Appendix A Rule 11 information
Baldwin's Kentucky Revised Statutes Annotated20th Judicial Circuit - Greenup and Lewis Circuit Court
KY RCLC App. A
Appendix A Rule 11 information
RULE 11 INFORMATION
PROPERTY SCHEDULE |
I. | MARITAL PROPERTY: |
A. | Real Estate: | Value | Lien | Equity | |
$ | $ | $ | |||
B. | Personal Property: | Value | Lien | Equity | |
$ | $ | $ | |||
$ | $ | $ | |||
$ | $ | $ | |||
C. | Other Marital Debts: (Not including those listed above) |
______________________________ | $ | |||
______________________________ | $ | |||
______________________________ | $ | |||
II. | PETITIONER'S NON-MARITAL PROPERTY: |
A. | Real Estate: | Value | Lien | Equity | |
$ | $ | $ | |||
B. | Personal Property: | Value | Lien | Equity | |
$ | $ | $ | |||
$ | $ | $ | |||
$ | $ | $ | |||
Basis for designation as non-marital property: | ||
C. | Other Non-Marital Debts: |
______________________________ | $ | |||
______________________________ | $ | |||
______________________________ | $ | |||
III. | RESPONDENT'S NON-MARITAL PROPERTY: |
A. | Real Estate: | Value | Lien | Equity | |
$ | $ | $ | |||
B. | Personal Property: | Value | Lien | Equity | |
$ | $ | $ | |||
$ | $ | $ | |||
$ | $ | $ | |||
Basis for designation as non-marital property: | ||
C. | Other Non-Marital Debts: |
______________________________ | $ | |||
______________________________ | $ | |||
______________________________ | $ | |||
FINANCIAL SCHEDULE |
A. | EMPLOYMENT STATUS: |
1. | EMPLOYER: |
Income (as shown by attached wage statements) | $____________ | |||
Deductions: |
Federal Withholding | $_______________ | ||||
State Withholding | $_______________ | ||||
Medical Withholding and Social Security | $_______________ |
TOTAL DEDUCTIONS | $_______________ |
NET INCOME | $____________ | ||||||
2. | Other Income: | $_________________________ |
Source | |||
B. | ADJUSTED GROSS INCOME FOR LAST FIVE (5) YEARS: |
(Copies of U.S. Tax Returns for last three (3) years attached hereto) | |
19___ | $_________________________ | |||
19___ | $_________________________ | |||
19___ | $_________________________ | |||
19___ | $_________________________ | |||
19___ | $_________________________ | |||
C. | MONTHLY EXPENSES |
1. | Actual Expenses: | ||
$ | |||
$ | |||
$ | |||
Total Actual Expenses: | $ | |||
2. | Anticipated Additional Expenses after Dissolution: |
$ | |||
$ | |||
$ | |||
D. | OTHER INFORMATION: |
ATTORNEY FOR PETITIONER/RESPONDENT | |
STATE OF KENTUCKY) |
SCT: |
COUNTY OF GREENUP) | |
Comes the Petitioner/Respondent and states that he/she has read the foregoing Property Schedule and Financial Schedule and that the information set forth therein is true. |
PETITIONER/RESPONDENT | |
Subscribed and sworn to before me by _________________________ this _____ day of _______________, _____. |
NOTARY PUBLIC, STATE AT LARGE | |
My Commission expires . |
Greenup and Lewis Circuit Court App. A, KY R GREENUP LEWIS CIR CT App. A
Current with amendments received through November 15, 2023. Some rules may be more current, see credits for details.
| End of Document |