Office of State Court Administrator Sworn Financial Statement by pge12085

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									Office of the State Court Administrator
                                  To:              Judicial Officers, Family Court Facilitators, Clerks of Court,
                                                   Family Law Section, American Academy of Matrimonial
                                                   Lawyers, Colorado Legal Services
                                  From:            Alicia Davis, Staff, Standing Committee on Family Issues
                                  Date:            February 16, 2006
                                  Re:              The “Sworn Financial Statement”
Gerald A. Marroney
State Court Administrator

Carol M. Haller                   The Supreme Court has approved the Third Corrective Rule Change 2004(19)
Legal Counsel                     to Rule 16.2 of the Colorado Rules of Civil Procedure. The Sworn Financial
Troy C. Singleton
                                  Statement and Supporting Schedules (if applicable) are to replace the former
Administrative Assistant          “Financial Affidavit” as the universal financial disclosure form for use in all
________                          domestic actions under C.R.C.P. 16.2 effective March 1, 2006. Minor attendant
DIRECTORS                         changes were also made to the Mandatory Disclosures form. To ease the
Mindy Masias                      transition, courts are asked to accept either form until August 1, 2006. Bradford
Human Services                    Publishing will have the printed version available by March 1, 2006.
Mary Flanigan, CFO
Financial Services                The changes made are the product of nine months of revisions and three
                                  comment periods. Comments were received from judicial officers, family court
Robert T. Roper, CIO
Judicial Business Integrated
                                  facilitators, parties, and representatives of the American Academy of
With Technology Services          Matrimonial Lawyers, the Colorado Bar Association and Colorado Legal
                                  Services.
Sherry Kester
Planning & Analysis
Legislative Liaison               The Work Group (Dave Johnson, Lesleigh Monahan, Simon Mole, Sam
Thomas Quinn
                                  Benson, Maureen Leif, Cyndi Hauber and Alicia Davis) made these changes:
Probation Services
                                        ◊   The form is now 6 pages plus a 1-page schedule where parties’ finances
ADMINISTRATOR
                                            dictate.
Elizabeth B. Strong
Judicial/Staff Development              ◊   Language was simplified throughout.
                                        ◊   The amount of detail in each category was reduced as much as possible.
                                        ◊   The form was re-formatted to make it more intuitive and easier to read.
                                        ◊   Any information that would be otherwise provided by the mandatory
                                            disclosures was stricken from the form.

                                  Some may think the form and process is still unnecessarily detailed. However,
                                  a form that omits necessary information can lead to inequitable divisions and
                                  increased post-decree modifications. The Work Group appreciates your
                                  assistance in improving upon the process.
                               ________________________________________________
                                    1301 Pennsylvania Street, Suite 300, Denver, Colorado 80203
                                   Phone: (303) 861-1111 • (800) 888-0001 • Fax: (303) 837-2340
                                              Web site: http://www.courts.state.co.us
                                     Third Corrective Order
                                     to Rule Change 2004(19)

                                Colorado Rules of Civil Procedure
                               Chapter 2. Pleadings and Motions
                        Rule 16.2. Case Management (Domestic Relations)

                                  Appendix to Chapters 1 to 17A
                                            FORMS
                                         (See Rule 84.)

        (Some Forms in this Appendix are available from the Colorado Courts web page at
   http://WWW.Courts.state.co.us/chs/court/forms/selfhelpcenter.htm)

[The Court has approved the substitution of the “Sworn Financial Statement” and “Supporting
Schedules” to replace the “Financial Affidavit” (JDF 1111) currently appended to Rule 16.2. Minor
attendant changes were also made to the Mandatory Disclosures form, also appended to the Rule. Please
accept the current Financial Affidavit for a grace period extending through August 1, 2006.]

    Form 35.1. MANDATORY DISCLOSURE IS AMENDED AS PROVIDED HEREIN.
Form 35.2. IS REPEALED AND READOPTED AS THE SWORN FINANCIAL STATEMENT
       (New) FORM 35.3. SUPPORTING SCHEDULES (Sworn Financial Statement)
    NOTE: FORM 35.3 PATTERN INTERROGATORIES (DOMESTIC RELATIONS) IS
               RENUMBERED AMENDED AND ADOPTED AS FORM 35.4
  FORM 35.4 PATTERN REQUESTS FOR PRODUCTION OF DOCUMENTS (DOMESTIC
      RELATIONS) IS RENUMBERED AMENDED AND ADOPTED AS FORM 35.5

Repealed, Amended and Adopted by the Court, En Banc, February 9, 2006, and is effective March
1, 2006.

JUSTICE RICE and JUSTICE COATS would not approve this rule.

BY THE COURT:



Mary J. Mullarkey
Chief Justice, Colorado Supreme Court
                               Colorado Rules of Civil Procedure
                               Chapter 2. Pleadings and Motions
                        Rule 16.2 Case Management (Domestic Relations)

Rule 16.2. Court Facilitated Management of Domestic Relations Cases and General Provisions
       Governing Duty of Disclosure

(a) through (d) No change.

(e)   Disclosure.

      (1) No Change.

      (2) A party shall, without a formal discovery request, provide the Mandatory Disclosures, as set
      forth in the form and content of Appendix to Chapters 1 to 17A, Form 35.1, C.R.C.P., and shall
      provide a completed Sworn Financial Statement and (if applicable) Supporting Schedules as set
      forth in the form and content of Appendix to Chapters 1 to 17A , Form 35.2 and Form 35.3,
      C.R.C.P , to the other party within 40 days after service of a petition or a post decree motion
      involving financial issues. The parties shall exchange the required Mandatory Disclosures, the
      Sworn Financial Statement and (if applicable) Supporting Schedules by the time of the initial
      status conference to the extent reasonably possible.

