IN THE CIRCUIT COURT OF THE 1lTH
JUDICIAL CIRCUIT, IN AND FOR DADE
COUNTY , FLORIDA
IN RE: THE MARRIAGE OF FAMILY
DIVISION
SYBIL ZISKIND n/k/a SYBIL HART, * CASE NO.: 93-13312 FC-16 (PJ)
Petitioner-Former-Wi fe, *
and * FAMILY LA W
DAVID ZISKIND, * FINANCIAL AFFIDAVIT
Rcspondent -Former Husband *
________________________________________*
STATE OF TEXAS )
:
COUNTY OF
LUBBOCK )
BEFORE ME, this day
personally appeared Sybil Hart, who being duly sworn,
deposes and says that the following information is
true and correct according to her best knowledge and belief:
EMPLOYMENT AND INCOME
OCCUPATION: Assistant Professor
EMPLOYED BY: Texas Tech University
ADDRESS: P.O. Box 41162
Lubbock,TX.
79409
S.S.N. (Removed
for privicy)
DATE OF
BIRTH: January 15, 1954
PAY PERIOD: Monthly
RATE OF PAY: S3,208.33
Ifyou are employed, but expecting soon to become
unemployed or change jobs, describe the change
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 2
you expect
and why and how it will affect your income. If currently unemployed, describe
your
efforts to
find employment, how soon you expect to be employed, and the pay you expect to
receive.
EXCEPT
IN PROCEEDINGS FOR ADOPTION, SIMPLIFIED DISSOLUTION
OF
MARRIAGE, ENFORCEMENT, CONTEMPT, AND INJUNCTIONS FOR DOMESTIC
OR
REPEAT VIOLENCE, ALL OF THE FOLLOWING MUST BE ATTACHED TO THE COPY
OF THIS
FINANCIAl. AFFIDAVIT SERVED ON THE OPPOSING
PARTY. THE
ATTACHMENTS
SHALL NOT BE FILED WITH THE COURT:
Your 3 most recent pay stubs,
your most
recent Federal tax return, and the most recent W-2 forms. If last year's
Federal income
tax return
has not yet been filed, attach W-2s, 1099s, K-1’s, and any other document to be
attached
to your
tax return. If the attachments are not made to the copy served on the opposing
party, an
explanation
is required, UNLESS THE PARTIES HA\~E AGREED THAT THEY WVILL NOT
GIVE EACH
OTHER THESE DOCUMENTS See also Florida Family Law Rule of Procedure
12.285.
WE HAVE
NOT AGREED TO WAIVE THE REQUIREMIENTS OF FLORIDA FAMILY
LAW
RULE OF PROCEDURE 12.285.
LAST YEAR'S INCOME
Yours Other
Party's
(if
known)
1. Gross earned income last
calendar
year (1996') $24,648. $
2. All other
income
(same year) $-0- $
3. Total income taxes paid on
1997 Income Taxes have not yet been filed.
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 3
above income (icl. Fed. & FICA) $ 355. $
4. Net Income $24,293. $
AVERAGE GROSS MONTHLY INCOME FROM EMPLOYMENT
See
Appendix 3 for how to figure out money amounts for anything that is NOT paid monthly.
Attach
more paper, if needed. Items included under "other" should be listed
separately with separate
dollar amounts.
Present gross income from employment...................................................................................... $3,208.33
Bonuses, commissions, allowances, overtime, tips, and
similar payment..................................................... $
Business income from sources such as self-employment,
partnership,
close
corporations, and/or independent contracts (gross receipts
minus
ordinary and necessary expenses required to produce income)...................................................... $
Disability benefits.................................................................................................................................. $
Workers' Compensation......................................................................................................................... $
Unemployment Compensation................................................................................................................ $
Pension, retirement, or annuity payments................................................................................................. $
Social Security benefits.......................................................................................................................... S
Spousal support received from previous marriage.................................................................................... $
Interest and dividends............................................................................................................................ $
Rental income (gross receipts minus ordinary and
necessary expenses
required to
produce income)................................................................................................................. $
Income from royalties, trust, or estates.................................................................................................... $
Reimbursed expenses and in kind payments to the extent
that they-
reduce
personal living expenses............................................................................................................ $
Gains derived from dealing in property (not including
nonrecurring gains).................................................. $
Itemize any other income of a recurring nature........................................................................................ $
TOTAL MONTHLY INCOME....................................................................................... $3,208.33
LESS MONTHLY
DEDUCTIONS
See
Appendix for how to figure out money amounts for anything that is NOT paid
monthly. Attach
more
paper, if needed. Items included under "other" should be listed
separately with separate dollar
amounts.
Federal,
state, and local income taxes (corrected for filing
status and
actual number of withholding allowances).................................................................... $270.21
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 4
FICA or self-employment tax (annualized).................................................................................... $239.89
Mandatory union dues............................................................................................................................ $
Mandatory retirement.................................................................................................................. $213.35
Health insurance payments............................................................................................................ $72.55
Court ordered support payments for the children
actually paid.................................................................. $
TOTAL DEDUCTIONS...................................................................................................... $796.00
TOTAL NET INCOME................................................................................................... $2,412.33
AVERAGE MONTHLY EXPENSES
HOUSEHOLD:
Mortgage or rent payments....................................................................................................... $1,200.00
Property taxes & insurance............................................................................................................ $0.00
Electricity'................................................................................................................................... $80.00
Water, garbage, & sewer............................................................................................................. $50.00
Telephone.................................................................................................................................... $50.00
Fuel oil or natural gas..................................................................................................................... $0.00
Repairs and maintenance.............................................................................................................. $20.00
Lawnandpoolcare......................................................................................................................... $50.00
Pest control................................................................................................................................... $0.00
Misc. household............................................................................................................................. $0.00
Food and household items......................................................................................................... $1,200.00
Meals outside home.................................................................................................................... $200.00
Other:
Household help/cleaning $120.00
...................................................................................................................................................... $
...................................................................................................................................................... $
AUTOMOBILE:
Gasoline and oil............................................................................................................................ $60.00
Repairs...................................................................................................................................... $100.00
Auto tags and license................................................................................................................... $10.00
Insurance................................................................................................................................... $110.00
Other:
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 5
...................................................................................................................................................... $
...................................................................................................................................................... $
...................................................................................................................................................... $
CHILDREN'S
EXPENSES:
Nursery or babysitting.................................................................................................................. $50.002
School tuition................................................................................................................................. $0.00
School supplies............................................................................................................................. $40.00
Lunch money............................................................................................................................. $140.00
Allowance..................................................................................................................................... $0.00
Clothing..................................................................................................................................... $200.00
Medical, dental,
prescriptions.............................................................................................................................. $40.00
Vitamins........................................................................................................................................ $0.00
Other:
Private Tutors.............................................................................................................................. $50.00
..................................................................................................................................................... $0.00
..................................................................................................................................................... $0.00
INSURANCES:
Health3.......................................................................................................................................... $0.00
Life............................................................................................................................................... $0.00
Other insurance:............................................................................................................................ $0.00
...................................................................................................................................................... $
...................................................................................................................................................... $
...................................................................................................................................................... $
OTHER
EXPENSES NOT LISTED ABOVE:
Dry cleaning and laundry $70.00
Clothing s500.00
Medical, dental,
prescriptions $20.00
2Supervision
duririg school holidays & Supervision while traveling to conferences.
3Deducted
from pay check.
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 6
Grooming..................................................................................................................................... $50.00
Gifts............................................................................................................................................ $25.00
Pets:
Grooming...................................................................................................................................... $5.00
Veterinanan................................................................................................................................... $5.00
Membership dues........................................................................................................................... $0.00
Professional dues ........................................................................................................................ $25.00
Social dues.................................................................................................................................... $0.00
Entertainment.............................................................................................................................. $50.00
Vacations...................................................................................................................................... $0.00
Publications................................................................................................................................. $50.00
Religious organization................................................................................................................... $25.00
Charities...................................................................................................................................... $10.00
Bank charges/credit card fees........................................................................................................ $0.00
Miscellaneous................................................................................................................................ $0.00
OTHER
EXPENSES:
Trips to Miami4.......................................................................................................................... $400.00
Kids Summer Camp5................................................................................................................ $1,250.00
Trip to Germany6........................................................................................................................ $350.00
Weekend Trips7......................................................................................................................... $600.00
Moving Expenses8...................................................................................................................... $350.00
Trip to Germany6...................................................................................................................... $$350.00
Legal Expenses.......................................................................................................................... $500.00
Psychologist Consu1ting Fee......................................................................................................... $80.00
TOTAL ABOVE EXPENSES............................................................................................. $8,135.00
PAYMENT
TO CREDITORS:
____________________________________
43
Trips at $400.00 per ticket.
5$5,000
per child = $15,000.00 per year.
6Attend
farnily affairs.
7long weekend trips.
8Expenses not covered by Texas Tech University.
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 7
TO WHOM: BALANCE
DUE: MONTHLY
PAYMENTS:
Diversified Collection $320.00
Services, Inc. $
26,266.81 $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
TOTAL MONTHLY PAYMENTS TO CREDITORS............................................................ $320.
TOTAL MONTHLY EXPENSES......................................................................................... $8,455.
ASSETS
(OWNERSHIP: IF MARITAL, PUT ONE-HALF OF THE TOTAL VALU'E UNLDER
PETITIONER
AND ONE-HALF UN'DER RESPONDENT NO MATTER WHOSSE NAME THE
ITEM IS
IN. See Appendix sheet 2 for definition
of "marital and nonmarital'9 assets and
obligations.)
Description: Value:
Other personal
Cash on hand property:
Cash in banks Contents
of
Stocks/bonds home,
etc.
Notes
Real estate: Jewelry
Home Life
Ins./cash
surrender
value
Other
assets:
Automobiles:
1992
Chevrolet
Suburban
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
FINANCIAL
AFFIDAVIT - ZISKIND VS. ZISKIND - CASE NO.: 93-13312 FC 16 (PJ) -
PAGE 8
Petitioner: Respondent:
$2,000.00
$7,000.00
$2,000.00
TOTAL ASSETS: $ $11,000.00 $
LIABILITIES:
Creditor Security Balance Husband Wife
Diversified
Collection
Services,
Inc.
$26,266.81 $26,266.81
TOTAL: $ $26,266.81 $26,266.81
MARKS & WEST, P.A.
Suite 2700 NationsBank Tower,
100 S.E. Second Street, Miami, Florida 33131 Ph: (305) 374-0210 Fax: (305)
374-7441
