Last updated: 12/17/2018
Statement Of Assets-Liabilities And Personal Earnings
Start Your Free Trial $ 13.99What you get:
- Instant access to fillable Microsoft Word or PDF forms.
- Minimize the risk of using outdated forms and eliminate rejected fillings.
- Largest forms database in the USA with more than 80,000 federal, state and agency forms.
- Download, edit, auto-fill multiple forms at once in MS Word using our Forms Workflow Ribbon
- Trusted by 1,000s of Attorneys and Legal Professionals
Description
PORTAGE COUNTY MUNICIPAL COURT www.co.portage.oh.us Ravenna Municipal Court Kent Municipal Court 203 W. Main St. 303 East Main Street P.O. Box 958 Kent, OH 44240 Ravenna, OH 44266 330-678-9170 330-297-3635 STATEMENTOFASSETS,LIABILITIESANDPERSONALEARNINGS PLEASECOMPLETEANDRETURNTOTHECOURT:FAILURETOCOMPLETEANDRETURNTOTHECOURTWITHINSEVEN(7)DAYSWILLSUBJECTYOUTOTHEPENALTIESOFCONTEMPTOFCOURTUNDEROHIOREVISEDCODESECTION2705.Defendant222sNameCaseNumber(1) PERSONAL: SocialSecurity#PhoneNumberPresentAddress:PrivateHome:RentYNAmt.Own:YNAmt.TotalValueAmt.EquityOtherOwn:Car,Truck,etc.YNMortgagePmtsYNAmtMakeModelTitle#Serial#MakeModelTitle#Serial#BankAccount:YNAccount#Type/Acct.BankName:Account#Type/Acct.BankName:Account#Type/Acct.BankName:Account#Type/Acct.MoneyowedtoyouYNDescribeMoneyowedbyyouYNDescribeMartialStatus:SingleMarriedWidowedDivorcedFormalSeparationY/NSpouse222sNameSpouse222sAddress American LegalNet, Inc. www.FormsWorkFlow.com Bonds:YNAmountValueCompanyAmountValueCompanyStocks:YNAmountValueCompanyAmountValueCompanyInsurance:YNCashValuePolicy#CompanyCashValuePolicy#CompanySupportWife:YNSupportChildren:YN(2) EMPLOYMENT: CurrentlyEmployedYNPresentEmployer:Employer222sAddressLengthofEmploymentTypeofWorkWageDatelastworkedWhenPaidUnemployed:YNJobWaiting:YNWhereDisabled:YNReceivingUnemployment,Disability,SocialSecurityYNAmountWelfareAssistance:YNCaseWorkerPhone#Student:YNWhereIdeclarethat:(a)Ihavereadthisstatement(b)thisstatementhasbeenreadtome(strikeoutinapplicablesections)concerningmyfinancialconditionandthatthestatementscontainedthereinaretrue.Defendant222sSignature American LegalNet, Inc. www.FormsWorkFlow.com