Missouri > Local Circuit Courts > 38th Circuit > Dissolution
First Interrogatories (Dissolution) 5 - Missouri
| First Interrogatories (Dissolution) Form. This is a Missouri form and can be used in Dissolution 38th Circuit Local Circuit Courts . |
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IN THE CIRCUIT COURT OF COUNTY, MISSOURI In Re The Marriage Of: ) ) ) Petitioner, ) S.S.# ) ) vs. ) Case No. ) ) Respondent. ) S.S.# ) FIRST INTERROGATORIES TO COMES NOW the ___________ and propounds the following interrogatories to be answered by ____________ in the manner provided by Supreme Court Rule 57.01 & Local Rule 68.4(b). These interrogatories and request for production of documents are of a continuing nature, requiring you to serve timely supplemental answers setting forth any information, within the scope of these interrogatories, which may be acquired by you, your attorneys, investigators, agents, or others employed by or acting in your behalf, following the original answers. INSTRUCTIONS Type your answers to the following interrogatories in the space provided on this form where possible. If the space provided is not sufficient to completely answer each interrogatory, type your answer on a separate sheet of paper and attach same as an appendix hereto noting on this form which appendix contains your answer to said interrogatory and noting on the appendix reference to the interrogatory being answered. 1. State your full name, date of your birth, the address of your present place of residence and your social security number. ANSWER: 2. State the name and relationship to you of each person residing with you at your present address. th 38 Circuit Form 5 (Rev. 1-1-2000) 1 <<<<<<<<<********>>>>>>>>>>>>> 2 ANSWER: 3. State the address of all previous residences where you have resided for the last year, and the dates you resided at each such address, and the name and relationship to you of each person residing with you at each of your previous addresses. ANSWER: 4. State the name and address of every person, firm, or corporation by whom you were employed for the past three (3) years and the total gross income per year received from each employer. ANSWER: 5. If you receive any economic (fringe) benefits from your present employment other than wages (i.e. company car, health, or life insurance, expense accounts, club membership, etc.), describe each benefit you receive and the amount you receive from said benefit or the value of said benefit. ANSWER: 6. If you were self-employed or a member of a partnership during any of the three (3) preceding years, state the nature of the business and your share of the gross income (after business expenses) received in each said year. ANSWER: 7. If you or a member of your household receive any pension, dividend, interest, note, insurance, annuity payment, or social security payments on a regular basis, state the type of payment, amount, and the date you normally receive such payment. ANSWER: th 38 Circuit Form 5 (Rev. 1-1-2000) 2 <<<<<<<<<********>>>>>>>>>>>>> 3 8. If you have any interest in any pension, profit sharing, retirement, Keogh Plan, I.R.A. account, thrift plan, or any other form of employment-related asset with any past or present employer, state: (a) The date first acquired; (b) The type of asset (e.g. pension plan); (c) The present vested or cash value to you of such asset; (d) The name of the company that administers the plan or program and the name, address and phone number of the person who administers the plan; ANSWER: 9. If you have any claim or cause of action against anyone else, set out in detail the reason for such claim or cause of action and sufficient information to identify any court proceedings pending regarding said claim. ANSWER: 10. If you have transferred any real or personal property within the last twenty-four (24) months, for each such item, state: (a) Legal description of the property: (b) The value of your equity interest in the property; (c) The date your transferred the property; (d) The name and address of the person to whom you transferred said property; (e) Net proceeds received for said property. ANSWER: 11. If you believe that you are entitled to receive maintenance payments from your spouse, state in detail why you believe you are entitled to maintenance. ANSWER: 12. Do you claim marital misconduct on the part of your spouse? Yes ( ) No ( ) th 38 Circuit Form 5 (Rev. 1-1-2000) 3 <<<<<<<<<********>>>>>>>>>>>>> 4 13. If your answer to Interrogatory No. 12 is yes, state in detail what marital misconduct you claim. ANSWER: 14. If you have any illness or chronic disability at this time, describe said chronic illness or disability in detail. ANSWER: 15. If you are not presently employed full-time and have attempted to obtain full-time employment in the past six (6) months, state the names of all employers with whom you have consulted and the dates of all interviews or employment applications. ANSWER: 16. If you are not presently employed full-time and have not attempted to obtain full-time employment in the last six (6) months, states the reason for not looking for full-time employment. ANSWER: 17. State the name, address, occupation, place of employment and qualifications to give an opinion of each person you expect to call as an expert witness at trial. (If such information is available on the experts curriculum vitae, such curriculum vitae may be attached to these interrogatory answers as a response to this question). Also, state the general nature of the subject matter on which the expert is expected to testify and the experts hourly deposition fee. ANSWER: ____________________________________ N ame of Attorney - Bar Number th 38 Circuit Form 5 (Rev. 1-1-2000) 4 <<<<<<<<<********>>>>>>>>>>>>> 5 ____________________________________ A ddress Attorney for _____________________ The original and two copies of the foregoing interrogatories were mailed this _____day of _____________, ______, to _________________, Attorney for ___________________. . STATE OF MISSOURI ) ) ss. COUNTY OF ) The below-named person, being duly sworn upon his/her oath states that he/she has read the foregoing interrogatories and the answers given are true to the best of affiants knowledge and belief. __________________________________ Subscribed and sworn to before me this ______day of _______________, ______. My Commission Expires: ___________________________________ N otary Public Original copy of the completed Interrogatories mailed to _____________________, Attorney for Petitioner/Respondent, on the __________ day of __________, _______. ______________________________ Attorney for ___________________ th 38 Circuit Form 5 (Rev. 1-1-2000) 5
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