COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.IN THE COURT OF COMMON PLEAS DOMESTIC RELATIONS DIVISION COLUMBIANA COUNTY, OHIO CASE NO.: Calendar No.JUDICIAL SUBPOENAPlaintiff(s)-against-Judge: SSN: D.O.B.: EMPLOYER: Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Plaintiff-VS-FINANCIAL AFFIDAVITTHE PEOPLE OF THE STATE OF NEW YORK TOSSN: D.O.B.: GREETINGS:Date & Place of Marriage: EMPLOYER: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Defendantlocated at County ofNow comes , the Affiant, being first duly sworn, and says that the following questions are true and accurate to the best of the Affiant's belief and knowledge:o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomDEPENDENTSIdentify all persons whom you are legally obligated to support and identify whether you pay or received support for these dependents: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.Born to this Marriage?Name and Date of BirthCurrent Place of ResidenceAmount of Support OrderedAgeRelationship, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forPERSONAL INFORMATIONWIFEHUSBANDAgeOffice and P.O. AddressEducation, Occupation, and Training Present Health & Well BeingTelephone No.: Facsimile No.: E-Mail Address:Previous Number of Marriages, ChildrenMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.EMPLOYMENT AND MEDICAL INSURANCE Answer the following questions about your and your spouse's employment and insurance from all sources, including health care insuranceCalendar No.HusbandWifeJUDICIAL SUBPOENAPlaintiff(s)Employer:-against-Address:Telephone:Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Medical Insurance:Address:THE PEOPLE OF THE STATE OF NEW YORK TOInsurance ID Number including Subscriber's ID, Group and Policy No Children Covered (Y/N)GREETINGS:Out-of-pocket cost to Husb. Or Wife?WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofNames of Additional Employers within the last 12 months:o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomPENSION AND OTHER RETIREMENT PLANSYour 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.HusbandWifeName of Plane Type of Plan Eligible Age and Starting Year Future Monthly Payment at Retirement Date, one of the Justices of theCourt in Witness, Honorableday of, 20 County,WORKERS COMPENSATION, DISABILITY, OR OTHER BENEFITSReport all workers compensation, disability, social security, pension, retirement, or other benefit received by you or your spouse:(Attorney must sign above and type name below)WifeHusbandSource or Name of Benefit (WCSS, PERS, ADC, GR, etc.) Claim Number type (TT, PT, Ret, ADC, GR, etc.) Amount or Rate and its frequency Current Status and/or Expiration Date:Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.SEPARATE PROPERTY Section 3105.18(A)(6)(a)Calendar No.JUDICIAL SUBPOENAPlaintiff(s)-against-FMVDebtList all real and personal property and any interest in real or personal property acquired (I) by inheritance[ I ], (ii) before the marriage [ B ], (iii) passive income and appreciation from separate property during the marriage [ PAS ], (iv) after a decree of legal separation [ LS ], (v) by exclusion by antenuptial agreement [ AN ], (vi) personal injury compensation [ PI ] except loss of marital earnings and expenses paid from marital assets, (vii) gifts solely to one spouse [ G ] CategoryDescriptionParticulars re date acquired, tracing, and dispositions leading to ownership of the propertyINHERITANCESDefendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PROPERTYOWNED BEFORE MARRIAGETHE PEOPLE OF THE STATE OF NEW YORK TOPASSIVE INCOME ANDAPPRECIATIONFROM SEPARATE PROPERTYGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thePROPERTYACQUIRED AFTER ADECREEOFLEGALSEPARATIONYour 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.EXCLUDED BY ANTENUPTUALAGREEMENT, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)PERSONALINJURYCOMPENSATIONEXCEPT LOSS OF MARITALEARNINGS, ETC.Attorney(s) forGIFTS SOLELY TO ONE SPOUSEOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.MARITAL ASSETSList and describe all marital property. Abbreviations may be used to answer Possession, Owner, and Source questions, ie. H for husband W for wife, J for joint. Use the second column to part
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