Form 7. Uniform Family Law Interrogatories
Arizona Revised Statutes AnnotatedRules of Family Law Procedure
17B A.R.S. Rules Fam.Law Proc., Form 7
Form 7. Uniform Family Law Interrogatories
UNIFORM FAMILY LAW INTERROGATORIES
BACKGROUND AND PERSONAL HISTORY
State your full name, current residence, telephone number, social security number, and date of birth; any names by which you have been known in the past; and, for any other person residing in your household, the full name, current residence, telephone number, social security number, date of birth, and any names by which that person has been known in the past.
Please provide the extent of your education, course of study, degrees obtained, and when obtained.
Are you or have you ever been a participant in a retirement plan (such as a pension, deferred compensation, profit-sharing, stock, investment, thrift savings, 401(k), OR military retirement plan), hereinafter referred to as “plan,” or are you receiving or have you ever received disability pay? (Y/N) ___. If yes:
Do you have health insurance available through your present employer? (Y/N) ___. Are you and any of your dependents currently enrolled? (Y/N) ___. If yes, indicate what conversion benefits are available to your spouse at the time of the dissolution of marriage, and indicate the persons presently covered and the cost for dependent coverage, if any.
Do you have any sources of income other than as described in Interrogatory No. 3? (Y/N) ___. If yes, state each source of income and the amount received from each source in this year and in each of the last 3 calendar years. Attach a copy of each document showing each additional source of income.
Do you presently own or have an interest in any life insurance or annuity policy? (Y/N) ___. If yes, for each policy, state:
In the past calendar year have you received, or do you expect to receive, any employment related benefits, such as a vehicle or vehicle allowance, stock options, pension or profit-sharing payments, vacation pay or expense account payments or reimbursements? (Y/N) ___. If yes, specify the benefits you received or expect to receive.
Have you or has any person residing in your household ever been investigated by any agency in any state for any reason related to abuse or neglect of children? (Y/N) ___. If yes, state:
Do you have any mental or physical limitations that would affect your ability to care for your minor child(ren)? (Y/N) ___. If yes, identify the limitations in detail.
Have you ever been the subject of disciplinary complaints at any place of employment? If yes, provide explanation and details.
Have you or has any person residing in your household ever been investigated or arrested for any criminal behavior? (Y/N) ___. If yes, state:
b. Have you, your spouse, or any person residing in your household been subject to an order of any court of this state or any other state in the United States which limits or prohibits conduct or actions because of violence or physical abuse? (Y/N) ___. If yes, provide details regarding the order, including specific dates, names of the person subject to such order, other person(s) involved and any conditions, limitations or prohibitions contained in the order.
c. Have there ever been allegations of child abuse, neglect, abandonment or incorrigibility filed against you, your spouse, or any person residing in your household through the Department of Child Safety or a similar agency, by any law enforcement agency, or by any juvenile courts in any state of the United States? (Y/N) __________. If yes, provide details regarding the nature and disposition of said allegations or investigations, including specific dates, names of investigators and other person(s) involved.
Please complete the attached Real Estate Chart for each piece of real estate in which you have an interest.
Do you own any property that you believe is your sole and separate property? (Y/N) ___. If yes:
Within the last 3 years, have you had access to any safe deposit box, safe or vault or other place of safekeeping (hereinafter “depository”)?(Y/N) ___. If yes, for each depository, state:
During the last 3 years have either you or your spouse suffered an injury for which you believe you may receive compensation or have you been a party to any lawsuit? (Y/N) ___. If yes, give details below.
Did you file federal and state income tax returns for the last 5 tax years? (Y/N) ___. If yes, as to each tax year state:
Has any financial statement, loan application, and/or credit application been prepared for you or by you or for any business entity listed in your answer to Interrogatory No. 20 within the past 3 years? (Y/N) ___. If yes, state:
State the terms and conditions of the employment of your attorney in this case, including the hourly rate or other basis for fees. Give full details of any agreement or understanding between you and your attorney in this case concerning fees and expenses, including information and specific amounts of any payments made to your attorney, the method of payment(s) and the source of the payment(s) in connection with this case. Attach the retainer agreement memorializing the employment of your attorney.
c. Have you employed or do you intend to employ any expert witness for purposes of supporting any of your allegations in this litigation and/or for purposes of testifying at the trial of this action? (Y/N) ___. If yes, unless already disclosed pursuant to Rule 49 or 91 of these rules, state or provide for each such expert:
a. If there are minor children common to the parties, complete an Affidavit of Financial Information and a Proposed Child Support Worksheet and/or if either party is asking for spousal maintenance, attorneys' fees or costs, or for temporary orders to exclude a party from a residence, to divide community property or to order payment of debt, expenses or attorneys' fees, complete an Affidavit of Financial Information .
REAL ESTATE CHART |
Please complete the following real estate chart for each parcel of real property in which you or your spouse claims an interest: |
Property No. 1 (address) |
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Legal Description |
Type of Property |
Date Acquired |
Purchase Price |
Down Payment |
Original Loan Amount |
Present Payoff |
Additional Liens or loans |
Date incurred | |
Original amount | |
Current Balance | |
Purpose of loan |
How title is held |
Your opinion of current Market Value |
Property No. 2 (address) |
---|
Legal Description |
Type of Property |
Date Acquired |
Purchase Price |
Down Payment |
Original Loan Amount |
Present Payoff |
Additional Liens or loans |
Date incurred | |
Original amount | |
Current Balance | |
Purpose of loan |
How title is held |
Your opinion of current Market Value |
Property No. 3 (address) |
---|
Legal Description |
Type of Property |
Date Acquired |
Purchase Price |
Down Payment |
Original Loan Amount |
Present Payoff |
Additional Liens or loans |
Date incurred | |
Original amount | |
Current Balance | |
Purpose of loan |
How title is held |
Your opinion of current Market Value |
Property No. 4 (address) |
---|
Legal Description |
Type of Property |
Date Acquired |
Purchase Price |
Down Payment |
Original Loan Amount |
Present Payoff |
Additional Liens or loans |
Date incurred | |
Original amount | |
Current Balance | |
Purpose of loan |
How title is held |
Your opinion of current Market Value |
FINANCIAL INSTITUTION ACCOUNT CHART |
Financial institution Name & Address | Account No./Name(s) in which account is held | Date opened | Who can sign on account | Balance as of most recent statement |
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SECURITIES CHART |
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Describe Security | Date Acquired | Purchase Price | Present Value |
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LIST OF PERSONAL PROPERTY |
List all items of personal property, including vehicles, and the current fair market value for each. |
Item | Current Value |
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Credits
Added Oct. 19, 2005, effective Jan. 1, 2006. Amended Sept. 5, 2007, effective Jan. 1, 2008; Sept. 3, 2009, effective Jan. 1, 2010; Sept. 2, 2014, effective on an expedited basis, Sept. 1, 2014; Sept. 2, 2014, effective Jan. 1, 2015. Amended and effective on a permanent basis, Dec. 16, 2014. Amended Sept. 2, 2016, effective Jan. 1, 2017.
17B A. R. S. Rules Fam. Law Proc., Form 7, AZ ST RFLP Form 7
State Court Rules are current with amendments received and effective through September 15, 2023. The Code of Judicial Administration is current with amendments received through September 15, 2023.
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