The protected. packet does. NOTE: This. more information. write clearly. Monthly Budget. Blocked Account. monthly total from.
|
|
- Chester Fields
- 5 years ago
- Views:
Transcription
1 Many family law matters involve complex and valuable legal rights which cannot adequately be protected without the assistance of an attorney. The information provided is basic, general information that does not fit all situations. It is the duty of each self- represented individual to know what rules of court and law apply. For moree information onn the law, these forms, and free classes, visit or the Family Law Self Help Center at 601 N. Pecos Road. This Packet is For: Guardians over the estatee or person/estate; AND The protected person s funds were placed into a blocked account (check the Order Appointing Guardian if you are unsure about this); AND The guardian needs permission to access the blocked account to pay the protected person s regular monthly expenses. NOTE: This packet does not apply to request funds to pay for one-time or rare expenses. There is a separate packet available at the Self Help Center for those kinds of requests. The Protected Person, their Attorney, and the Relatives Have to Be Notified: After you file the papers, you will have to send a copy to the protected person, their attorney, and the same relatives who were served with the original guardianship papers. See Step 3 for more information. All Self Help forms are in a checkbox/fill in the blank format. Use black ink and write clearly. Fill out the following: Monthly Budget This forms details the protected person s income and expenses every month. Petition to Approve Monthly Budget and Order Monthly Release of Funds from Blocked Account This form asks for a total amount of funds to be accessed every month from a specific account to pay the protected person ss monthly expenses. The guardian must request a monthly total amount to be released and identify the account that the funds should come from. Notice of Hearing This form sets a court date for your request. Leave the hearing date lines on the first page blank. The Clerk of Court will fill in a hearing date when you file the petition. In person: Bring the documents to the courthouse. You u will file them with the Clerk of Court. All documents are electronically filed and will bee ed to you after processing. You must provide a valid address when filing. Online: You can upload your documents at da.tylerhost.net/ofsweb/. You must register for an account, provide an address,, and you must be able to scan and upload your documents. There is a $ 3.50 fee to e-file your documents.
2 Make Copies: Make copies of the petition and the notice of hearing. Make enough copies to serve on everyone listed below. Mail the Budget, Petition, and Notice of Hearing to all necessary people: WARNING!! If you do not mail your documents to all of the required people, your case may be delayed. What to Serve: A copy of the filed Budget, Petition and Notice of Hearing. Who to Serve: The protected person; The protected person s attorney; All of the relatives who are entitled to notice of the guardianship proceedings (usually the same people who were served with the original guardianship papers). How To Serve: The documents must be sent by regular mail. This form tells the Court when, where, and to whom you mailed the documents. Fill out the Certificate of Mailing and file it after mailing the papers to all of the required people. WARNING!! If you do not do this, the judge may cancel your hearing. Before the Hearing: Make sure you have filed the Certificate of Mailing showing who was served with your petition and when. Arrive at least 20 minutes early to allow enough time to park, get through security, and find the courtroom. The protected person, their attorney, and any relatives can attend the hearing. They will be able to object to what you are asking for if they wish. After the Hearing: Prepare and Submit the Order: The judge may tell you to prepare a written order from the hearing. If so, this packet includes the order the judge will require. Fill out the order (except for the judge s signature) and submit it to the judge for approval. You may want to bring the order with you to your hearing in case the judge is willing to sign it right away. Complete and File the Notice of Entry of Order: You must mail a copy of the signed order to all of the same people who were served with your petition. Attach a copy of the signed order to the Notice of Entry of Order and include the names and addresses of all of the same people you served with your petition. File the Notice of Entry of Order at the court, and mail a copy of it to all of the required people. Provide the Order to the Financial Institution: Provide a copy of the order to the financial institution that is to release the monthly funds so they can make arrangements for the monthly payments.
3 BUDG Your Name: Address: City, State, Zip: Phone: Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA In the Matter of the Guardianship of the: of: Estate Person and Estate CASE NO.: DEPT: (name of person who needs a guardian) A Proposed Protected Person. MONTHLY BUDGET The Proposed Guardian(s) submit the following monthly budget for the proposed protected person. Protected Person s Monthly Income (write 0 for any income the person does not have) Wages from Employment (before taxes) $ Unemployment Benefits $ Social Security $ Veteran s Affairs $ Retirement / Pension $ Interest / Dividends $ Rental Income $ Mandatory Trust Distributions $ Discretionary Trust Distributions $ Other: $ TOTAL MONTHLY INCOME $ 2017 Family Law Self-Help Center Monthly Budget Page 1 of 4