      (3) No Change.

      (4) No Change

      (5) No Change

      (6) The Sworn Financial Statement, Supporting Schedules (if applicable) and child support
      worksheets shall be filed with the court. Other mandatory disclosure documents shall not be
      filed with the court.

      (7) No Change

      (8) No Change

      (9) No Change

      (10) No Change

(f)   Discovery. Discovery shall be subject to active case management by the court consistent with
      this Rule.

      (1) No Change

      (2) No Change
       (3) After an initial status conference or as agreed to in a Stipulated Case Management Plan filed
       pursuant to (c)(1)(E), a party may serve on each adverse party any of the pattern interrogatories
       and requests for production of documents contained in the Appendix to Chapters 1 to 17A Form
       35.4 and Form 35.5, C.R.C.P. A party may also serve on each adverse party 10 additional
       written interrogatories and 10 additional requests for production of documents, each of which
       shall consist of a single question or request.

       (4) No Change

       (5) No Change

       (6) No Change

       (7) No Change

(g)    No Change.

(h)    Trial Management Certificates.

       (1) If both parties are not represented by counsel, then each party shall file with the court a brief
       statement identifying the disputed issues and that party’s witnesses and exhibits including
       updated Sworn Financial Statements and (if applicable) Supporting Schedules , together with
       copies thereof, mailed to the opposing party at least 10 days prior to the hearing date or at such
       other time as ordered by the court.

       (2) If at least one party is represented by counsel, the parties shall file a joint Trial Management
       Certificate 10 days prior to the hearing date or at such other time as ordered by the court.
       Petitioner’s counsel (or respondent’s counsel if petitioner is pro se) shall be responsible for
       scheduling meetings among counsel and parties and preparing and filing the Trial Management
       Certificate. The joint Trial Management Certificate shall set forth stipulations and undisputed
       facts, any requests for attorney fees, disputed issues and specific points of law, lists of lay
       witnesses and expert witnesses the parties intend to call at hearing, and a list of exhibits,
       including updated Sworn Financial Statement, Supporting Schedules (if applicable)and proposed
       child support work sheets. The parties shall exchange copies of exhibits at least 10 days prior to
       hearing.

(i) through (j) No Change.

                                         Committee Comments
                                           (C.R.C.P. 16.2)

Disclosures:
This Rule is premised upon an expectation that regular status conferences will be conducted informally,
that the parties will provide all necessary disclosures and that formal discovery, if authorized, will be
tailored to the specific issues of the case. Disclosure of expert testimony and the signing of disclosures
and discovery responses will be governed by C.R.C.P. 26 as specifically incorporated into section (e) of
new Rule 16.2.
Rule 26.2:
The current Rule 26.2 will be repealed. Disclosure of expert testimony and the signing of disclosures
and discovery responses will be governed by C.R.C.P. 26 as specifically incorporated into section (e) of
new Rule 16.2. Relevant provisions of C.R.C.P. 26 that relate to any additional discovery authorized by
the court or stipulated to by the parties under sections (f) and (g) of the new Rule have been incorporated
into new Rule 16.2. It is the intent of the committee that relevant caselaw under Rule 26.2 or Rule 26
will have precedential value. The pattern interrogatories and pattern requests for production of
documents will also be modified to be consistent with new Rule 16.2.
Appendices and Forms:
The Supreme Court approved the mandatory disclosures, sworn financial statement and supporting
schedules forms referenced in 16.2(e)(2), and inclusion of these forms in the Appendix to Chapters 1 to
17A of the Colorado Rules of Civil Procedure. Rule 16.2 requires compliance with the mandatory
disclosures, and completion of the sworn financial statement form and supplemental schedule (if
applicable) submitted with this Rule to achieve the disclosure intended by the Rule. The court also
approved the amended pattern interrogatories (Form 35.4) and pattern requests for production (Form
35.5). The court further approved the form of the Stipulated Case Management Plan, an associated
Order referenced in 16.2(c)(1)(C), and the Court Authorization for Financial Disclosure, referenced in
16.2(e)(9), which forms now have JDF numbers.
Settlement Conferences:
Rule 121, Section 1-17 has been amended to permit a judge or magistrate to conduct a settlement
conference or utilize other alternative dispute resolution techniques under Rule 16.2(i).
                                          FORM 35.1
                                       Mandatory Disclosure

[Reference to 16.2(e)(2). These are not to be filed with the court, except as may be ordered
pursuant to C.R.C.P. 16.2]
Mandatory Disclosures. (Complete and accurate copies may replace originals. Children refers
to minor children of both parties.)
  (a) Financial Statement. Each party shall provide a complete and signed Sworn Financial
Statement and (if required) Supplemental Schedule (JDF 1111 and/or JDF 1111SS) in the
Supreme Court approved forms. See Appendix to Chapters 1 to 17A, Form 35.2, C.R.C.P.

  (b)   through (d) No change.

  (e) Real Estate Documents. Provide the title documents and all documents stating value of
all real property in which a party has a personal or business interest. This section shall not
apply to post decree motions unless so ordered by the court.

  (f)   through (n) No Change.




