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  • 2012 10 31 Filedoc Petitioner I and E

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    IED

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    IED

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    32 просмотров7 страниц

    2012 10 31 Filedoc Petitioner I and E

    Загружено:

    corruptdivorce
    IED

    Авторское право:

    © All Rights Reserved
    Скачайте в формате PDF или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 7
    FLA150, “MICHAEL A. GOSS 84109 GOSS & GOSS - A Professional Law Corporation | 1119 Twelfth Street | | Modesto, CA 95354 | | | reisrroveno: (209) 576-1871 (209) 577-8676 cmmronnessionensy —_ mMke@goss-law. com | | sno | ‘SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANTSTLAUS stmceranovess 800 Eleventh Street | manicaooress Post Office Box 1098 crvaorweo Modesto, CA 95353 | IONE RESPONDENTIDEFENOANTKAREN BOWERMAN case mae 455 922 4. Employment (Give information on your current job or, if you'e unemployed, your most recent job.) [Rach copies] @ Employer: California Emergency Physicians ‘ofyourpay | D. Employers address: 2100 Powell St., #920, Emeryville, CA 94608 | stubs foriast | © Employer's phone number: (888) 267-3880 two months | 4. Occupation: physician (black out ©. Date job started: 9/1/89 | socit {. tfunempioyed, date job ended: n/a | security 9. Iwork about 40 hours per week numbers). | h. I get paid S 25, 556 gross (betore taxes) (EY permontn C) perweek (2) per hour (if you have more than one job, attach an 8 1/2-by-11-Inch sheet of paper and list the same information as above for your other jobs. Write “Question 4 - Other Jobs" at the top.) 2. Age and education My age is (specity): 59 Ihave completed high school or the equivalent: [ZI Yes (C] No. Ifno, highest grace completed (specify) ©. Number of years of college completed (specify): 3 [ED Degree(s) obtained (specify: BS 4d. Number of years of graduate school completed (specify): 4 [A Degree(s) obtained (specify): MO e Ihave: EQ) protessionalioccupational icense(s) specify): physici. 2 vocational training (speci: 3. Tax information a. (Q) | last filed taxes for tax year (specify year): § 2011 b. Mytax fing statusis CL) single) head of household UE) married ing separately CO imarried, fling jointly with (specify name). c. I file state tax returns in ED California (C) other (specify state): 4. {claim the folowing number of exemptions (including myse') on my taxes(spectty). 4 n 4. Other party's income. | estimate the gross monthly income (before taxes) of the other party in this case at (specify): Sun knowr This estimate is based on (explain): Respondent. has submitted to a vocational examination/assessment {if you need more space to answer any questions on this form, attach an 8 1/2-by-11-inch sheet of paper and write the question number before your answer.) Number of pages attached | declare under penalty of perjury under the laws of the State of California that the information contained on all pages ofthis form and any attachments is true and correct. Date: October 31, 2012 ) SREGORY BOWERMAN > a) fF “INCOME AND EXPENSE DECLARATION ieee Rowerman, Greg RESPONDENTIDEFENDANT:XAREN BOWERMAN | 455 922 | PETTIONERPLAINTIF” GREGORY BOWERE cod (OTHER PARENTICLAIMANT: ‘Attach copies of your pay stubs for the last two months and proof of any other income. Take a copy of your latest federal tax return to the court hearing. (Black out your social security number on the pay stub and tax return.) 5. Income (For average monthly, add up all the income you received in each category inthe last 12 months Average ‘and divide the total by 12) Last month monthiy fa, Salary or wages (gross, before taxes) eee . Overtime (grass, before taxes) [eee yao ©. Commissions or bonuses ‘4. Public assistance (for example: TANF, SSI, GA/GR) (2) currently receiving fe. Spousal support CL) from this marriage (2) from a different marriage {Partner support [2 from this domestic partnership) froma different domestic partnership $b 9, Pension/retrement fund payments so 1h. Social security retirement (not SSI) s i. Disability CQ) Social securty (not SS!) C2) State cisabilty (SO!) (CC) Private insurance, $ j, Unemployment compensation sn