4 Housing Monthly Expenses (write 0 for any expense the person does not have) Rent / Mortgage $ Facility (room and board, patient liability) $ Homeowner s/rental Insurance $ Property Taxes $ Home Maintenance (yard, pool, housecleaning, etc.) $ HOA Dues $ Utilities (electricity, gas, phone, sewer/water, other utilities) $ Transportation Is the Protected Person Able to Drive? Yes No If no, who is the primary driver? Car Payment $ Insurance $ Gas $ Maintenance $ Public Transportation $ Groceries $ Dining Out $ Personal Hygiene (toiletries, haircuts, etc.) $ Household Supplies $ Medical Expenses (including health insurance) $ Dental Expenses $ Caregiving Services $ Travel / Entertainment $ Gifts $ Charitable Giving $ Taxes $ Accountant Fees $ Child Support / Alimony paid $ 2017 Family Law Self-Help Center Monthly Budget Page 2 of 4
5 *Guardian / Attorney Fees (see worksheet below) $ Other: $ TOTAL MONTHLY EXPENSES $ Projected Monthly Guardianship Fees Hourly Rate Estimated Hours Per Month Monthly Expense Guardian s Fees: $ X = $ Attorney s Fees $ X = $ TOTAL MONTHLY GUARDIANSHIP EXPENSES $ TOTALS TOTAL MONTHLY INCOME $ TOTAL MONTHLY EXPENSES - $ DIFFERENCE (income expenses) = $ * *If this is a positive (+) number, sign and date page 4.* *If this is a negative (-) number, complete all of the following sections.* 1. If the monthly income is not enough to cover the monthly expenses, explain how long the shortfall can be maintained in relation to the protected person s life expectancy: 2017 Family Law Self-Help Center Monthly Budget Page 3 of 4
6 2. Will assets need to be sold or liquidated to pay the proposed protected person s monthly expenses? Yes No (if no, skip to the bottom for the date and signature) If yes, list the assets that may need to be sold or liquidated to pay the monthly expenses: (COURT APPROVAL IS NEEDED TO SELL OR LIQUIDATE ANY ASSETS): Asset Description $ $ $ $ TOTAL VALUE $ Value 3. If these assets are sold / liquidated, how long will they cover the monthly budget expenses? (number) Years Months 4. Is the proposed protected person expected to live longer than it will take for the assets to be used up? Yes No The foregoing monthly budget represents a true and accurate representation of the proposed protected person s ongoing monthly sources of income and monthly expenses. DATED (month) (day), 20. (First Proposed Guardian s Signature) (Second Proposed Guardian s Signature) (Printed Name) (Printed Name) 2017 Family Law Self-Help Center Monthly Budget Page 4 of 4
7 PET Your Name: Address: City, State, Zip: Phone: Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA In the Matter of the Guardianship of the: Estate Person and Estate of: (name of person who has a guardian) A Protected Person. CASE NO.: DEPT: PETITION TO APPROVE MONTHLY BUDGET AND ORDER MONTHLY RELEASE OF FUNDS FROM BLOCKED ACCOUNT Guardian(s) (name of first guardian) _ and (name of second guardian or n/a ) respectfully represent to the Court as follows: 1. This Court appointed Petitioner(s) as Guardian(s) of the above named protected person(s) and issued Letters of Guardianship, which are still in full effect. 2. The Guardian(s) filed an Inventory, Appraisal, and Record of Value on (month) (day), 20. The total value of the estate as determined by the Inventory is (estate value) $. 3. The Guardian(s) filed a Monthly Budget on (month) (day), 20. The protected person s monthly expenses according to the Budget is (monthly expenses) $ Family Court Self-Help Center Petition to Approve Budget/Release Funds Page 1 of 3
8 4. The Guardian is obligated to apply the estate of the protected person for the proper care and maintenance of the protected person. The Court ordered the protected person s accounts to be blocked, therefore, the Guardian(s) cannot access the protected person s funds to pay the monthly expenses. 5. Guardian(s) request the Court authorize a monthly release of funds to pay the protected person s monthly expenses. Funds are requested from (name of financial institution where the blocked account is held) from Blocked Account No. (last 4 digits of account number). The current balance in the account is (current balance) $. 6. Guardian(s) request (monthly amount) $ per month from this account to pay the protected person s monthly expenses. Funds should be made payable to (name) and should be released on the (day) of every month. Based on the above, Guardian(s) request this Court approve the monthly budget and authorize the monthly release of funds from the blocked account described above so that Guardian(s) may provide for the proper care and maintenance of the protected person. Date: _ Date: _ (First Guardian s signature) (First Guardian s printed name) (Second Guardian s signature) (Second Guardian s printed name) 2017 Family Court Self-Help Center Petition to Approve Budget/Release Funds Page 2 of 3
9 VERIFICATION OF FIRST GUARDIAN I, (name of first guardian) declare that I am the petitioner in the within action; that I have read the foregoing Petition to Approve Budget and Order Monthly Release of Funds From Blocked Account and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. FIRST GUARDIAN VERIFICATION OF SECOND GUARDIAN I, (name of second guardian) declare that I am the petitioner in the within action; that I have read the foregoing Petition to Approve Budget and Order Monthly Release of Funds From Blocked Account and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. SECOND GUARDIAN 2017 Family Court Self-Help Center Petition to Approve Budget/Release Funds Page 3 of 3
