Aoc 238 Form PDF Details

The Aoc 238 form is a document used by the United States Citizenship and Immigration Services (USCIS) to verify an individual's eligibility for employment in the United States. The form must be completed and submitted by the employer, and it requires specific information about the employee, such as their name, date of birth, and Social Security number. The Aoc 238 form is a critical part of the employment eligibility verification process, and it helps ensure that only qualified individuals are hired to work in the United States.

QuestionAnswer
Form NameAoc 238 Form
Form Length10 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 30 sec
Other namesaoc 238 form, ky preliminary verified disclosure, aoc 239, aoc 238

Form Preview Example

Q AOC-238 Doc. Code DSPV

 

 

 

 

LT H

OF

 

 

Case No. ____________________

 

AOC-239 Doc. Code DSFV

 

 

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County

____________________

Commonwealth of Kentucky

 

 

 

 

 

 

 

 

Court of Justice

www.courts.ky.gov

Q Preliminary Veriied Disclosure Statement*

Division

____________________

FCRPP 2 and FCRPP 3

Q Final Veriied Disclosure Statement*

 

 

IN RE THE MARRIAGE OF:

________________________________________

PETITIONER

and

 

________________________________________

RESPONDENT

Q Petitioner Q Respondent submits under oath the following Veriied Disclosure Statement pursuant to FCRPP 2 OR

FCRPP 3, which requires full and prompt disclosure of the following information:

NOTE: A response of “see attached” is not appropriate for any portion of this statement. Attach documents requested herein only.

I. IDENTIFYING INFORMATION OF BOTH PARTIES

Petitioner

 

Respondent

Name: _______________________________________

Name: ______________________________________

Street Address: ________________________________

Street Address: _______________________________

City, State, Zip: ________________________________

City, State, Zip: _______________________________

Age: ____

Phone #: _________________________

Age: ____ Phone #: ___________________________

II.INCOME AND EMPLOYMENT INFORMATION OF BOTH PARTIES (If self-employed name of company and adjusted gross monthly income)

Petitioner

Respondent

Employer Name: _______________________________

Employer Name: ______________________________

Gross monthly income: $ ________________________

Gross monthly income: $ ________________________

Other income: $ _______________________________

Other income: $ _______________________________

III. MARRIAGE INFORMATION

 

Date of Marriage: ______________________________

Date of separation: _____________________________

Place of Marriage (city, county & state): _______________________________________________________________

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 2 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

IV. CHILDREN’S INFORMATION (If more than 3 children, continue on a separate sheet)

A. Minor children born to parties (number ________)

Q More CHILDREN attached?

Name

Current Age

B. Monthly child care/day care expenses: Cost $ ________________

Paid by ________________

C.Monthly medical, dental and vision insurance for children: Cost $ ________________ Paid by ________________

D.Either party court-ordered to pay child support for a child born before the children born of this marriage? Q Yes Q No

Paying party _____________________________________________ Amount: $ ____________________________

Children: (List names and ages) _____________________________________________________________________

_______________________________________________________________________________________________

V. SUMMARY OF ASSETS & DEBTS

A.REAL ESTATE (If more than 2 properties, continue on a separate sheet)

Are you making a non-marital claim?

QYes

Q No If yes, you must comply with Section IX below.

Property 1:

Address: _______________________________________________________________________________________

1st Mortgage Company: ___________________________________________________________________________

1st Mortgage Payoff Amount: ________________________

2nd Mortgage Company or Home Equity Loan: _________________________________________________________

2nd Mortgage or Home Equity Loan Payoff Amount: ______________________________

Fair Market Value: _________________ Valuation Date: __________________ Equity: ____________________

Property 2:

Address: _______________________________________________________________________________________

1st Mortgage Company: ___________________________________________________________________________

1st Mortgage Payoff Amount: ________________________

2nd Mortgage Company or Home Equity Loan: _________________________________________________________

2nd Mortgage or Home Equity Loan Payoff Amount: ______________________________

Fair Market Value: _________________

Valuation Date: __________________

Equity: ____________________

More REAL ESTATE attached?

QYes

Q No

Total Real Estate Equity: ___________________________

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 3 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

B. VEHICLES - Automobiles, Motorcycles, Boats, Trucks, Motor Homes, etc. (If more than 3 vehicles, continue on a separate sheet)

Are you making a non-marital claim? Q Yes

Q No If yes, you must comply with Section IX below.