JDF 1125 R 3/06   MANDATORY DISCLOSURE - FORM 35.1
                                              FORM 35.2.
                                     SWORN FINANCIAL STATEMENT

   District Court Denver Juvenile Court
 _________________________________ County, Colorado
 Court Address:


 In re:
    The Marriage of:
    Parental Responsibilities concerning:
 ______________________________________________________
 Petitioner:
 and
 Co-Petitioner/Respondent:                                                                 COURT USE ONLY


 Attorney or Party Without Attorney (Name and Address):                         Case Number:


 Phone Number:                             E-mail:
 FAX Number:                               Atty. Reg. #:                        Division           Courtroom
                                  SWORN FINANCIAL STATEMENT
I, ___________________________________________________ (full name)                     am    am not currently employed.
I am employed ____ hours per week. I am paid          weekly     bi-weekly     twice a month     monthly.
My pay is based on a      Monthly Salary       Hourly rate of $__________      Other: _________________________
Date employment began _______________________________.
My occupation is: ____________________________ Name of employer: _______________________________
Address of employer: _________________________________________________________________________
If unemployed, what date did you last work? _______________________
I am unemployed due to       disability   involuntary layoff at work    other: ________________________________
This household consists of _____ adult(s), and ______ minor child(ren).
I believe the monthly gross income of the other party is $___________.
Annual gross income (last tax year) for Petitioner $ ___________ ,        Co-Petitioner/Respondent $ _____________

1.      Monthly Income (Convert annual, bi-monthly, and weekly amounts to monthly amounts.)

Gross Monthly Income (before taxes and          $              Social Security Benefits (SSA)                $
deductions) from salary and wages, including                     SSDI (Disability insurance – entitlement
commissions, bonuses, overtime, self-
employment, business income, other jobs,                       program)
and monthly reimbursed expenses.                                  SSI (supplemental income – need based)
Unemployment & Veterans’ Benefits                              Disability, Workers’ Compensation
Pension & Retirement Benefits                                  Interest & Dividends
Public Assistance (TANF)                                       Other - ___________________
                                                                              Total Monthly Income           $
Miscellaneous Income

JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                           Page 1 of 6
Royalties, Trusts, and Other Investments        $            Contributions from Others                        $
Dependent Children’s monthly gross                           All other sources, i.e. personal injury
income. Source of Income: __________                         settlement, non-reported income, etc.
Rental Net Income                                            Expense Accounts
Child Support from Others                                    Other - ___________________
Spousal Support from Others                                  Other - ___________________
                                                           Total Monthly Miscellaneous Income                 $
                                                                                     Total Income             $
2. Monthly Deductions (Mandatory and Voluntary)

Mandatory Deductions                            Cost Per                                                          Cost Per
                                                 Month                                                             Month
Federal Income Tax                          $                State/Local Income Tax                           $
PERA/Civil Service                                           Social Security Tax
Medicare Tax                                                 Other - ___________________
                                                                   Total Mandatory Deductions                 $
Voluntary Deductions                            Cost Per                                                          Cost Per
                                                 Month                                                             Month
Life and Disability Insurance               $                Stocks/Bonds                                     $
Health, Dental, Vision Insurance Premium                     Retirement & Deferred Compensation

Total number of people covered on Plan
Child Care                                                   Other - ____________________
Flex Benefit Cafeteria Plan                                  Other - ____________________
                                                                     Total Voluntary Deductions               $
                                                                    Total Monthly Deductions                  $


3.    Monthly Expenses
Note: List regular monthly expenses below that you pay on an on-going basis and that are not identified
in the deductions above.

A. Housing
                                                Cost Per                                                          Cost Per
                                                 Month                                                             Month
1st Mortgage                                $                2nd Mortgage                                     $
Insurance (Home/Rental) & Property                           Condo/Homeowner’s/Maintenance
Taxes (not included in mortgage payment)                     Fees
Rent                                                         Other - ________________
                                                                                      Total Housing           $

B. Utilities and Miscellaneous Housing Services
                                              Cost Per                                                            Cost Per
                                               Month                                                               Month
Gas & Electricity                           $                Water, Sewer, Trash Removal                      $
Telephone (local, long distance, cellular &                  Property Care (Lawn, snow removal,
pager)                                                       cleaning, security system, etc.)
Internet Provider, Cable & Satellite TV                      Other - ____________________
                                         Total Utilities and Miscellaneous Housing Services                   $

C. Food & Supplies

JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                            Page 2 of 6
                                             Cost Per                                                     Cost Per
                                              Month                                                        Month
Groceries & Supplies                     $               Dining Out                                   $
                                                                      Total Food & Supplies           $

D. Health Care Costs (Co-pays, Premiums, etc.)
                                       Cost Per                                                           Cost Per
                                        Month                                                              Month
Doctor & Vision Care                 $                   Dentist and Orthodontist                     $
Medicine & RX Drugs                                      Therapist
Premiums (if not paid by employer)                       Other - ____________________
                                                                            Total Health Care         $


E. Transportation & Recreation Vehicles (Motorcycles, Motor Homes, Boats, ATV, Snowmobiles, etc.)
                                        Cost Per                                            Cost Per
                                         Month                                               Month
Primary Vehicle Payment               $             Other Vehicle Payments                $
Fuel, Parking, and Maintenance                      Insurance & Registration/Tax Payments
                                                         (yearly amount(s)/12)
Bus & Commuter Fees                                      Other - ________________
                                                                          Total Transportation        $

