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Re: ** vs. **
Our File No.: **

Dear **:

Enclosed herewith you will find a set of Interrogatories (written questions) concerning various aspects of your marriage. This set is a form approved for use in Domestic Relations cases, by the Florida Supreme Court, and you are required to answer each and every question. A similar set will be sent to your **.

I must have your cooperation in order to complete these questions and ask that you follow the instructions below. While we have not as yet received these from your **, we anticipate that we will be receiving a discovery package in the near future. I therefore suggest that you answer these as quickly as possible and make an appointment to discuss your answers.

1. Write the answer to each question beneath it in the space provided. If you do not have enough space to fully answer a question, use a separate piece of paper and attach it to the answers.

2. If any of the questions require a "no" or negative type answer, please write the word "no" below that question--do not leave it blank.

3. Complete each question fully and attempt to look up any information needed for the completion of that question, such as names and addresses.

4. If the question calls for a legal or technical answer, attempt to answer it, and I will review all answers with you before they are put in final form.

5. Return the completed work copy to me within the next week and schedule an appointment with the receptionist.

Sincerely,

______________________________

BG:rs**

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INSTRUCTIONS

Please insert your answers in the space provided following each question. If additional space is needed, so indicate in the space provided, and prepare your answer on a separate paper and attach.

INTERROGATORIES TO **

6. Please state your full name, address, date of birth and social security number.

7. With regard to your employment, please state the following:

a. State the names and address of your present employer:

b. State the commencement of your present employment.

c. Describe your position or job.

d. State the names and addresses of your employers for the past three years.

8. With regard to your income, please state the following:

a. State your gross annual earned income, from all sources, for each of the last three years. Identify source and amount from each source.

b. State when you are paid and indicate for each pay period your gross salary and wages, itemize the deductions from your gross salary wages and your net salary or wages.

c. Set forth any additional compensation, including but not limited to, overtime, bonuses, profit sharing, insurance, expense account, automobile or automobile allowance, which you have received from your employer or anticipate receiving.

d. State your total annual income in each of the past three years.

e. Itemize all other income or support payments received.

9. With regard to your assets, please state:

a. Describe by legal description and addresses all real property which you own, or in which you have an interest, setting forth the percentage of your interest in each parcel. For each parcel, state date of purchase, purchase price and present market value.

b. List the names and addresses of all persons or entities which own an interest with you in the parcels of real property described in the foregoing sub-paragraph and describe such interest.

c. List all of the items of tangible personal property, including but not limited to, motor vehicles, furniture, boats, jewelry or art objects which are owned by you or in which you have an interest. State your estimate of value for each item.

d. List the names and addresses of the persons who own an interest with you in the items of tangible personal property described in the foregoing sub-paragraph and describe such interest.

e. List all accounts in which you have deposited money in your name or jointly with another person within the last 12 months.

f. As to the accounts set forth in the foregoing answer, set forth the account numbers, the cash balances and the persons and their addresses who are authorized to withdraw funds in said account.

g. List all intangible personal property, including but not limited to, stocks, bonds and mortgages owned by you or in which you have an interest within the last two years. State percentage of your interest and the present value of each interest.

h. List the names and addresses of persons or entities indebted to you and state the nature and amount of their obligations to you.

I. List all other assets which you own, having an interest in or the use and benefit of, setting forth your interest and value thereof.

j. Describe in detail, including the cash value, all insurance policies of which you are the owner or beneficiary, including but not limited to health, disability and life insurance. As to each policy, list the issuing insurance company and policy number.

10. With regard to your liabilities, please state the following:

a. List all liabilities, debts and other obligations, indicating for each whether it is secured or unsecured, and, if secured, the nature of the security, setting forth the payment schedule as to each and the name and address of each creditor.

b. List all credit cards issued to you. Give the balance owed and present minimum monthly payment owed to each such credit card companies and the account number for each account.

c. As to each creditor, set forth the current status of your payments and total amount of arrearage, if any.

11. With regard to your living expenses, please state the following:

a. Attach a completed Financial Statement, in accordance with Rule 1.611, Florida Rules of Civil Procedure.

b. State the amount of money contributed monthly, directly or indirectly, for the support of your spouse or other dependents for the past year next preceding the answers to these Interrogatories.

12. State the condition of your health and the name and address of all health care providers who have examined or treated you within the last 12 months. State the same information for each child, if any.

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