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Petitioners Respondents Pretrial Affidavit - Washington
| Petitioners Respondents Pretrial Affidavit Form. This is a Washington form and can be used in Superior Court Skagit Local County . |
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IN THE SUPERIOR COURT OF WASHINGTON FOR SKAGIT COUNTY NO. Plaintiff(s), vs. PETITIONERS/ RESPONDENTS PRETRIAL AFFIDAVIT Defendant(s). STATE OF WASHINGTON ) ) ss. COUNTY OF SKAGIT ) ________________________ ____, being first duly sworn, deposes and says: I am the petitioner/respondent herein and declare that the following statements are true and accurate to the best of my knowledge. I. S UMMARY OF MATTERS AT ISSUE PETITIONERS/RESPO NDENTS PRETRIAL AFFIDAVIT - 1 APPENDIX II Skagit County Local Court Rules - Forms (Rev. Effective 9/1/2001) <<<<<<<<<********>>>>>>>>>>>>> 2 II. GENER AL INFOR MATION Birthdates: Wife ____________________ Husband _____________ ___________ Marriage Date _______________________ Last Date Separated _______________ Dependent Children Living with Parties: CHILDREN OF THIS MARRIAGE: Na me Birthdate R es iding With CHILDREN OF PREVIOUS MARRIAGES: Na me Birthdate R es iding With Proposed Child Support per Child $________ per ________, paid to _______________ Proposed Maintenance $________, per month for ____ months, paid to ____________ III. EAR NINGS AND INCOME Average Net Monthly Income fro the Last Three Years: Wife $_____________________ Current Employer Job Title Monthly Gross Husband $_____________________ Current Employer Job Title Monthly Gross List Sources and Amounts of Other Income: Wife: Husband: PETITIONERS/RESPO NDENTS PRETRIAL AFFIDAVIT - 2 APPENDIX II Skagit County Local Court Rules - Forms (Rev. Effective 9/1/2001) <<<<<<<<<********>>>>>>>>>>>>> 3 IV. AS S ETS Item/Character (S=Separate) Market Amount Net Value & (C=Community) Value Owed Award to Whom Cash and Investments Husband Wife _____________________ _____________ ______ ________ _______ ______ _____________________ _____________ ______________ ______ _ ______ _____________________ _____________ ______ ________ _______ ______ _____________________ _____________ ______________ ______ _ ______ Real Estate _____________________ _____________ ______ ________ _______ ______ _____________________ _____________ ______________ ______ _ ______ _____________________ _____________ ______ ________ _______ ______ Personal Property _____________________ _____________ ______ ________ _______ ______ _____________________ _____________ ______________ ______ _ ______ _____________________ _____________ ______ ________ _______ ______ TOTAL _____________ ______________ _______ ______ Value of Divided Personal Property: Husband $______________________ Wife: $ _____________________ V. DEBTS NOT ASSOCIATED WITH ASSETS IN SECTION IV Amount Monthly To Be Paid Creditor Owed Payment ___By Whom___ Cash and Investments Husband Wife _____________________ _____________ ______ ________ _______ ______ _____________________ _____________ ______________ ______ _ ______ _____________________ _____________ ______ ________ _______ ______ _____________________ _____________ ______________ ______ _ ______ TOTAL _____________ _________ _____ _______ ______ PETITIONERS/RESPO NDENTS PRETRIAL AFFIDAVIT - 3 APPENDIX II Skagit County Local Court Rules - Forms (Rev. Effective 9/1/2001) <<<<<<<<<********>>>>>>>>>>>>> 4 Husba nd Wife Total Assets (Proposed & Divided) $____________ $____________ Total Liabilities $____________ $____________ New Value $_____ _______ $____________ _______________ _________________ Petitioner/Respondent SIGNED and SWORN to before me on _______________________, 200__, by ________________________ ________________ . (Name of Person Making Statement) _______________ _________________ NOTARY PUBLIC in and for the State of __________________ _____, residing at __________________ _____. My Appointment Expires: ___________ DATED: ______________________ _______________ _________________ Attorney for Petitioner/Respondent WSBA No. PETITIONERS/RESPO NDENTS PRETRIAL AFFIDAVIT - 4 APPENDIX II Skagit County Local Court Rules - Forms (Rev. Effective 9/1/2001)
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