Vehicle 1:

Primary Driver: __________________________ Year, Make & Model: ______________________________________

NADA Value: _______________ Valuation Date: _______________ Debt Owed: ________________

Lien Holder: _____________________________________________________________ Equity: ________________

Is this a leased vehicle? Q Yes Q No If yes, please complete the following: Monthly Payment: ________________

Lease Term Ends: ________________

Vehicle 2:

Primary Driver: __________________________ Year, Make & Model: ______________________________________

NADA Value: _______________ Valuation Date: _______________ Debt Owed: ________________

Lien Holder: _____________________________________________________________ Equity: ________________

Is this a leased vehicle? Q Yes Q No If yes, please complete the following: Monthly Payment: ________________

Lease Term Ends: ________________

Vehicle 3:

Primary Driver: __________________________ Year, Make & Model: ______________________________________

NADA Value: _______________ Valuation Date: _______________ Debt Owed: ________________

Lien Holder: _____________________________________________________________ Equity: ________________

Is this a leased vehicle? Q Yes Q No If yes, please complete the following: Monthly Payment: ________________

Lease Term Ends: ________________

More VEHICLES attached?

QYes

Q No

Total Vehicle Equity: ___________________________

C.BANK ACCOUNTS – Checking, Savings, CDs, Money Market accounts, etc. (If more than 3 accounts, continue on a separate sheet) (Do not list account numbers)

Are you making a non-marital claim?

Q

Yes

Q

No If yes, you must comply with Section IX below.

Owner(s)

Institution Name

[ NO ACCOUNT NUMBERS]

Type of Account Valuation Date

Balance

More BANK ACCOUNTS attached?

Q Yes

Q No

Total Current Balances:

D. STOCKS, BONDS, PORTFOLIOS, MUTUAL FUNDS, ETC. (If more than 3, continue on a separate sheet) Are you making a non-marital claim? Q Yes Q No If yes, you must comply with Section IX below.

Institution Name

Stock/Portfolio Name

Valuation Date

Current Value

More INVESTMENTS attached?

Q

Yes

Q

No

Total Current Values:

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 4 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

E. RETIREMENT BENEFITS – IRA, Keogh, 401(K), 403(b), Pension, etc. (If more than 3, continue on a separate sheet)

Are you making a non-marital claim?

Q

Yes

Q

No If yes, you must comply with Section IX below.

Participant

Plan Name

Contrib/Non

Vested/Non

Pay Status?

Valuation Date

Balance

More RETIREMENT BENEFITS attached?

Q

Yes Q

No

Total Retirement Beneits Values:

Have any loans been taken out against any of these Retirement Beneits? Q Yes Q No

If so, describe: ___________________________________________________________________________________

F.LIFE INSURANCE (If more than 3 policies, continue on a separate sheet)

Are you making a non-marital claim?

Q

Yes

Q

No If yes, you must comply with Section IX below.

Policy 1:

Company: ____________________________________________ Party Insured: ____________________________

Beneiciary: ___________________________________________________________ Term/Whole: ______________

Policy #: ________________________ Valuation Date: ____________ Cash Surrender Value: ___________________

Policy 2:

Company: ____________________________________________ Party Insured: ____________________________

Beneiciary: ___________________________________________________________ Term/Whole: ______________

Policy #: ________________________ Valuation Date: ____________ Cash Surrender Value: ___________________

Policy 3:

Company: ____________________________________________ Party Insured: ____________________________

Beneiciary: ___________________________________________________________ Term/Whole: ______________

Policy #: ________________________ Valuation Date: ____________ Cash Surrender Value: ___________________

More LIFE INSURANCE attached?

Q

Yes

Q

No

Total Cash Value: ___________________________

G.BUSINESS INTERESTS (If more than 3 businesses, continue on a separate sheet)

Are you making a non-marital claim? Q

Yes

Q

No If yes, you must comply with Section IX below.

Name of Business & Owner: ________________________________________________________________________

Percentage of Ownership: ___________ Type of Business: __________________________________________

Corporation, Sole Proprietorship, Partnership, Etc.: ______________________________________________________

Valuation Date: _______________ Business Loan(s) Balance: _______________ Value of Interest: ______________

Name of Business & Owner: ________________________________________________________________________

Percentage of Ownership: ___________ Type of Business: __________________________________________

Corporation, Sole Proprietorship, Partnership, Etc.: ______________________________________________________

Valuation Date: _______________ Business Loan(s) Balance: _______________ Value of Interest: ______________

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 5 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

Name of Business & Owner: ________________________________________________________________________

Percentage of Ownership: ___________ Type of Business: __________________________________________

Corporation, Sole Proprietorship, Partnership, Etc.: ______________________________________________________

Valuation Date: _______________ Business Loan(s) Balance: _______________ Value of Interest: ______________

More BUSINESS INTERESTS attached? Q Yes Q No

Total Values: __________________________

H. HOUSEHOLD GOODS:

 

Are you making a non-marital claim?