F. Children’s Expenses and Activities
                                             Cost Per                                                     Cost Per
                                              Month                                                        Month
Clothing & Shoes                         $               Child Care                                   $
Extraordinary Expenses i.e. Special                      Misc. Expenses, i.e. Tutor, Books,
Needs, etc.                                              Activities, Fees, Lunch, etc.
Tuition                                                  Other - ________________
                                                  Total Children’s Expenses and Activities            $

G. Education for you - Please identify status:   Full-time student     Part-time student
                                          Cost Per                                                        Cost Per
                                           Month                                                           Month
Tuition, Books, Supplies, Fees, etc.                   Other - ________________
                                                                                 Total Education      $

H. Maintenance & Child Support (that you pay)
                                       Cost Per                                                           Cost Per
                                        Month                                                              Month
Spousal Maintenance                                      Child Support
  This family                            $                 This family                                $
  Other family                                             Other family
                                                    Total Maintenance and Child Support               $

I. Miscellaneous (Please list on-going expenses not covered in the sections above)
                                         Cost Per                                                         Cost Per
                                          Month                                                            Month
Recreation/Entertainment               $             Personal Care (Hair, Nail, Clothing, etc.)       $
Legal/Accounting Fees                                Subscriptions (Newspapers, Magazines, etc.)

JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                    Page 3 of 6
Charity/Worship                                        Movie & Video Rentals
Vacation/Travel/Hobbies                                Investments (Not part of payroll deductions)
Membership/Clubs                                       Home Furnishings
Pets/Pet Care                                          Sports Events/Participation
Other - ________________                               Other - ________________
Other - ________________                               Other - ________________
Other - ________________                               Other - ________________
Other - ________________                               Other - ________________
                                                                        Total Miscellaneous              $

                                           Total Monthly Expenses (Totals from A – I)                    $

4.      Debts (unsecured)
List unsecured debts such as credit cards, store charge accounts, loans from family members, back taxes owed
to the I.R.S., etc. Do not list debts that are liens against your property, such as mortgages and car loans,
because that payment is already listed as an expense above, and the total of the debt is shown elsewhere as a
deduction from value where that asset is listed, such as under Real Estate or Motor Vehicles.
For name on account, "P" = Petitioner, "C/R” = Co-Petitioner or Respondent, "J" = Joint.
     Name of Creditor      Account     P     C/R   J    Date of         Balance         Minimum            Principal
                           Number                       Balance                         Monthly         Purchase(s) for
                            (last 4-                                                    Payment          Which Debt
                             digits                                                     Required         Was Incurred
                             only)
                                                                    $               $




                               Unsecured Debt Balance                                                   →Total
                                                                    $               $                   Minimum
                                                                                                        Monthly
                                                                                                        Payment



                        SWORN FINANCIAL STATEMENT SUMMARY
                                 (INCOME/EXPENSES)
JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                      Page 4 of 6
Total Monthly Income (from Page 1)                                                 $ _____________                A

Total Monthly Deductions (from Page 2)                                             $ _____________                B

        Total Monthly Net Income (A minus B)                                                  $ _____________

Total Monthly Expenses (from Page 3)                                               $ _____________                C

Total Minimum Monthly Payment Required - Debts Unsecured (from Page 4)             $ _____________                D

        Total Monthly Expenses and Payments               (C plus D)                          $ _____________



Net Excess or Shortfall (Monthly Net Income less Monthly Expenses and Payments)    (+/-)      $ ______________

5.      Assets
You MUST disclose all assets correctly. By indicating “None”, you are stating affirmatively that you or
the other party do not have assets in that category. Please attach additional copies of pages 5 & 6 to
identify your assets, if necessary.

If the parties are married, check under the heading Joint (J) all assets acquired during the marriage but not by
gift or inheritance. Under the headings of Petitioner (P) or Co-Petitioner/Respondent (C/R), check assets owned
before this marriage and assets acquired by gift or inheritance

If the parties were NEVER married to each other or are using this form to modify child support,
list all of each party’s assets under the headings of Petitioner (P) or Co-Petitioner/Respondent (C/R).

        "P" = Petitioner, "C/R” = Co-Petitioner or Respondent, "J" = Joint.
A. Real Estate (Name of Creditor/Lender)        P     C/R      J        Amount     Estimated Value                Net
     None                                                                Owed        as of Today              Value/Equity
                                                                                    Value = what you
                                                                                   could sell it for in its
                                                                                    current condition.
                                                                    $             $                           $



                                                       Total        $             $                           $
B. Motor Vehicles & Recreation                  P     C/R      J        Amount     Estimated Value                Net
Vehicles Including Motorcycles, ATV’s,                                   Owed        as of Today              Value/Equity
Boats, etc.) (Year, Make, Model) (Name of                                           Value = what you
Creditor/Lender)                                                                   could sell it for in its
                                                                                    current condition.
     None




                                                            Total   $             $                           $



JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                         Page 5 of 6
C. Cash on Hand, Bank, Checking,            P     C/R     J     Type of            Account #         Balance as
Saving, or Health Accounts (Name of                             Account          (last 4-digits       of Today
Bank or Financial Institution)                                                       only)
  None
                                                                                                    $




                                                                                  Total             $
D. Life Insurance                           P     C/R     J      Type of        Face Amount of      Cash Value
(Name of Company/Beneficiary)                                    Policy             Policy            today
  None
                                                                            $                       $




                                                              Total         $                       $
E. Furniture, Household Goods, and          P     C/R     J     Current Possession Held by           Estimated
Other Personal Property, i.e. Jewelry,                                                               Value as of
Antiques, Collectibles, Artwork, Power                             P        C/R            J           Today
Tools, etc. Identify Items and report in                                                             Value = what
                                                                                                    you could sell it
total.                                                                                                 for in its
  None                                                                                                  current
                                                                                                      condition.
                                                                                                    $




