child Support Worksheets. If the child support requested is not in
compliance with the Child Support Schedule, or a deviation is being sought, set forth statutory
reasons to support a deviation and non-compliance with the Child Support Schedule.
IV.
ASSETS AND DEBTS
Each attorney/party must submit a proposed total asset and debt distribution in a one page
document.
V.
OTHER DATA
Additional data to be provided at trial, and concerning which evidence or stipulations will
be available at trial:
A. Complete information regarding all life insurance policies on each party to include:
company name, face amount of each policy, present cash value of each policy, any outstanding
loan on each policy, and present beneficiary.
B. Complete information regarding all retirement rights of both parties to include: age
eligible to receive benefits, monthly benefit available at retirement, present cash value of
retirement rights, and an allocation of either community or separate property.
C.
Complete description of all vehicles, including market value of each.
D.
Gross and current market value of all real properties.
E.
Complete description and market value of all disputed personal property.
F.
property.
Complete list of whether real and personal property is community or separate
G.
request.
Spousal maintenance requested? If so, to whom, in what amount and basis for
H.
for request.
Request for attorneys’ fees and costs? If so, to whom, in what amount and basis
I.
Education and work history/experience of each party.
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J.
distribution.
K.
Complete list of community and separate property debts and proposed
Specific information regarding special health issues of either party.
All of the above data and figures submitted herein are accurate. All evidence concerning
same will be available and presented at trial on ________________(trial date).
____________________________________
PETITIONER/RESPONDENT
SUBSCRIBED and SWORN to before me this _____day of ______________, 20___.
____________________________________
Notary Public in and for the State of Washington
Residing at ___________________________
My Commission expires:_________________
2001 © American LegalNet, Inc.