Q

Yes

Q

No If yes, you must comply with Section IX below.

Agreed Division?

QYes

Q

No, but not expected to be in dispute.

Q

No, but dispute anticipated (Suggested appraiser: _____________________________________)

Attached is a list of the disputed household items

I.OTHER ASSETS – Cash, Travelers Checks, Debts Others Owe You, Copyrights, Trademarks, Pets or Animals, Jewelry, Collectibles, Tools, Inventions, Other “Liquid Assets,” etc. (If more than 5 items, continue on a separate sheet)

Are you making a non-marital claim?

Q

Yes

Q

No If yes, you must comply with Section IX below.

Item 1:

Item Description: _________________________________________________________________________________

Who Holds Possession: ____________________________ Valuation Date: ________________________________

Fair Market Value: ______________ Amount Owed: ____________________ Net Value or Equity: ______________

Item 2:

Item Description: _________________________________________________________________________________

Who Holds Possession: ____________________________ Valuation Date: ________________________________

Fair Market Value: ______________ Amount Owed: ____________________ Net Value or Equity: ______________

Item 3:

Item Description: _________________________________________________________________________________

Who Holds Possession: ____________________________ Valuation Date: ________________________________

Fair Market Value: ______________ Amount Owed: ____________________ Net Value or Equity: ______________

Item 4:

Item Description: _________________________________________________________________________________

Who Holds Possession: ____________________________ Valuation Date: ________________________________

Fair Market Value: ______________ Amount Owed: ____________________ Net Value or Equity: ______________

Item 5:

Item Description: _________________________________________________________________________________

Who Holds Possession: ____________________________ Valuation Date: ________________________________

Fair Market Value: ______________ Amount Owed: ____________________ Net Value or Equity: ______________

More OTHER ASSETS attached?

Q

Yes

Q

No

Total Values: ____________________

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 6 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

VI. OTHER DEBTS NOT PREVIOUSLY LISTED (Do not list account numbers) Includes credit card balances, credit union loans, signature loans and other unsecured debt. (If more than 5 debts, continue on a separate sheet)

Creditor 1:

Creditor: ________________________________________________________________________________________

Party Named on Debt: _____________________________________________

Premarital Account? _____________

Valuation Date: ____________________ Monthly Payment: ________________

Total Balance: _________________

Creditor 2:

Creditor: ________________________________________________________________________________________

Party Named on Debt: _____________________________________________

Premarital Account? _____________

Valuation Date: ____________________ Monthly Payment: ________________

Total Balance: _________________

Creditor 3:

Creditor: ________________________________________________________________________________________

Party Named on Debt: _____________________________________________

Premarital Account? _____________

Valuation Date: ____________________ Monthly Payment: ________________

Total Balance: _________________

Creditor 4:

Creditor: ________________________________________________________________________________________

Party Named on Debt: _____________________________________________

Premarital Account? _____________

Valuation Date: ____________________ Monthly Payment: ________________

Total Balance: _________________

Creditor 5:

Creditor: ________________________________________________________________________________________

Party Named on Debt: _____________________________________________

Premarital Account? _____________

Valuation Date: ____________________ Monthly Payment: ________________

Total Balance: _________________

More DEBTS attached?

Q

Yes

Q

No

Total Debt Balances: __________________

VII. EXPECTED POST-DIVORCE LIVING EXPENSES SCHEDULE (Do not include debts) Not necessary if maintenance or child support are not being claimed.

Do the parties’ combined gross incomes exceed $15,000 per month?

Q Yes Q

If NO, do not include children’s personal expenses below.

 

 

If YES, list children’s personal expenses such as private school tuition, tutors,

camps, activity fees, clothing, etc. on a separate sheet.