                                                                                      Total         $
F. Stocks, Bonds, Mutual Funds, Securities & Investment Accounts
   None If owned please attach JDF 1111-SS.                                           Total         $

G. Pension, Profit Sharing, or Retirement Funds
  None If owned please attach JDF 1111-SS.                                            Total         $

H. Miscellaneous Assets
  None If you own any of the assets identified below, please check the appropriate box and attach JDF
1111-SS to report the value.
  Business Interest        Stock Options            Money/Loans owed to you         IRS Refunds due to you
  Country Club &           Livestock, Crops,         Pending lawsuit or claim       Accrued Paid Leave (sick,
Other Memberships        Farm Equipment           by you                          vacation, personal)
  Oil and Gas Rights       Vacation Club Points     Safety Deposit Box/Vault        Trust Beneficiary
  Frequent Flyer Miles     Education Accounts       Health Savings Accounts         Mineral and Water Rights
  Other - __________       Other - ___________      Other - _____________           Other - _____________
JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                  Page 6 of 6
                                                                                          Total         $
I. Separate Property
  None       If owned please attach JDF 1111-SS to identify the property                 Total          $
and to report the value.

                             Total Value/Balance of All Assets (A – I)                                  $

I swear or affirm under oath that this Sworn Financial Statement, attached schedules, and mandatory
disclosures contain a complete disclosure of my income, expenses, assets, and debt as of the date of my
signature. I understand that if the information I have provided changes or needs to be updated before a
final decree or order is issued by the Court, that I have a duty to provide the correct or updated
information. I understand that this oath is made under penalty of perjury. I understand that if I have
omitted or misstated any material information, intentionally or not, the Court will have the power to enter
orders to address those matters, including the power to punish me for any statements made with the
intent to defraud or mislead the Court or the other party.

Date: ____________________________                     _____________________________________________
                                                       Signature of    Petitioner or   Co-Petitioner/Respondent



Subscribed and affirmed, or sworn to before me in the County of ______________________, State of
__________________, this ___________ day of _______________, 20______.


My Commission Expires: ___________________             _________________________________________________
                                                       Notary Public/Deputy Clerk




JDF 1111 R3/06 SWORN FINANCIAL STATEMENT – FORM 35.2                                      Page 7 of 6
                                                FORM 35.3
                                            Supporting Schedules

Case Name ______________________ and ______________________ Case Number: __________________


              Supporting Schedules for Assets in Section F, G, H, and I.
Attach this supporting schedule to JDF 1111 ONLY if you have assets in sections F & G, any
additional assets to report in section H, and/or separate property to report in section I. In
addition, report totals from this document to the appropriate sections on JDF 1111.
F. Stocks, Bonds, Mutual Funds,                P    C/R     J      # of        Account #            Current Value
Securities & Investment Accounts                                  Shares       (last 4-digits        as of Today
(Name of Item or Fund)                                                             only)




                                                                                 Total          $
G.    Pension,   Profit   Sharing,  or         P    C/R     J     Type of      Account #            Current Value
Retirement Funds (Defined Contribution                             Plan        (last 4-digits        as of Today
and/or Defined Benefit Plans)                                      (401K,         only, if
                                                                  IRA, 457,     applicable)
                                                                   PERA,
                                                                   Military,
                                                                    etc.)




                                                                                  Total         $
H. Miscellaneous Assets (Identify Type of      P    C/R     J                                   Estimated Value
Asset)                                                                                            as of Today




                                                                                    Total
I. Separate Property (Identify Type)           P    C/R     J                                   Estimated Value
                                                                                                  as of Today


JDF 1111SS   3/06   SUPPORTING SCHEUDLES FOR ASSETS – FORM 35.3
                                                                  Total   $




JDF 1111SS   3/06   SUPPORTING SCHEUDLES FOR ASSETS – FORM 35.3
                                            FORM 35.4
                           Pattern Interrogatories (Domestic Relations)

[Reference to C.R.C.P. 16.2, 26 and 33. These are not to be filed with the court,
except as may be ordered.]
                             Section 1. Instructions to All Parties

       (a) These are general instructions. For time limitations, requirements for
       service on other parties, and other details, see C.R.C.P. 16.2, 26, 33, 121 §1-12,
       and the cases construing those Rules.

       (b) These interrogatories do not change existing law relating to interrogatories
       nor do they affect an answering party's right to assert any privilege or objection.

                     Section 2. Instructions to the Asking Party

       (a) These interrogatories are designed for optional use in domestic relations
       cases only.

       (b)     Use care in choosing those interrogatories that are applicable to the case.

       (c) Subject to the limitations in C.R.C.P. Rules 16.2 and 33, additional
       interrogatories may be attached.

                   Section 3. Instructions to the Answering Party

       (a) An answer or other appropriate response must be given to each
       interrogatory. Parties are to answer these interrogatories with the understanding
       that they stand in a fiduciary relationship with each other.

       (b) As a general rule, within 30 days after you are served with these
       interrogatories, you must serve your responses on the asking party and serve
       copies of your responses on all other parties to the action who have appeared.
       See C.R.C.P. 33 for details.

       (c) Each answer must be as complete and straightforward as the information
       reasonably available to you permits. If an interrogatory cannot be answered
       completely, answer it to the extent possible.

