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V/_ _ _ _ /_ _ _ _ of TMP/_ _ _ _/_ _ _ _
R ( _ ) / CR ( _ )
TRIBUNAL FOR THE MAINTENANCE OF PARENTS
Answer to the Application for Variation filed by the Applicant/Person on behalf of the Applicant
(Statement of the Respondent/Co-Respondent)
This statement is to assist you in filing your Answer. You are at liberty to use this supplied format or any other format. You are required to serve a copy of your Answer and Statement on the Applicant/Person on behalf of the Applicant. .
STATEMENT OF RESPONDENT / CO-REPONDENT
I, ______NRIC No. ______have been served with an application to * vary / rescind the order of the Tribunal of Maintenance Order. I wish to state the following:
1 Marital status: *Single / Married / Separated / Divorced / Widowed
2 Type of accommodation: (a) *HDB ( __- room) / Private Apartment / Condominium /
Landed / Others (please state) ______
(b) *Purchased / Rented from HDB /
Rented from landlord, state no. of room _____ / bed space
(c) *Owner / Co-owner / Tenant / Free accommodation
Fully paid: * Yes / No
3 *Employed / Unemployed: If unemployed, state since ______(date)
4 Occupation: ______State commencement date: ______
5 Monthly income: $______(gross) $______(net)
6 Spouse’s occupation: ______
7 Spouse’s monthly income: $______(gross) $______(net)
8 Details of my dependant(s) are as follows:
Dependant(s)/Relationship(s) / Age / Occupation / Student (at which level)Parents (Father/Mother)
Spouse
1st child
2nd child
3rd child
Other (to specify): ______
Attach supporting documents of the relationships with the dependant(s), e.g. copy of marriage certificate, birth certificate... etc.
9 I *own / do not own property(s):______
(Give description of property, and state if rental is received.)
10 I *have / do not have saving(s) and / or investment(s) and/or other assets:
______
(Give details, e.g. amount of savings, value of shares investment and unit trusts etc.)
11 I receive income from these other source(s): ______
______
(Give details source and nature of income, e.g. contribution from children or spouse, rental and interest. Please state the monthly amount.)
12 Monthly personal expenses and/or household expenses for my family is as follows:
Expenses / Amount ($)Rental/mortgage payment : * Cash or / and
CPF
Service & Conservancy Charges / Maintenance
Utilities
Food
Transport
Medicine/medical treatment
Taxes paid
Dependant(s) (e.g. spouse, children and parents)
Miscellaneous (to include payment of debts, if any) ______
Others (Please specify): ______
Total
Attach supporting documents.
13 Answer to the application:
(Tick ( √ ) the appropriate box)
or
(b) I disagree to the application for *variation / rescission for the reason(s) that:______
______(attach any other information/document that you consider relevant)
14 I have served a copy of this statement on the *Applicant/Agent.
15 I declare that the information given in this Statement is true and correct to the best of my knowledge, information and belief as at ______(date). I have made full and frank disclosure of my income, expenses, assets and means to the best of my knowledge, information and belief.
Dated this ______day of ______20______.
______
Signature of Recorder of Statement *Signature/Right Thumb Print of
(Name : ) * Respondent / Co-Respondent
Personal particular of the *Respondent/Co-Respondent
(This page is not required to be served on the Applicant or Person on behalf of the Applicant. Information provided below is for the Tribunal only.)
Name : ______
NRIC No : ______
Type : *Singapore Pink / Blue
Date of Birth & Age : ______
Current Address : ______
______
Correspondence Address : ______
______
Telephone no. : ______(Home)______( Mobile)
E-mail address : ______
R/CR answ to V filed by A/Agt
* Delete as appropriate