1. Personal History. State your full name, current residence address and work address, social security number, any other names you have used, and the dates between which you used each name.
2. Agreements. Are there any agreements between you and your spouse made before or during your marriage or after your separation that affect the disposition of ASSETS, DEBTS, or SUPPORT in this proceeding? If your answer is yes, for each agreement, state the date made and whether it was written or oral, and attach a copy of the agreement or describe its content.
3. Legal Actions. Are you a party or do you anticipate being a party to any legal or administrative proceeding other than this action? If your answer is yes, state your role and the name, jurisdiction, case number, and a brief description of each proceeding.
4. Persons Sharing Residence. State the name, age, and relationship to you of each person at your present address.
5. Support Provided Others. State the name, age, address, and relationship to you of each PERSON for whom you have provided SUPPORT during the past 12 months and the amount provided per month for each.
6. Support Received for Others. State the name, age, address, and relationship to you of each PERSON for whom you have received SUPPORT during the past twelve months and the amount received per month for each.
7. Current Income. List all income you received during the past 12 months, its source, the basis for its computation, and the total amount received from each. Attach your last three pay check stubs.
8. Other Income. During the past three years have you received cash or other property from any source not identified in 7? If so, list the source, the date, and the nature and value of the property.
9. Tax Returns. Attach copies of all tax returns and schedules filed by or for you in any jurisdiction for the past three calendar years.
10. Schedule of Assets and Debts. Complete the Schedule of Assets and Debts form served with these interrogatories.
11. Separate Property Contentions. State the facts that support your contention an asset or debt is separate property.
12. Property Valuations. Have you had written appraisals or offers to purchase during the past 12 months on any of the assets listed on your completed Schedule of Assets and Debts. If your answer is yes,
IDENTIFY THE DOCUMENT.
13. Property Held by Others. Is there any PROPERTY held by any third party in which you have any interest or over which you have any control? If your answer is yes, indicate whether the property is shown on the Schedule of Assets and Debts completed by you. If it is not, describe and identify each such asset and state its present value and the basis for your valuation, and IDENTIFY THE PERSON holding the asset.
14. Retirement and Other Benefits. Do you have an interest in any disability, retirement, profit sharing, or deferred compensation plan? If your answer is yes, IDENTIFY each plan and provide the name, address, and telephone number of the administrator and custodian of records.
15. Claims of Reimbursement. Do you claim the legal right to be reimbursed for any expenditures of your separate or community property? If your answer is yes, state all supporting facts.
16. Credits. Do you claim reimbursement credits for payments of community debts since the date of separation? If your answer is yes, IDENTIFY the source of payment, the creditor, the date paid, and the amount paid. State whether you have added to the debt since the separation.
17. Insurance. IDENTIFY each health, life, automobile, and disability insurance policy or plan that you now own or that covers you, your children, or your assets. State the policy type, policy number, and name of company. IDENTIFY the agent and give the address.
18. Health. Is there any physical or emotional condition that limits your ability to work? If your answer is yes, state each fact on which you base your answer.
19. Children's Needs. Do you contend your children have any special needs? If so, identify the child with the need, the reason for the need, its cost, and its expected duration.
20. Attorney Fees. State the total amount of attorney fees and costs incurred by you in this proceeding, the amount paid, the source of money paid, and describe the billing arrangements.
21. Gifts. List any gifts you have made without the consent of your spouse in the past 24 months, their value, and the recipients.