10 NOH Your Name: Address: City, State, Zip: Phone: Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA In the Matter of the Guardianship of the: Estate Person and Estate of: CASE NO.: DEPT: (name of person who has a guardian) A Protected Person. NOTICE OF HEARING PLEASE TAKE NOTICE that (guardian s name) _ and (second guardian s name or n/a ), as Guardian(s) of the above-named protected person, filed in the above-entitled Court a Petition to Approve Budget and Order Monthly Release of Funds from Blocked Account; that a hearing on these matters has been set for the day of, 20, at a.m. / p.m., in Courtroom located at: The Family Courts and Services Center, 601 N. Pecos Road Las Vegas, Nevada The Regional Justice Center, 200 Lewis Avenue Las Vegas, Nevada Further details concerning these matters can be obtained by reviewing the documents on file at the office of the Clerk of Court. You may appear at the hearing date above. DATED this (day) day of (month), 20. (your signature) (print your name) _ 2017 Family Court Self-Help Center Notice of Hearing (Budget)
11 CERT Your Name: Address: City, State, Zip: Phone: Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA In the Matter of the Guardianship of the: Estate Person and Estate of: (name of person who has a guardian) A Protected Person. CASE NO.: DEPT: CERTIFICATE OF MAILING (BUDGET) I HEREBY CERTIFY that I served the ( check all that apply) Petition to Approve Monthly Budget and Order Release of Funds from Blocked Account Monthly Budget Notice of Hearing Other: on (month you mailed the forms) (day), 20, by depositing a copy of the same in the U.S. Mail, postage prepaid, ( check one) Regular, Certified or Registered, return receipt requested, addressed to: Protected Person: Name: Protected Person s Attorney: Name: 2017 Family Court Self-Help Center Certificate of Mailing (Budget) Page 1 of 2
12 Relatives / Required Notices: Name: Name: Name: Name: Name: Name: Name: Name: Name: Name: DATED (month) (day), 20. (Signature) (Printed Name) 2017 Family Court Self-Help Center Certificate of Mailing (Budget) Page 2 of 2
13 ORDG Your Name: Address: City, State, Zip: Phone: Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA In the Matter of the Guardianship of: (name of person who has a guardian) A Protected Person. CASE NO.: DEPT: ORDER GRANTING PETITION TO APPROVE BUDGET AND ORDER MONTHLY RELEASE OF FUNDS FROM BLOCKED ACCOUNT TEMPORARY GUARDIANSHIP GENERAL GUARDIANSHIP Person Person Estate Estate Summary Admin. Person and Estate Person and Estate SPECIAL GUARDIANSHIP NOTICES/SAFEGUARDS Person Blocked Account Required Estate Summary Admin. Bond Required Person and Estate It appearing to the satisfaction of the Court that a Notice of Hearing Regarding Petition to Approve Monthly Budget and Order Monthly Release of Funds From Blocked Account was issued setting the matter on the court calendar for hearing, and it appearing this matter having been heard by this Court on the date and time listed, and it appearing to the satisfaction of the Court that proper notice of hearing of this matter has been duly given in the manner required by law, that all allegations contained in the petition are true and correct, and good cause appearing therefore: 2017 Family Court Self-Help Center Order (Budget/Release of Funds) Page 1
14 IT IS HEREBY ORDERED that the Petition to Approve Monthly Budget and Order Monthly Release of Funds From Blocked Account is granted; IT IS HEREBY ORDERED that (name of financial institution where the blocked account is held) shall release funds on a monthly basis in the amount of $ per month from Blocked Account No. (last 4 digits of account number) payable to. Said release of funds shall occur on the (date) of each month until further order of this Court or the guardianship terminates. IT IS HEREBY ORDERED that the guardian may open an unblocked account for the purpose of receiving funds from the blocked account in order to pay budget expenses on behalf of the protected person. Dated this day of, 20. Submitted by: DISTRICT COURT JUDGE (Signature) (Printed Name) 2017 Family Court Self-Help Center Order (Budget/Release of Funds) Page 2
15 NEO Your Name: Address: City, State, Zip: Phone: Self-Represented DISTRICT COURT CLARK COUNTY, NEVADA In the Matter of the Guardianship of the: Estate Person and Estate of: (name of person who has a guardian) A Protected Person. CASE NO.: DEPT: NOTICE OF ENTRY OF ORDER GRANTING PETITION TO APPROVE BUDGET AND ORDER MONTHLY RELEASE OF FUNDS FROM BLOCKED ACCOUNT TO: The persons listed on the following page: PLEASE TAKE NOTICE than an ORDER was entered in the above-entitled case on (date Order was filed), 20. A true and accurate copy is attached. DATED (month) (day), 20. (Signature) (Printed Name) 2017 Family Law Self-Help Center Notice of Entry of Order (Budget) 1
16 CERTIFICATE OF MAILING I certify that I deposited copies of the Notice of Entry of Order in the U.S. mail in Las Vegas, Nevada, addressed to the persons listed below on (month you mailed the forms) (day), 20. Protected Person: Name: Protected Person s Attorney: Name: Relatives / Required Notices: Name: Name: Name: Name: Name: Name: Name: Name: Name: Name: (Signature) (Printed Name) Page 2 of 2 Notice of Entry of Order
DATE OF APPOINTMENT (MM/DD/YYYY) INVENTORY VALUES AS OF DATE (MM/DD/YYYY) FILING DUE DATE (MM/DD/YYYY)
District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Protected Person Attorney or Party Without Attorney (Name and Address): Case Number: COURT USE ONLY Phone Number:
More informationEIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA ) Case No. Plaintiff,
