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eFile Accepted: 02/19/2014 09:40 AM
F iling # 10414052 Electronically Filed 02/18/2014 04:36:04 PM
IN THE CIRCUIT COURT FOR THE TWELFTH JUDICIAL CIRCUIT
IN AND FOR SARASOTA COUNTY, FLORIDA
TIBAR, LLC, TERESA BASNIGHT, and
MICHAEL A. BASNIGHT,
Plaintiffs,
Vv
Case No. 2008 CA 18070
WILLIAMS, PARKER, HARRISON, DIETZ
& GETZEN, P.A., JOHN MOORE, and
TERRI COSTA,
Defendants.
/
DEFENDANT?’S FIRST REQUEST FOR PRODUCTION IN AID OF EXECUTION
TO PLAINTIFF TERESA BASNIGHT
Defendant, Williams, Parker, Harrison, Dietz, and Getzen, P.A. (“Defendant”), by and
through its undersigned counsel and pursuant to Rules 1.560 and 1.350, Florida Rules of Civil
Procedure, hereby files its First Request For Production in Aid of Execution to Plaintiff Teresa
Basnight (“‘Plaintiff’).
Respectfully submitted,
PHELPS DUNBAR LLP
Cs
Jessica Kirkwood Alley, Esq. FBN: 177059
Lawrence Ingram, Esq. FBN: 855510
Shannon Rodriguez, Esq. FBN: 36466
100 South Ashley Drive « