STATEMENT OF COMPLIANCE WITH SUPPLEMENTAL RULE 410



Commonwealth of MassachusettsThe Trial CourtProbate and Family Court Department FORMDROPDOWN DivisionDocket # FORMTEXT ????? FORMTEXT ????? , PlaintiffSTATEMENT OF COMPLIANCE v.WITH SUPPLEMENTAL RULE 410 FORMTEXT ????? ,(MANDATORY DISCOVERY) Defendant Now comes FORMDROPDOWN and sends to FORMDROPDOWN the following documents pursuant to Supp. Rule 410:Documents requested under Supp. Rule 410InapplicableAttachedReason(s) Unavailablea) Tax returns for the past three (3) years: federal and state income tax returns and schedules and any non-public, limited partnership and privately held corporate returns for any entity in which a party has an interest together with all supporting documentation for tax returns, including but not limited to W-2s, 1099s, K-1s, Schedule Cs, and Schedule Es. FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????b) Bank Account Statements for the past three (3) years for all bank accounts held in the name of either party individually or jointly, or in the name of another person for the benefit of either party, or held by either party for the benefit of the parties’ minor child(ren). FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????c) Pay stubs: the four (4) most recent pay stubs from each employer for whom the party worked FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????d) Health Insurance: documentation regarding the cost and nature of available coverage FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????e) Statements for the past three (3) years for any securities, stocks, bonds, notes or obligations, certificates of deposit owned by either party or held by either party for the benefit of the parties’ minor child(ren), 401k statements, IRA statements and pension plan statements for all accounts listed on the Rule 401 Financial Statement. FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????f) Loan or Mortgage applications: copies of any applications made, prepared or submitted by either party within the last three (3) years prior to the filing of the complaint. FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????g) Financial Statements: copies of same and/or statements of assets and liabilities prepared by either party within the last three (3) years prior to the filing of the complaint. FORMCHECKBOX FORMCHECKBOX FORMTEXT ?????I certify under the penalties of perjury that I have produced the foregoing documents to the extent that they are available to me as of the date below, and that I have identified the documents which are unavailable, and, if they exist(ed), the reason(s) said documents are unavailable and what efforts have been made to obtain them.Date: FORMTEXT ?????Signed: REF DropdownParty1 \* MERGEFORMAT Plaintiff ................
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