Q Attached

 

No

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 7 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

A.COMMON EXPENSES FOR FAMILY (Party and any children of the marriage)

FOOD/GROCERIES FOR FAMILY (Non-entertainment)

HOUSING

Cable

Garbage collection

Electric, gas, propane & oil utilities

Home maintenance & repairs

Homeowner’s insurance

Household supplies

Maid service

Property taxes

Rent or 1st mortgage

2nd mortgage/home equity loan

Telephone

Mobile phone

Vet/pet supplies

Yard expense/maintenance

Water/sewage

TRANSPORTATION

Gas and oil

Liability insurance

License/taxes/tag

Payment/loan

Repairs/maintenance

Other – bus, taxi, tolls & parking

OTHER FAMILY EXPENSES (list):

Sub-total from attached other family expenses, if needed Q Attached

SUBTOTAL (Column A)

B. YOUR PERSONAL EXPENSES

(not including any children’s expenses)

Church and charitable donations

Clothing

Cosmetics, hygiene & toiletries

Disability insurance

Dry cleaning & laundry

Entertainment, including restaurants & movies

Hair care (barber, salon, etc.)

Internet access

Life insurance (whole life or term)

Manicures & pedicures

Newspapers, magazines & books

Professional dues or uniforms

Sports, exercise, hobbies, crafts, etc.

Travel (monthly average)

MEDICAL

Dental (including orthodontics)

Eyeglasses, contacts & hearing aids, exams and testing

Insurance (hospitalization)

Medical doctor(s)

Prescription medication

OTHER PERSONAL EXPENSES (list):

Sub-total from attached other personal expenses, if needed Q Attached

SUBTOTAL FROM COLUMN B

SUBTOTAL FROM COLUMN A

SUBTOTAL FROM CHILDREN’S

EXPENSE LIST ATTACHMENT

GRAND TOTAL

OF COLUMN A, B, AND

ATTACHMENTS

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 8 of 10

VIII. OTHER

A.Special needs of parties:

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

B.Bankruptcy: ______________________________________________________________________________

C.Lawsuits: _________________________________________________________________________________

IX. REQUIRED ATTACHMENTS (to be sent ONLY to opposing party or opposing counsel and not iled with the Court):

To complete this section, you must attach all of the following documents and/or provide the requested information on a separate sheet and attach to this form. In the spaces provided, mark as follows:

“A” = to indicate that the requested document/information is attached.

“U” = to indicate that the requested document/information is unavailable (Provide explanation on a separate page) “N/A” = if not applicable

A.PERSONAL INFORMATION OF BOTH PARTIES

B.INCOME AND EMPLOYMENT OF BOTH PARTIES

 

A, U, N/A

Item #

 

 

 

 

1.

 

Three (3) most recent paycheck stubs

 

 

2.

 

Federal Income Tax Return for the last year iled

 

 

3.

 

State Income Tax Return for the last year iled

 

 

 

 

 

 

 

4.

 

Documentation of all other income for the past 48 months, including source of income and

 

 

 

 

amount of income received year-to-date

 

C. CHILDREN

 

 

 

 

 

 

 

A, U, N/A

Item #

 

 

 

 

1.

 

Veriication of work-related child care expenses

 

 

2.

 

Veriication of cost of health/dental insurance for children’s portion (e.g. difference between

 

 

 

 

cost of single and family plan)

 

 

 

 

 

 

D. ASSET SCHEDULES

 

 

 

 

 

 

 

A, U, N/A

Item #

 

 

 

 

1.

 

Most recent statement of each bank account

 

 

2.

 

Most recent brokerage statement or documentation of purchase and/or value for each investment

 

 

3.

 

Explanation of source of cash holdings, location and amount of cash

 

 

 

 

 

 

 

4.

 

For each piece of real estate, copy of deed, documentation of all indebtedness (i.e., mortgage,

 

 

 

 

home equity loan, liens, etc.) including unpaid balance and payoff (with date payoff amount

 

 

 

 

obtained) for each debt, and current tax assessment

 

 

5.

 

Declaration page of life insurance policies and documentation of cash surrender

 

 

 

 

 

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 9 of 10

Q

AOC-239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

A, U, N/A

Item #

 

 

6.

Documentation of beneits accrued in pension, proit sharing, 401(k) or other retirement plans,

 

 

including most recent statements of each such plan and the name, address and phone number

 

 

of plan administrator

 

 

 

 

7.

For each vehicle, provide amount of payoff of any indebtedness (including date payoff amount

 

 

obtained) and copy of title

 

 

 

 

8.

For each business interest, list name of business, extent of interest or title in business (i.e.

 

 

owner, shareholder, partner, etc.), provide a copy of last income tax return iled by business

 

 

and documentation of income earned (or portion received) through business during last

 

 

twenty-four (24) months

 

 

 

 

9.

Provide a list describing any other assets you have an interest in, including any documentation

 

 

as to the value of the non-marital interest, date asset was acquired, and source of non-marital

 

 

interest (trace and document non-marital funds used to acquire each asset)

 

 

 

 

10.