vs. EIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA Case No. Plaintiff, Dept. No. Defendant. GENERAL FINANCIAL DISCLOSURE FORM The judge uses this form to understand the financial position of the Plaintiff
More informationMotion for Modification of Child Support Order
Petitioner vs Respondent Case Number Motion for Modification of Child Support Order Failure to provide the Petitioner s, Respondent s, and Attorney s complete information WILL delay the filing of this
More informationDECLARATION AND SCHEDULE OF ARREARAGES
Do Not File Or Copy This Page DECLARATION AND SCHEDULE OF ARREARAGES (FOR CHILD SUPPORT, SPOUSAL SUPPORT, OR ALIMONY) F-7 Self Help Center 1 South Sierra St., First Floor Reno, NV 89501 775-325-6731 www.washoecourts.com
More informationANNUAL REPORT OF GUARDIAN OF THE ESTATE
Form G-02. Guardian of Estate COURT OF COMMON PLEAS OF ORPHANS COURT DIVISION COUNTY ANNUAL REPORT OF GUARDIAN OF THE ESTATE ESTATE/GUARDIANSHIP OF An Incapacitated Person DOCKET NO. DATE OF DECREE: DUE
More information1. Your Annual Account as Conservator of the person is due each year on the anniversary date of your appointment. Idaho Code Section
INSTRUCTIONS FOR FILING ANNUAL ACCOUNTING 1. Your Annual Account as Conservator of the person is due each year on the anniversary date of your appointment. Idaho Code Section 15-5-419. 2. Your Annual Account
More informationSUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER
SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER www.occourts.org/self-help DISSOLUTION, LEGAL SEPARATION OR NULLITY OF MARRIAGE STEP 3: DECLARATION OF DISCLOSURE All documents must be typed
More informationBell County Justice of The Peace, Precinct 2 Judge Don Engleking
This section to be filled out by Court Personnel AFFIDAVIT OF INDIGENCE No/s. list cause numbers State of Texas In the Justice Court vs. Precinct 2 DEFENDANTS NAME Bell County Offense/s: offense as listed
More informationFAX Number: Atty. Reg. #: PATTERN INTERROGATORIES UNDER C.R.C.P. 369(g) - INDIVIDUAL
County Court County, Colorado Court Address: Plaintiff(s)/Petitioner(s): v. Defendant(s)/Respondent(s): Attorney or Party Without Attorney (Name and Address): Case Number: COURT USE ONLY Phone Number:
More informationAPPLICATION FOR COMPROMISE FAMILY REUNIFICATION
STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY APPLICATION FOR COMPROMISE FAMILY REUNIFICATION DEPARTMENT OF CHILD SUPPORT SERVICES PART I: INFORMATION ABOUT THE OBLIGOR PARENT AND CHILD 1. NAME
More informationINSTRUCTIONS FOR FLORIDA FAMILY LAW RULE OF PROCEDURE FORM (c), FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM)(09/12) Instructions
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULE OF PROCEDURE FORM 12.902(c), FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM)(09/12) Instructions YOU DO NOT NEED TO FILL OUT THIS FORM IF YOU WORK WITH DIVORCE AND MEDIATION
More informationApplication for Waiver of Court Fees
Application for Waiver of Court Fees If you claim you are not financially able to pay filing fees and cost, you may apply to the Court for Waiver of those fees. To seek waiver of fees, you must complete
More informationSUPERIOR COURT OF ARIZONA MOHAVE COUNTY
FOR CLERK S USE ONLY Name of Person Filing: Mailing Address: City, State, Zip Code: Daytime Phone Number: Evening Phone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): Representing:
More informationSOCIAL SECURITY ADMINISTRATION
SOCIAL SECURITY ADMINISTRATION Form Approved OMB. 0960-0037 Request For Waiver Of Overpayment Recovery Or Change In Repayment Rate FOR SSA USE ONLY ROAR Input Yes We will use your answers on this form
More informationFOR THE TAX YEAR 20 COMPLIMENTARY TAX ORGANIZER FOR PERSONAL PREPARE TODAY TO SAVE TOMORROW www.nevadalegalforms.com PLEASE PROVIDE A COPY OF YOUR PRIOR YEARS FEDERAL AND STATE RETURN IF WE DID NOT PREPARE
More informationCHECKLIST OF FORMS TO BE COMPLETED
Fairfield County Court of Common Pleas Domestic Relations Division CONTEMPT CHECKLIST OF FORMS TO BE COMPLETED Forms to be completed by the requesting party, unless otherwise specified: 1. Motion and Affidavit
More informationIN THE SUPREME COURT OF FLORIDA IN RE: AMENDMENTS TO THE FLORIDA FAMILY LAW RULES OF PROCEDURE, CASE NO. SC
The Florida Supreme Court adopted amendments to the Florida Family Law Rules proposed by the Florida Bar s Family Law Rules Committee (committee) to implement 2008 legislative changes to equitable distribution.
More informationArbitration Claim INSTRUCTIONS TO CLAIMANT INSTRUCTIONS TO RESPONDENT
For MAA use only: Arbitration Claim Date received: INSTRUCTIONS TO CLAIMANT Case No. To initiate MAA arbitration, please do the following: Complete this Arbitration Claim form, including the Verification
More information4A-122. Interim monthly income and expenses statement.
4A-122. Interim monthly income and expenses statement. [For use with Rule 1-122 NMRA in the District Court] STATE OF NEW MEXICO COUNTY OF JUDICIAL DISTRICT, Petitioner, v. No., Respondent. INTERIM MONTHLY
More informationLIFELINE DISCOUNT PROGRAM APPLICATION
LIFELINE DISCOUNT PROGRAM APPLICATION THINGS TO KNOW You must be a current AT&T Internet customer. If you are not currently an AT&T Internet customer on a plan with speeds of at least 15MB download and
More informationFAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM)
IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division: and, Petitioner,, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) (Under $50,000 Individual Gross Annual
More informationCase No.: Division:, Petitioner,, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) (Under $50,000 Individual Gross Annual Income)
IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA Case No.: Division: and, Petitioner,, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) (Under $50,000 Individual Gross Annual
More informationMONTANA CHILD SUPPORT GUIDELINES FINANCIAL AFFIDAVIT
MONTANA CHILD SUPPORT GUIDELINES FINANCIAL AFFIDAVIT INSTRUCTIONS FOR COMPLETING THIS FORM: It must be signed and notarized. Provide complete information, attaching additional pages if needed. If a question
More informationANNUAL REPORT OF GUARDIAN
ANNUAL REPORT OF GUARDIAN COURT OF STATE OF NEW YORK COUNTY OF -------------------------------------------------------------------------------------- In the Matter of the Annual Report of, As Guardian
More informationUNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA
UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA INSTRUCTIONS AND FORMS FOR REQUESTING AN ORDER TO PAY BANKRUPTCY CASE FILING FEE IN INSTALLMENTS OR FOR FEE WAIVER: (1) Application for Individuals
More informationLIFELINE DISCOUNT PROGRAM APPLICATION
LIFELINE DISCOUNT PROGRAM APPLICATION THINGS TO KNOW You must be a current AT&T Internet customer. If you are not currently an AT&T Internet customer on a plan with a speed of 12MB or greater at an eligible
More informationLIFELINE DISCOUNT PROGRAM APPLICATION
LIFELINE DISCOUNT PROGRAM APPLICATION THINGS TO KNOW You must be a current AT&T Telephone customer. If you are not currently an AT&T Telephone customer, please do NOT complete this form. To establish service
More informationINSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM (c), STANDARD FAMILY LAW INTERROGATORIES FOR MODIFICATION PROCEEDINGS
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.930(c), STANDARD FAMILY LAW INTERROGATORIES FOR MODIFICATION PROCEEDINGS When should this form be used? This form should be used to ask the
More informationDETAILED FINANCIAL DISCLOSURE FORM INSTRUCTIONS SHEET. v. Case Number
DETAILED FINANCIAL DISCLOSURE FORM INSTRUCTIONS SHEET v. Case Number Pages through 4, 5 through 6 and 7 through 0 are mandatory. Please fill out the number of pages used, if any, for the remaining supplemental
More informationCase No.: Division: FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) (Under $50,000 Individual Gross Annual Income)
IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA and, Petitioner,, Respondent. Case No.: Division: FAMILY LAW FINANCIAL AFFIDAVIT (SHORT FORM) (Under 50,000 Individual Gross Annual
More informationWhere: Lamoreaux Justice Center (LJC) 341 The City Drive, 1st Floor, Room C101 Orange, CA, 92868
SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER/FACILITATOR S OFFICE www.occourts.org HOW TO PREPARE A REQUEST FOR HEARING TO SET ASIDE VOLUNTARY DECLARATION OF PATERNITY (POP SET ASIDE)
More informationD the Inventory, Appraisement & List of Claims (or) D the Last Annual Accounting approved on
CAUSE NO. IN THE GUARDIANSHIP OF IN THE COUNTY COURT OF RANDALL COUNTY, TEXAS ANNUAL ACCOUNTING FOR THE PERIOD THROUGH TO THE HONORABLE JUDGE OF SAID COURT: NOW COMES, (Administrator or Guardian) herein,
More informationApplication for Lifeline Telephone Service
Important Lifeline Information Lifeline is a service and a government assistance program designed to make phone and internet services more affordable for low-income customers. Assistance is provided in
More informationPETITION TO MODIFY (Financial Matters)
PETITION TO MODIFY (Financial Matters) 1. Fill out Petition to modify. 1. Fill in the Plaintiff's name, Defendant's name and case number. 2. In your own words, complete the Petition to Modify by telling
More informationGUARDIAN'S INVENTORY FOR AN INCAPACITATED PERSON
COURT OF COMMON PLEAS BUCKS COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION GUARDIAN'S INVENTORY FOR AN INCAPACITATED PERSON Estate of:, an Incapacitated Person Name of Incapacitated Person Case File No:
More informationLOCAL RULES SUPERIOR COURT of CALIFORNIA, COUNTY of ORANGE. Chapter 13
Chapter 13 Blocked Accounts in Guardianships, Conservatorships, Decedent s Estates and Trusts Rule 613.01 Forms Orange County forms are available in connection with blocked accounts and must be used where
More informationIn the Iowa District Court for County where your case is filed
Rule 17.200 Form 224: Financial Affidavit for a Dissolution of Marriage with Children Each party must complete one of these forms. Provide as much information as you can. Caution: This form may require
More informationIncome Guidelines for PRIVATE Client Assistance
Income Guidelines for PRIVATE Client Assistance 33% ABOVE FEDERAL POVERTY GUIDELINES 34% - 50% ABOVE FEDERAL POVERTY GUIDELINES 100% Write-Off 75% Write-Off Minimum Yearly Minimum Yearly 1-0 - 14,856.10
More informationOffice of the Prosecuting Attorney
Office of the Prosecuting Attorney Karen E. Richards Prosecuting Attorney Second Floor Keystone Building 602 South Calhoun Street Fort Wayne, IN 46802-1700 Phone (260) 449-7136 Fax (260) 449-4072 In order
More informationFOND DULAC BAND OF LAKE SUPERIOR CHIPPEWA TRIBAL COURT PROBATE PACKET (NO WILL)
FOND DULAC BAND OF LAKE SUPERIOR CHIPPEWA TRIBAL COURT PROBATE PACKET (NO WILL) Enclosed are all the information and the necessary forms to probate an intestate estate in Tribal Court. This packet should
More informationLIFELINE DISCOUNT PROGRAM APPLICATION
LIFELINE DISCOUNT PROGRAM APPLICATION THINGS TO KNOW You must be a current AT&T Telephone customer. If you are not currently an AT&T Telephone customer, please do NOT complete this form. To establish service
More informationCAN T AFFORD THE FULL COST OF AN ITEM YOU NEED TO MAINTAIN OR INCREASE INDEPENDENCE? APPLY FOR A LOAN TO BREAK DOWN THE COST INTO MONTHLY PAYMENTS!