k. Workers’ compensation s___o L. Other (military BAQ, royalty payments, etc.) (specify) so 6. Investment income (Attach a schedule showing gross receipts less cash expenses for each piece of property.) a, Dividendsiinterest oe bb. Rental property income Bloxham is Listed, but not currently rented s__0 ____0 cc Trustincome Bo 6. Other (specity) eee D 7. Income from self-employment, after business expenses for all businesses $25,556 44,641 Lam the [QQ ownerlsole proprietor CEJ business partner CL) other (speaify): per October 2012 check Number of years in this business (specify) Name of business (speci): CEP America ‘Type of business (specify) medical; K-1 issued {Attach a profit and loss statement for the last two years or a Schedule C from your last federal tax return. Black out your ‘social security number. If you have more than one business, provide the information above for each of your businesses, 8 Co) Additional income. | received one-time money (lottery winnings, inheritance, etc.) in the last 12 months (specify source anc amount) 8. [EA Change in income. My financial situation has changed significantly over the last 12 months because (specify) No longer received $1200 admin stipend from Los Banos nor $50/ho r bonus for working 10. Deductions Los Banos; shifts being decreased from 20 to 16 per month which Last month Required union dues are be reflected.on 10/15/12 check Required retirement payments (not social security, FICA, 401(k), or RA) Medical, hospital, dental, and other health insurance premiums (total monthly amount} CChild suppor that | pay for children from other relationships Spousal support that | pay by court order trom a different mariage Pariner support that | pay by court order from a different domestic partnership Necessary job-related expenses not reimbursed by my employer attach explanation labeled "Question 10g" 11. Assets Total fa. Cash and checking accounts, savings, credit union, money market, and other deposit accounts $12,000 bb. Stocks, bonds, and other assets I could easily sell OF-Y Lhe contents of storage units sunknown cc Allother property, G&D real and (L} personal estimate fair market value minus the debts you owe) so Ventcles-53,700; both Carolyn and Blowtiam properties are upside down: $1.7 milion 3 YSRESTAD catvené back cones! stm, Ul0. Ioan Pom rerifenents approx, 360,000 tama on debt forgiveness “INCOME AND EXPENSE DECLARATION — - . Bowerman, -Greg— BETITIONERIPLAINTIFF: GREGORY BOWERMAN case MoE ol |_RESPONDENTIDEFENDANTKAREN BOWERMAN 455 922 | OTHER PARENTICLAIMANT: 12_The following people live with me: {ilame T Age” | How the parson is Baye some ofthe _ ‘elated 19 me? (x: son household expenses? a William | son (ives “CaNo | b. Olivia | daughter Ghves Eno | ce Elizabeth | daughter Ch ves [No 4 | Gye Cio eo _ ae Oo ves CY No 13. average monthly expenses (EI Estimated expenses [EQ Acualexpenses (El) Proposed needs a. Home (1) ED Rent or CY morgage 00 ee eee * —— 1 Clothes s (a) average principal: s 0 i. Education lessons, lunches........§___400. (©) average interest: : a k. Entertainment, gifts, and vacation a Ao (2) Real property axes for Carolyn $488. |, Auto expenses and transportation (2) Homeowners or ent’ insurance (insurance. gas, repairs, bus.etc) S80 (if mot included above) S.see umbrella — iy insurance (life, accident, etc.; do not a) Mantnance anéopar sy, indude auto, home, or heath insurance) $_ Heal tite C88 ROK BSIEBY insurance s__200. Savings and investments 0, Charitable contibutions c. Child care $___1, 000 p. Monthly payments listed in item 14 {iemize below in 14 and insert totat here) $1, 972 4. Groceries andhovsehold supplies $1,202 4 ier speci ao fe. Eating out 4 ao sonal grooming, ete. 4 |r. TOTAL EXPENSES (a-0) (do notaddin $ 12.225] 1. Ulliies (ges, elctic, water, trash) $900.) ) i includes utilities ar rental 4g" Telephone, cellphone, andemal $470. $ Amount of expenses paid by others, $__ 14. Installment payments and debts not listed above 16. Attorney fees (This is required if either party is requesting attomey fees. fa. To date, | have paid my attornay this amount for fees and costs (specify): $ 28,532 b. The source of this money was (specify): earnings:

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