       (d) If you do not have enough personal knowledge to fully answer an
       interrogatory, say so, but make a reasonable and good faith effort to get the
       information by asking other persons or organizations, unless the information is
       equally available to the asking party in which case state the identity, address and
       telephone number of the person in possession.

       (e) Whenever an interrogatory may be answered by referring to a document,
       the document may be attached as an exhibit to the response and referred to in
       the response. If the document has more than one page, refer to the page and
       section where the answer to the interrogatory can be found.




FORM 35.4    3/06 PATTERN INTERROGATORIES – DOMESTIC RELATIONS                         Page 1 of 5
       (f)  Whenever an address and telephone number for the same person are
       requested in more than one interrogatory, you are required to furnish them in
       answering only the first interrogatory asking for that information.

       (g) Your answers to these interrogatories must be verified, dated, and signed.
       You may wish to use the following form at the end of your answers:


I declare under penalty of perjury under the laws of the State of Colorado that the
foregoing answers are true and correct.

DATE __________________ SIGNATURE
_____________________________________

                                 Section 4. Definitions

       (a) You or your includes you, your agents, your employees, your insurance
       companies, their agents, their employees, your attorneys, your accountants, your
       investigators, and anyone else acting on your behalf.

       (b) Person includes a natural person, firm, association, organization,
       partnership, business, trust, corporation, or public entity.

       (c) Document means a writing, as defined in CRE 1001 and includes the
       original or a copy of handwriting, typewriting, printing, photostating,
       photographing, magnetic impulses, mechanical or electronic recording or other
       form of data compilation and every other means of recording upon any tangible
       thing and form of communicating or representation, including letters, words,
       pictures, sounds, or symbols, or combinations of them.

       (d) Address means the street address, including the city, state, and zip code.

                          Section 5. Pattern Interrogatories

       The following interrogatories have been approved by the Colorado Supreme
Court under C.R.C.P. 16.2 and 33.

1.     If you are employed by any business or enterprise, for each state:
       a.      Its name, address and telephone number;
       b.      Your position;
       c.      Your present gross monthly income;
       d.      Your compensation arrangement including a complete description of
               draws, incentives, bonuses, perquisites and any other method of
               compensation;
       e.      Your date of hire;
       f.      The names of all documents fixing your compensation terms (contract,
               corporate minutes, memoranda, policy manual, etc.)
       g.      If you have the use of company property, describe and explain your
               arrangement for use and payment;
       h.      Whether you have any outstanding bonuses, commissions, or any other
               payment, benefit or perquisite due to you, and if so, please describe and


FORM 35.4   3/06 PATTERN INTERROGATORIES – DOMESTIC RELATIONS                         Page 2 of 5
                state the amount and date due;
       i.       The date of your next compensation review;
       j.       The amount of compensation adjustment anticipated at your next
                compensation review.

2.     Other than your present place of employment, list in detail all other places of
       employment during your marriage. With regard to each, state the following:
       a.     The name, address and telephone number of your employer;
       b.     The inclusive dates of employment;
       c.     The type of work performed;
       d.     The gross annual income from such employment in each of the years
              during the marriage.
       e.     Any retirement benefits earned with that employer.

3.     State, in detail, your level of education, and all professional or vocational training
       which you have received, dates you attended each institution or received
       training, and the date any degrees or certificates of completion were acquired.
       State with particularity any additional professional, vocational or artistic skills for
       which you have received compensation or public recognition.

4.     If the expenses on your Affidavit with Respect to Financial Affairs include the
       support of any person other than yourself or your children, state the name of
       each person and the monthly expenses attributable to such person.

5.     If you have disposed of any property with a value of $1,000.00 or more, including
       without limitation, stocks, bonds, debentures or other items of a similar nature in
       the last 12 months, for each item state:
       a.      Description of the property;
       b.      The date acquired and tax basis;
       c.      The date you disposed of the property;
       d.      The amount received by you;
       e.      The fair market value of the security on the date disposed of;
       f.      What you did with the sale proceeds;
       g.      The amount that is still due and owing to you.

6.     If during the last three years you have sold or transferred any interest in real
       property, for each sale and/or transfer, state:
       a.      The address and description of the property;
       b.      The date of sale or transfer;
       c.      The method of transfer;
       d.      The name and address of each purchaser or person receiving title, and
               the interest received by such person;
       e.      The purchase price or consideration;
       f.      The amount of the purchase price that remains due and owing;
       g.      The amount of the proceeds of the transfer received by you;
       h.      The disposition of the proceeds;
       i.      The interest you presently have in such property.




FORM 35.4   3/06 PATTERN INTERROGATORIES – DOMESTIC RELATIONS                            Page 3 of 5
7.     If any person or entity holds any property for your benefit, including, but not
       limited to bank accounts, IRAs, Keoghs, stocks, securities or investments of any
       kind, for each state:
       a.      The name and address of each such person, firm or legal entity;
       b.      A description of the item held for your benefit;
       c.      The conditions under which the item is held for your benefit;
       d.      The fair market value of the property.

8.     If you are currently involved in any business or investment with others, for each
       set forth the particular details, including the following:
       a.      A description of the business or investment;
       b.      The name and address of the other parties involved;
       c.      The purpose;
       d.      Your contribution;
       e.      The tax basis of your contribution;
       f.      Your percentage of ownership;
       g.      The fair market value of your share;
       h.      Any agreement among the partners for ownership, management and
               sale.