CAN T AFFORD THE FULL COST OF AN ITEM YOU NEED TO MAINTAIN OR INCREASE INDEPENDENCE? APPLY FOR A LOAN TO BREAK DOWN THE COST INTO MONTHLY PAYMENTS! INTERESTED? WHAT TO DO NEXT: 1. Determine the item that
More informationIN THE FOURTH JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA, IN AND FOR THE COUNTY OF ELKO
Case No. Dept. No. IN THE FOURTH JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA, IN AND FOR THE COUNTY OF ELKO In the Matter of the Guardianship of: 0,,, GUARDIAN S ACKNOWLEDGMENT OF DUTIES AND RESPONSIBILITIES
More informationOfficial Form 410 Proof of Claim 12/15
Case 15-12465-CSS Claim 1-1 Filed 12/08/15 Desc Main Document Page 1 of 3 Fill in this information to identify the case: Debtor 1 Fuhu, Inc., a Delaware corporation Debtor 2 (Spouse, if filing) United
More informationAffordable Unit Application Reserve on Salisbury
Affordable Unit Application Reserve on Salisbury Holden, MA Applications must be completed and delivered by 2 pm July 1 st, 2013. MAXIMUM Household Income Limits: $45,100 (1 person), $51,550 (2 people),
More informationUniform Support Affidavit Instructions for Form 6F
Uniform Support Affidavit Instructions for Form 6F The Uniform Support Affidavit must be completed when the payment of child support is an issue. It provides basic information about expenses and ability
More informationLAW OFFICE OF KRISTY A. HERNANDEZ NEW CLIENT BANKRUPTCY INFORMATION PACKET
LAW OFFICE OF KRISTY A. HERNANDEZ NEW CLIENT BANKRUPTCY INFORMATION PACKET Putting together a bankruptcy case is a detailed process requiring information about the property you own and the debts you have.
More informationThe Connecticut Tech Act Project s Assistive Technology Loan Program
The Connecticut Tech Act Project s Assistive Technology Loan Program LOAN APPLICATION PACKET CT Tech Act Project, AT Loan Program 55 Farmington Avenue, 12th floor Hartford, CT 06105 Voice: (860) 424-4881
More informationFINANCIAL ASSISTANCE APPLICATION: COVER LETTER
FINANCIAL ASSISTANCE APPLICATION: COVER LETTER Thank you for choosing Children s of Alabama to provide for the healthcare needs of your child. Please find attached the forms you must complete in order
More informationPATIENT COMPLAINT FORM
PATIENT COMPLAINT FORM You may use this form to file a complaint against a dentist or dental hygienist. Your complaint may be disclosed to members, employees and consultants of the Board of Dental Examiners
More informationOfficial Form 410 Proof of Claim
Fill in this information to identify the case: Debtor 1 Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: District of of Case number Official Form 410 Proof of Claim Read the instructions
More informationHarvard Green Condominium 35 Lancaster County Rd Unit 7B Harvard MA Town Home Resale Price: $131,580
Harvard Green Condominium 35 Lancaster County Rd Unit 7B Harvard MA Town Home Resale Price: $131,580 Great Town home, beautiful community tucked away in Harvard. This home has new carpet and tiling, freshly
More informationName of the current creditor (the person or entity to be paid for this claim) City State ZIP Code
United States Bankruptcy Court for the Southern District of Texas Fill in this information to identify the case (Select only one Debtor per claim form): Sherwin Alumina Company, LLC (Case. 16-20012) Sherwin
More informationFiling an Amortization of Debt (Chapter 128) Case in Milwaukee County
Filing an Amortization of Debt (Chapter 128) Case in Milwaukee County This guide is designed to help people who do not have attorneys who are filing an amortization of debt case in Milwaukee County. Nothing
More informationDRESSLER & DRESSLER Attorneys at Law 110 Dixie Lane Cocoa Beach, FL (321)
DRESSLER & DRESSLER Attorneys at Law 110 Dixie Lane Cocoa Beach, FL 3231 (321) 783-2714 INSTRUCTIONS FOR FLORIDA FAMILY LAW FINANCIAL AFFIDAVIT FAMILY LAW RULES OF PROCEDURE FORM 12.02(c) (LONG FORM -
More informationCIRCUIT COURT OF ILLINOIS. Sixth Judicial Circuit Champaign County
CIRCUIT COURT OF ILLINOIS Sixth Judicial Circuit How to do a Wage Deduction Proceeding If you already have a money judgment against someone, you are the Petitioner. The other party, who owes you the money,
More informationINITIAL FINANCIAL PLAN AMENDED FINANCIAL PLAN #
STATE OF SOUTH CAROLINA COUNTY OF IN THE PROBATE COURT CASE NUMBER: -GC- - IN THE MATTER OF:, a protected person. FINANCIAL PLAN OF CONSERVATOR INITIAL FINANCIAL PLAN AMENDED FINANCIAL PLAN # 1. What steps
More informationOffice Use Only Application Type: Bedroom Size: Application Date: Alias(es)
Rental Application (Please Print) Name of Head of Household Office Use Only Application Type: Bedroom Size: Application Date: Name of Spouse or Co- Head of Household Applicants Address City, State, & Zip
More informationINSTRUCTIONS Key criteria for support: 1. Resident of North Carolina. 2. Currently receiving radiation, chemotherapy or hormonal therapy for metastatic disease. 3. Experiencing financial hardship. 4. Have
More informationIn The First Judicial District Court of the State of Nevada In and for Carson City
Name: Address: Phone: Email: In The First Judicial District Court of the State of Nevada In and for Carson City, Plaintiff, vs., Defendant. / Case No. 1B Dept. No. GENERAL FINANCIAL DISCLOSURE FORM You
More informationPark Properties Management Company The Vistas at Dreaming Creek
Park Properties Management Company 434-979-2900 The Vistas at Dreaming Creek APPLICATION FOR HOUSING PLEASE PRINT All questions must be answered before The Vistas at Dreaming Creek Application is accepted.
More informationOfficial Form 410 Proof of Claim
Fill in this information to identify the case: Debtor FIRST RIVER ENERGY, LLC United States Bankruptcy Court for the Western District of Texas Case number 18-50085-CAG11 Official Form 410 Proof of Claim
More informationApplication Instructions
Application Instructions Dear Applicant, Welcome to The Retreat Assisted Living. As we begin the process of qualifying you to become part of our family we encourage you to follow the instructions in completing
More informationANNUAL ACCOUNTING. PART A: MONEY IN (List each account number and total.) PART B: MONEY OUT (List each account number and total.)