NON-MARITAL INTEREST. For each asset in which you claim a non-marital interest, provide

 

 

the basis and approximate value of non-marital claim. Documentation tracing any non-marital

 

 

asset shall be produced if available, and if not currently available, shall be produced when

 

 

available, or as speciied by separate court order

E. DEBT SCHEDULE

 

 

 

 

A, U, N/A

Item #

 

 

 

 

 

1.

For each debt, provide the last statement or documentation of unpaid balance, or explain

 

 

why documentation is not available

 

2.

For each debt designated as “non-marital”, list the party you think should assume responsibility

 

 

for said debt and why

 

 

 

VERIFICATION

I, ________________________________________, declare under penalty of perjury that the information

contained herein, including the information provided on any schedules and attachments, is true and accurate to the best of my knowledge, information and belief. Further, I acknowledge that I have read the foregoing instructions and have followed those instructions to the best of my ability.

____________________________________________

Q

Petitioner

Q

Respondent {check one}

QAOC-238 Doc. Code DSPV

Rev. 1-15 Page 10 of 10

Q

AOC 239 Doc. Code DSFV

Disclosure of _____________________________________

Case No. _________________________________________

STATE OF ____________________________

)

 

) SS

COUNTY OF ____________________________

)

Subscribed and sworn before me by ____________________________, this _____ day of _________________,

________.

My commission expires: ______________________

______________________________________

NOTARY PUBLIC/TITLE

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a copy of this Veriied Disclosure Statement (with schedules and attachments) was

served by Q mail, postage prepaid, or

Qhand-delivery, or Q electronic means, in accordance with Kentucky Rule of Civil

Procedure (CR) 5.02, on (name) _____________________________________________________________________

at (address) _____________________________________________________________________________________,

this the _______ day of ________________________, _________.

____________________________________________

Signature

Q Attorney for Petitioner

QAttorney for Respondent

Q

Petitioner

Q

Respondent

Address:

____________________________________________

____________________________________________

____________________________________________

Phone: ( ) ________________________________

Fax: ( ) _________________________________

Email: _____________________________________

*NOTE

When this form is utilized as an AOC-238, Preliminary Veriied Disclosure Statement, unless otherwise ordered by the Court or required by Local Rule, this form is NOT to be iled with the Court. FCRPP 2(3). However, the entire form and all attachments are to be exchanged between the parties within 45 days of service of the petition on the respondent, and objections thereto shall be exchanged within 20 days thereafter.

When this form is utilized as an AOC-239, Final Veriied Disclosure Statement, pursuant to FCRPP 3(3), this form is to be iled with the Court no later than 5 days prior to the trial if property matters are in dispute at that trial. However, the parties may ile an AOC-239.2, Afidavit of No Change in Circumstances, since the completion of the AOC-238, Preliminary Veriied Disclosure Statement, IF one was iled with the Court. A copy of the Final Veriied Disclosure Statement or the Afidavit, together with any supporting documentation, shall be provided to the opposing party 15 days prior to trial unless otherwise ordered by the Court.

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Part no. 1 in filling out ky disclosure statement

2. The third step is to submit the next few blank fields: Petitioner, Respondent, Name , Name , Street Address City State Zip , Street Address , City State Zip , Age , Phone , Age Phone , II INCOME AND EMPLOYMENT, Petitioner, Respondent, Employer Name , and Employer Name .

Completing section 2 of ky disclosure statement

3. The next step should be rather simple, III MARRIAGE INFORMATION, Date of Marriage , Date of separation , and Place of Marriage city county - all of these fields will need to be filled in here.

ky disclosure statement completion process outlined (portion 3)

4. Filling in q AOC Doc Code DSPV Rev Page of , q AOC Doc Code DSFV, Disclosure of Case No , IV CHILDRENS INFORMATION If more, q More CHILDREN attached, Name, Current Age, B Monthly child careday care, and Paid by is crucial in this fourth stage - you should definitely take your time and fill out every single empty field!

Part no. 4 for filling in ky disclosure statement

5. To conclude your form, this particular subsection involves several extra fields. Typing in B Monthly child careday care, V SUMMARY OF ASSETS DEBTS A REAL, Property , Address , st Mortgage Company , st Mortgage Payoff Amount , nd Mortgage Company or Home Equity, nd Mortgage or Home Equity Loan, and Fair Market Value Valuation Date will wrap up everything and you'll be done in a flash!

st Mortgage Payoff Amount , Property , and nd Mortgage or Home Equity Loan inside ky disclosure statement

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