Are there any outstanding debts as to which you are the obligor to any
banks, financial or lending institutions or other entities or persons? If the answer is in the
affirmative, state the names of each such creditor, the current balance of each such
debt, the method of payments, the security, if any, given for each such debt, the date
each such debt was taken out, and the reason for each such debt in each case, and the
payments made by you, on each, since January 1,
State who has possession of bank statements, canceled checks, deposit
slips and other indicia relating to any checking account of yours or of any entity in which
you have any interest, from
to the current date.
Attach copies of your personal federal and state income tax returns filed
for the calendar years
as well as for the current year, if filed; if not filed for the current year, furnish the data that you will use as the basis for filing your
federal and state income tax returns for the current year. In addition, attach copies of
returns filed for all of said above years by any entity in which you have an interest as
hereinabove set forth.
Set forth with particularity a breakdown of the items comprising your
present claimed monthly personal living expenses. Be specific.
Set forth all current sources of income in full detail, the amounts
there from realized in each instance on a monthly basis (or other periodic basis as applicable), and
any and all other details relevant and concerning your present sources of income,
whether taxable or not.
State with respect to any transfers of property since January 1,
, in which you had an interest, of whatever kind and wherever situated, the details of all such
transfers, sales, or other dispositions thereof, giving all dates of each such transfer, the
property transferred, the source of said property in the first instance, the compensation
received in transfer, and the disposition made of all the compensation in each such
instance, and the names and address of the transferee.
State the details of any pension, retirement, deferred compensation, profit
sharing or employee stock purchase plans in which you participate, including the name
and nature of the plan, the number of years you or your employer have contributed to the
plan, the total amount contributed by each, the date your rights become vested, the
amount, frequency, and duration of payments under the plan after vesting; attach a copy
of any such plan.
is not a substitute for legal advice. An
attorney must be consulted.
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