COVER PAGE THE GUARDIANSHIP OF: IN THE CIRCUIT COURT, SEVENTH JUDICIAL CIRCUIT, IN AND FOR ST. JOHNS COUNTY, FLORIDA Case No.: Division: ANNUAL ACCOUNTING Start Date: End Date: Starting Balance PART A:
More informationJackson County Probate Court 312 S. Jackson St. Jackson, MI Phone: Fax:
Diane M. Rappleye Probate Judge Julie A. Kelley Chief Deputy Probate Register Jackson County Probate Court 312 S. Jackson St. Jackson, MI 49201 Phone: 517-788-4290 Fax: 517-788-4291 Bruce W. Crews Probate
More informationUser s Manual for Conservators in Colorado
User s Manual for Conservators in Colorado This User s Manuals for Conservators in Colorado is a collaborative effort of the staff of the State Court Administrator s Office, the Protective Proceedings
More informationSTATE OF INDIANA: CIRCUIT AND SUPERIOR COURTS OF LAKE COUNTY
FINANCIAL DECLARATION FORM STATE OF INDIANA: CIRCUIT AND SUPERIOR COURTS OF LAKE COUNTY IN RE THE MARRIAGE OF: CAUSE NO. and Petitioner, Respondent.,, FINANCIAL DECLARATION OF I. PERSONAL INFORMATION HUSBAND*
More informationTennCare Employment and Community First CHOICES. Member Information Packet If you have questions, please call PPL customer service at
Phone: 1-888-419-7753 TTY: 1-800-360-5899 Paperwork Fax: 1-844-634-7304 Paperwork E-mail: Choices.tnecfdocuments@pcgus.com Website: www.publicpartnerships.com TennCare Employment and Community First CHOICES
More informationSUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER SMALL CLAIMS: REQUEST TO MAKE PAYMENTS
SUPERIOR COURT OF CALIFORNIA COUNTY OF ORANGE SELF-HELP CENTER www.occourts.org/self-help SMALL CLAIMS: REQUEST TO MAKE PAYMENTS All documents must be typed or printed neatly. Please use black ink. Self
More informationPark Properties Management Company
Park Properties Management Company APPLICATION FOR HOUSING PLEASE PRINT All questions must be answered before Application is accepted. Once complete, return with $ per applicant TO: FOR OFFICE USE ONLY
More informationThe following criteria must be met to be eligible for financial assistance from Champlain Valley Physicians Hospital:
Champlain Valley Physicians Hospital 75 Beekman St., PO Box 2868 Plattsburgh, New York 12901 518-562-7074, 844-281-0023 Fax: 518-314-3981 patientaccounting@cvph.org Dear Applicant, Thank you for choosing
More informationSWORN FINANCIAL STATEMENT
District Court Denver Juvenile Court County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: Petitioner: and Co-Petitioner/Respondent: Attorney
More informationArizona Form 2012 Property Tax Refund (Credit) Claim 140PTC
Arizona Form 2012 Property Tax Refund (Credit) Claim 140PTC NOTICE: If you are age 70 or over and meet certain tests, you may be able to defer the payment of your property taxes on your home. You should
More informationFAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM)
IN THE CIRCUIT COURT OF THE IN AND FOR JUDICIAL CIRCUIT, COUNTY, FLORIDA, Petitioner, Case No.: Division: and, Respondent. FAMILY LAW FINANCIAL AFFIDAVIT (LONG FORM) ($50,000 or more Individual Gross Annual
More informationMOTION AND ORDER FOR INTERROGATORIES LONG FORM
Small Claims Court County, Colorado Court : PLAINTIFF(S): : City/State/Zip: Phone: Home Work v. DEFENDANT(S): _ : City/State/Zip: Phone: Home Work COURT USE ONLY Case Number: Division Courtroom MOTION
More informationLottery Information Harvard Commons Harvard, MA
Lottery Information Harvard Commons Harvard, MA Harvard Commons is a new 12 unit development offering 2 two bedroom townhomes, by lottery, for eligible first time homebuyers (certain exceptions apply).
More informationIndividual Income Tax Organizer 2016
MICHAEL R. ANLIKER, CPA, P.C. 5348 Twin Hickory Rd. Glen Allen, VA 23059 TELEPHONE: (804) 237-6044 FAX: (804) 237-6064 www.anlikerfinancial.com Individual Income Tax Organizer 2016 This Tax Organizer is
More informationBASIC INSTRUCTIONS FOR CONSERVATORS
BASIC INSTRUCTIONS FOR CONSERVATORS January 1, 2009 Revised and Updated - 2017 Kansas Judicial Council Preface These basic instructions for conservators were prepared by the Guardianship and Conservatorship
More informationWest Virginia Personal Options Intellectual/Developmental Disabilities Waiver Program Goods and Services Packet
Goods and Services Packet This packet will assist you in requesting approval and payment for Participant Directed Goods and Services (PDGS). Your Resource Consultant may assist you with the necessary steps
More informationVillages of Moaʻe Kū, Phase I
Villages of Moaʻe Kū, Phase I 91-1655 PAHIKA STREET EWA BEACH, HAWAII 96706 Phone (808) 681-3000 Fax (808) 681-3004 TDD (877) 447-5991 Web: www.eahhousing.org For Office Use Only /Time Received: Received
More informationAffordable Homeownership Opportunity General Information regarding Deed restrictions:
Affordable Homeownership Opportunity General Information regarding Deed restrictions: You are applying for an affordable housing opportunity under Chapter 40B, the Massachusetts Comprehensive Permit Law
More informationEXHIBIT A IN THE CHANCERY COURT OF COUNTY STATE OF MISSISSIPPI
EXHIBIT A IN THE CHANCERY COURT OF COUNTY STATE OF MISSISSIPPI PLAINTIFF VS. CIVIL ACTION NUMBER DEFENDANT ************************************************************************ I. GENERAL INFORMATION:
More informationCommunity Name: Application Checked by: Date: RENTAL APPLICATION SINGLE MARRIED WIDOWED DIVORCED SEPARATED
Community Name: Application Checked by: Date: RENTAL APPLICATION APPLICANT Full Name M/F Relationship to Head of Household Birth Date Apt. # MCD or PP Social Security Number Place of Birth: State: City:
More informationCommonwealth of Massachusetts
Plaintiff / Petitioner Division Commonwealth of Massachusetts The Trial Court Probate and Family Court Department FINANCIAL STATEMENT (LONG FORM) v. Defendant / Petitioner INSTRUCTIONS: This financial
More informationApplication for Legal Assistance
Application for Legal Assistance Apply in person at Government Plaza, 205 Government St., Room 427 Check VLP voicemail or website to get current days & times to apply in person To return completed application:
More informationWhen should this form be used?