9.     If you have received any gifts of money, non-taxable income or assets from any
       source other than through your business or employment of $1,000.00 or more in
       the last three years, set forth the following:
       a.      The amount of money or value of the asset received and date of receipt;
       b.      The name and address of the person or entity from whom the amount is
               received;
       c.      The consideration given by you or other reason for payment to you.

10.    If you are a beneficiary of the estate of any person, state:
       a.      The amount of the estate;
       b.      Whether the estate is being probated or administrated;
       c.      Whether distribution has been made to you from such estate;
       d.      The amount of money or property you have received from such estate;
       e.      The date(s) distribution was made; or if distribution has not been made,
               the date you anticipate receiving said distribution.

11.    If you are a beneficiary of any current or terminated trust, state:
       a.      The date of the creation of each trust;
       b.      The name and address of the trustee;
       c.      The amount of principal in the trust;
       d.      The amount of income and other distributions you receive each year from
               the trust;
       e.      The name and address of the grantor;
       f.      If the trust has been terminated, the date and circumstances of the
               termination.

12.    For any business operated by you alone or with others during the last three
       years, state the following:
       a.      The name and address of the business;
       b.      The form of the business organization;
       c.      The name and address of each officer and owner of the business;


FORM 35.4   3/06 PATTERN INTERROGATORIES – DOMESTIC RELATIONS                        Page 4 of 5
       d.       The date when you obtained your interest in the business;
       e.       Your capital contribution to the business;
       f.       Your ownership interest (by percentage and number of shares);
       g.       The date and amount of all outstanding loans to which you are a party;
       h.       The annual gross profits of the business since you have been engaged in
                the business;
       i.       All payments to or for you from the business, whether salary, bonus,
                dividend, commission, draw, advance, loan or payment of personal
                expenses from three years to date;
       j.       All expenses reimbursed to or paid for you by each business, including
                but not limited to, insurance, supplies, food, travel, transportation,
                education, entertainment, and business gifts from three years to date;
       k.       The fair market value of the business;
       l.       The current fair market value of your interest, and your explanation of
                how you calculated same;
       m.       Whether or not you intend to sell your interest;
       n.       The tax basis of your interest.

13.    If allocation of parental responsibilities (that is, decision-making and/or parenting
       time) is an issue:
       a.       State whether joint parental decision-making or sole parental decision-
                making is best for the child(ren) and why;
       b.       State which party should be designated primary residential care and why;
       c.       Outline a schedule of parenting time for each party, including a
                holiday/school break schedule and a summer schedule;
       d.       Outline the manner in which parental responsibilities have been shared
                with the other party, i.e., daily caretaking, participation in
                school/extracurricular events, financial support, choosing the child(ren)’s
                doctors and dentists, choosing school(s), etc.;
       e.       Describe any history of domestic violence, child abuse, or neglect
                (supporting documentation should be provided);
       f.       Describe any physical, psychological or addictive condition of either party
                which if untreated has a harmful effect on the best interest of the
                child(ren) and why;
       g.       Describe any special needs of any child (physical, psychological,
                educational, etc.);
       h.       Describe any history of counseling or therapy for either party or any child;
                include the names, addresses and telephone numbers of the person(s)
                providing same;
       i.       State whether regular contact with grandparents, extended family, and/or
                other significant adults is contrary to the best interests of the child(ren)
                and why;
       j.       Describe any extraordinary travel arrangements necessary for parenting
                time;
       k.       Describe current child support arrangements and state whether payments
                are current;
       l.       Describe the child care arrangements for the child(ren) for the last three
                years including the name, address and telephone number of each child
                care provider.




FORM 35.4   3/06 PATTERN INTERROGATORIES – DOMESTIC RELATIONS                          Page 5 of 5
                                  FORM 35.5.
                PATTERN REQUESTS FOR PRODUCTION OF DOCUMENTS
                            (DOMESTIC RELATIONS)

[Reference to C.R.C.P. 16.2, 26 and 34. These are not to be filed with the court,
except as may be ordered.]

                             Section 1. Instructions to All Parties

         (a) These are general instructions. For time limitations, requirements for
         service on other parties, and other details, see C.R.C.P. 16.2, 34, 121 § 1-12,
         and the cases construing those Rules.

         (b) These requests for production of documents do not change existing law
         relating to requests for production of documents nor do they affect an answering
         party's right to assert any privilege or objection.


                         Section 2. Instructions to the Asking Party

         (a) These requests for production of documents are designed for optional use
         in domestic relations cases only.

         (b) Use care in choosing only those requests for production of documents that
         are applicable to the case. Documents should not be requested that have been
         provided by disclosure or other means.

         (c) Subject to the limitations in C.R.C.P. Rules 16.2 and 34, additional requests
         for production of documents may be attached.

         (d)    Complete and accurate copies may replace originals.


                      Section 3. Instructions to the Answering Party

         (a) An answer or other appropriate response must be given to each request for
         production of documents. Parties are to provide documents in response to these
         requests for production of documents with the understanding that they stand in a
         fiduciary relationship with each other.

         (b) As a general rule, within 30 days after you are served with these requests
         for production of documents, you must serve your responses on the asking party
         and serve copies of your responses on all other parties to the action who have
         appeared. See C.R.C.P. 34 for details.

         (c) The response shall state with respect to each item or category that
         inspection and related activities will be permitted as requested, unless the
         request is objected to, in which event the reasons for the objection shall be
         stated. If an objection is made to part of an item or category, the part shall be
         specified and an inspection permitted of the remaining parts.



