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Request For Net Worth Statement Financial Records PROB 48A - Missouri
| Request For Net Worth Statement Financial Records Form. This is a Missouri form and can be used in Eastern District US Probation Office Federal . |
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COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. O PROB 48A : (9/00) Index No. Calendar No. Page 1 of 2 : : Plaintiff(s) NUM BER DOCKET : REQUEST FOR NET WORTH STATEMENT FINANCIAL RECORDS D E FE N D AN T ' S F UL L NA M E JUDICIAL SUBPOENA -against- All entries on the Net Worth Statement must be accompanied by supporting documentation. Provide the probation officer with all : records listed below that are applicable to your financial statements, along with your completed Net W orth Statement by the close of business . : ASSETS Defendant(s) - Anticipated Assets : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Section. J . . . . . . .... . Ë Copy of documentation to verify future receipt of anticipated asset, (e.g., claim or lawsuit filings, profit sharing plan and current statement, pension plan and current statement, inheritance documents, copy of all trusts, trust income tax returns), and most recent accounting reflecting the value of your interest and income from the trust. Section K - Business Holdings Section A - Bank Accounts Ë Most recent bank account statements (e.g., checking, savings, credit union, money PEOPLE OF THE STATE Deposit, or savings THE market, brokerage, Certificate of OF NEW YORK bonds) for a three-month period, along with canceled checks. Section B -TO Securities Ë Most recent securities account statements (e.g., brokerage, annuities, life insurance, IRA, KEOGH, 401K, or thrift savings account) for a three-month period. Ë In addition to providing the information requested in Section K and completing Section N, provide copies of all income tax returns for each business you had an ownership interest in (e.g., shareholder, partner, proprietor) or an affiliation with (e.g., officer, director, andboard member, agent, associate) within the lastof you attend before excuses being laid aside, you and each five years. Also provide all financial statements for each business, prepared by you at the Court or your accountant, within the past five years. GREETINGS: Section C - Notes & Accounts Receivable WE COMMAND YOU, that all business Ë Copy ofthe Honorable signed note receivable. , located at County of Section D - Life Insurance in room , on the day of ,Business ,Accounts Receivable in the 20 at o'clock noon, and at any recessed or adjourned date, to testify whole life, variable life, Ë Copy of all life insurance policies (e.g., and give evidence as a witness in this action on the part of the term). Section E - Safe Deposit Boxes or Storage Facilities Ë Copy of current month's billing statements that verify business accounts receivable. Ë Copy of most recent rental invoice for all safe deposit boxes or Your failure to comply with this subpoenaBusiness Accounts Payable is punishable as a contempt of court and will make you liable to the party on whosethe past year, subpoena was issued for a maximum penalty vendor invoices that verify sustained as a behalf this including receipts or Ë Copy of current month's of $50 and all damages business storage facility rentals within result of your failure to comply. verification of content value. accounts payable. , one of the Justices of the , 20 of the five most recent years' income tax returns filed for: Ë Copy Individual (Form 1040), Partnership (Form 1065), Corporation (Form 1120), S Corporation (Form 1120S), and Limited Liability Company (Form 1065). Be sure to include all related schedules and forms. Provide a written explanation and any returnsbelow) (Attorney must sign above for type name not filed. Section M - Transfer of Assets Section L - Income Tax Returns Section F - Motor Vehicles Witness, Honorable Court in registration and County,all vehicles owned or day of Ë Copy of vehicle title for leased. Section G - Real Estate Ë Copy of purchase agreement, deeds, and escrow statement for all real property. Section H - Mortgage Loans Owed To You Ë Copy of theAttorney(s) for bill of sale, documentation of funds received from sale (e.g., a personal or business check, cashiers check or money order), copy of vehicle registration and title of sold vehicle, and escrow closing statements for any real estate sold since the date of your arrest. Ë Copy of the sales agreement and escrow statement for all real property. Section I - Other Assets Office and P.O. Address Section N - Names of Shareholders or Partners Ë Copy of Articles of Incorporation for all corporations you own or have an interest in. Copy of partnership agreement for all Telephone ownership interest in. partnerships you have anNo.: Ë Copy of purchase invoice and appraisal (if already previously obtained), and documentation to verify the fair market value of the asset. Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : O PROB 48A (9/00) Index No. Page 2 of 2 : : : Calendar No. JUDICIAL (cont.) Plaintiff(s) REQUEST FOR NET WORTH STATEMENT FINANCIAL RECORDSSUBPOENA -againstLIABILITIES Section A - Charge Accounts OTHER RECORDS REQUESTED : Ë Copy of most current billing statement for all charge accounts (e.g., credit cards, revolving charge cards, and department store cards) and Defendant(s) lines of credit (e.g., bank line of credit). Section B - Other Debts : : ...................................................... Ë Copy of all notes payable, mortgage loans, current statement of delinquent taxes due, and OF THE STATE OFchild support/ THE PEOPLE statements documenting NEW YORK alimony obligations and payment history. Section C - Party to Civil Suit TO Ë Copy of all civil suit filings and judgments. Section D -GREETINGS: Bankruptcy Filings WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of ADDITIONAL INSTRUCTIONS: in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the statements submitted, final judgment and order of discharge. Ë Copy of all bankruptcy filings including petition, financial 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 o
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