INSTRUCTIONS FOR FLORIDA FAMILY LAW RULES OF PROCEDURE FORM 12.930(b) STANDARD FAMILY LAW INTERROGATORIES FOR ORIGINAL OR ENFORCEMENT PROCEEDINGS (03/17) When should this form be used? This form should
More informationDONALD A. DEVLIN & ASSOCIATES, PC
DONALD A. DEVLIN & ASSOCIATES, PC 807 Bay Avenue Somers Point, NJ 08244 (P) 609-926-6400 (F) 609-926-6426 IDENTITY AUTHENTICATION Driver s License or State Issued Identification Government agencies are
More information2017 City of GraylinG individual income tax returns (Resident and Nonresident)
CITY OF GRAYLING 2017 City of GraylinG individual income tax returns (Resident and Nonresident) This booklet contains the following forms and instructions: GR-1040 Individual Income Tax Return GR-1040ES
More informationAcceptable Dependent Verification Items (Including Spouse as a Dependent)
BILLING EXHIBIT A: APPROVED DOCUMENT LIST We will review and consider household financial income for possible discounted services. Qualification for Financial Assistance depends upon a number of things
More informationJUDICIAL CIRCUIT, IN AND FOR Sarasota COUNTY, FLORIDA. Petitioner,
IN THE CIRCUIT COURT OF THE Twelfth JUDICIAL CIRCUIT, IN AND FOR Sarasota COUNTY, FLORIDA Harold J Jones and Petitioner, Case No.: 07-32323 Division: II Marianne P Jones Respondent. FAMILY LAW FINANCIAL
More informationTotal Monthly Income $ Miscellaneous Income Royalties, Trusts, and Other Investments $ Contributions from Others $ Dependent Children s monthly gross
District Court Denver Juvenile Court County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: Petitioner: and Co-Petitioner/Respondent: Attorney
More informationMortgage Process and Expectations
Mortgage Process and Expectations Corporate Investors Mortgage Group, Inc. (CIMG) believes it will be helpful for you to understand the typical process for loan approval. Here are the basic steps of the
More informationFAMILY RECORDS WORKSHEET:
FAMILY RECORDS WORKSHEET: Asset Inventory and Personal Information This document will help you to organize information that will be helpful if there is an emergency or you become incapacitated and you
More informationGUARDIAN OF THE ESTATE
GUARDIAN CHECKLIST Obtain certified copy of guardianship order. You must keep the original. Have a copy of the guardianship order readily available. Obtain at least one certified copy of the guardianship
More informationTown Homes at Partridge Lane 38 Partridge Lane Lynnfield MA Town Home Resale Price: $146,200
Town Homes at Partridge Lane 38 Partridge Lane Lynnfield MA Town Home Resale Price: $146,200 Home Availability: A Lottery will be held at Lynnfield Town Hall located at 55 Summer St May 7, 2015 at 6:30pm
More informationLifeline Application Michigan
Lifeline Application Michigan Please mail completed application to: AT&T Lifeline, PO Box 5020, Charleston, IL 61920 Lifeline is a federal benefit and willfully making false statements to obtain the benefit
More information2018 LOW INCOME SENIOR CITIZEN (RP-467) AND LOW INCOME DISABILITY (RP-459C) EXEMPTION APPLICATION AND RENEWAL CHECKLIST
2018 LOW INCOME SENIOR CITIZEN (RP-467) AND LOW INCOME DISABILITY (RP-459C) EXEMPTION APPLICATION AND RENEWAL CHECKLIST Before bringing or mailing your application to the Assessor s Office, please ensure
More informationAAA Scholarship Foundation Application Nevada Educational Choice Scholarship Program (Deadline to apply posted at
AAA Scholarship Foundation 2018-19 Application Nevada Educational Choice Scholarship Program (Deadline to apply posted at www.aaascholarships.org) If you enroll your student into a private school before
More informationCommonwealth of Massachusetts The Trial Court Probate and Family Court Department. FINANCIAL STATEMENT (LONG FORM) v.
Plaintiff / Petitioner I. PERSONAL INFORMATION Division Commonwealth of Massachusetts The Trial Court Probate and Family Court Department FINANCIAL STATEMENT (LONG FORM) v. Docket No. Defendant / Petitioner
More informationand Financial Disclosure Statement of:
PRINT in BLACK ink Enter the name of the county in which this case is filed. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use Enter the name of the petitioner. If joint petitioners, enter the
More information