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I, Dorian Mayhew Rothschild, being sworn, certify that the following information is true: I am a Master Plumber for, Rothschild Plumbing Company, 440 Montgomery St., San Francisco, California 94103.
1. Gross Monthly Income from All Sources Source Description Rothschild Plumbing Company Salary RL Electronics Corp Investment Investment Income
2. Total Present Monthly Deduction Federal, State, and Local income tax: $1,200.00 FICA or self-employment taxes: $230.00 Medicare payments: $65.00 Mandatory union dues: $0.00 Mandatory retirement payments: $180.00 Health insurance payments: $560.00 Child Support: $300.00 Alimony: $900.00
3. Average Monthly Expenses Household Expenses Expense Description house mortgage monthly expense food monthly expense gas monthly expense property taxes monthly expense auto insurance monthly expense
Debts Lender Cosby Credit Union car loan home equity loan
4. Assets Owned by the Parties Asset Description residential home house bmw 3 series sedan car Bank of Orinda checking account Bank of Orinda savings account Sweeney National Bankretirement account 2000 shares Rothschild Plumbing stockstock
5. Summary Total Present Monthly Net Income: $4,165.00 Total Monthly Expenses: $31,440.00 Total Assets: $556,800.00
Oath or Affirmation: I certify under penalty of perjury that I know the contents of this Affidavit signed by me and that the statements are true and correct.
______________________________ Date
On ____________________ before me, ________________________________, personally appeared _________________, proved to me on the basis of satisfactory evidence to be the person(s) whose name is subscribed to the within Affidavit and acknowledged to me that he/she executed the same in his/her authorized capacity, and who, being first duly sworn on oath according to law, deposes and says that he/she has read the foregoing Affidavit subscribed by him/her, and that the matters stated herein are true to the best of his/her information, knowledge and belief. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.