Form 35.5 3/06 Pattern Requests for Production of Documents (Domestic Relations)             1of 3
         (d) A party who produces documents for inspection shall produce them as they
         are kept in the usual course of business or shall organize and label them to
         correspond with the categories in the request.


                                         Section 4. Definitions

         (a) You or your includes you, your agents, your employees, your insurance
         companies, their agents, their employees, your attorneys, your accountants, your
         investigators, and anyone else acting on your behalf.

         (b) Person includes a natural person, firm, association, organization,
         partnership, business, trust, corporation, or public entity.

         (c) Document means a writing, as defined in CRE 1001 and includes the
         original or a copy of handwriting, typewriting, printing, photostating,
         photographing, magnetic impulses, mechanical or electronic recording or other
         form of data compilation and every other means of recording upon any tangible
         thing and form of communicating or representation, including letters, words,
         pictures, sounds, or symbols, or combinations of them.

         (d) Address means the street address, including the city, state, and zip code.


              Section 5. Pattern Request for Production of Documents

The following requests for production of documents have been approved by the
Colorado Supreme Court under C.R.C.P. 16.2, 26 and 34.

         1.        All balance sheets, and/or profit and loss statements for any business
                   entity in which you have more than a 10 percent equity interest, which
                   have been prepared in the last three years.

         2.        All passbooks, certificates of deposit, credit union deposits, money
                   market accounts, NOW accounts, mutual funds, and other evidence of
                   savings accounts in which you or the other party has an interest or
                   appear of record thereon, for the last three years.

         3.        All monthly bank statements, deposit slips, canceled checks, and check
                   registers of every checking or other money management account in which
                   you or the other party has an interest or appear of record thereon, for the
                   last three years.

         4.        Copies of all stock certificates, stock option plans, stock option
                   certificates, vesting schedules, or warrants owned or in which either party
                   has an interest, and copies of all documents establishing ownership
                   and/or defining ownership value for all investments, or any other
                   documents evidencing your interest in such stock, stock options, or
                   investments.



Form 35.5 3/06 Pattern Requests for Production of Documents (Domestic Relations)            2of 3
         5.        All brokerage account statements and documents concerning any and all
                   securities and investments owned by you or for your benefit during the
                   last three years.

         6.        All appraisals, market analyses, records of purchase and sale, deeds,
                   bills of sale, security agreements, promissory notes, and payment records
                   for any property, including but not limited to, real estate, business
                   interests or any kind of personal property either owned or sold within the
                   last three years by you or the other party.

         7.        All trust agreements in which you or the other party is or has been
                   grantor, trustee or beneficiary.

         8.        Monthly credit card and charge account statements for the last twenty-
                   four months, from any credit card company or charge account on which
                   you are a signator, either in a personal capacity or as an authorized
                   signatory for any business or person.

         9.        All documentation evidencing any separate interest you claim in any real
                   or personal property, including but not limited to gift and inheritance tax
                   returns filed concerning such property.




Form 35.5 3/06 Pattern Requests for Production of Documents (Domestic Relations)           3of 3
   District Court Denver Juvenile Court
 ___________________________ County, Colorado
 Court Address:


 In re:
    The Marriage of:
    Parental Responsibilities concerning:
 ______________________________________________________
 Petitioner:
 and
 Co-Petitioner/Respondent:                                                                COURT USE ONLY

 Attorney or Party Without Attorney (Name and Address):                          Case Number:


 Phone Number:                E-mail:
 FAX Number:                  Atty. Reg. #:            Division     Courtroom
           CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES
I, the Petitioner Co-Petitioner/Respondent (check one) hereby certify that I have sent the other party the following
Mandatory Disclosures as required by C.R.C.P. 16.2(e)(7).
See JDF 1125: Mandatory Disclosure – Form 35.1 for explanation on what is required by the disclosures being
listed. Check those that you have furnished to the other party. (Note: Only the Sworn Financial Statement and
Child Support Worksheet should be filed with the Court.)
    Financial Affidavit                                                    Retirement Plans
    Income Tax Returns (most recent 3 years)                               Bank/Financial Institution Accounts
    Personal Financial Statements (last 3 years)                           Income Documentation (Pay Stubs, etc.)
    Business Financial Statements (last 3 years)                           Employment and Education – Related child
    Real Estate Documents (Appraisal, Title, etc.)                          Care Documentation
    Personal Debt (Loans, Title, Credit Card Statements, etc.)             Insurance Documentation
    Investments                                                            Extraordinary Children’s Expense
    Employment Benefits                                                    Documentation
If I have not provided information, it is because:
_______________________________________________________________________________________________
_______________________________________________________________________________________________

I hereby certify that, to the best of my knowledge, information, and belief, the disclosures I have made are
complete and correct as of this date.

__________________________________________                   ________________________________________________
Petitioner Signature                Date                     Co-Petitioner/Respondent Signature           Date

__________________________________________                   ________________________________________________
Petitioner’s Attorney Signature, if any Date                 Co-Petitioner/Respondent’s Attorney Signature, if any Date


                                             CERTIFICATE OF SERVICE
I certify that on _______________________ (date) an original was filed with the Court; and, a true and accurate copy of the
CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES was served on the other party by:
   Hand Delivery, E-Filed, Faxed to this number ____________________, or by placing it in the United States mail,
postage pre-paid, and addressed to the following:
To: ___________________________________
   ___________________________________
   ___________________________________
                                                                      (Your signature)


JDF 1104   R3/06   CERTIFICATE OF COMPLIANCE WITH MANDATORY FINANCIAL DISCLOSURES

								
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