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SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF

, of my net worth (assets of whatsoever kind and nature and wherever situated minus liabilities), statement of income from all sources and statement of assets transferred of whatsoever kind and nature and wherever situated and statement of expenses: I. FAMILY DATA (a) Plaintiff’s date of birth: (b) Defendant’s date of birth: (c) Date married:

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  York, States, County, Court, Worth, Supreme, Supreme court of the state of new york county

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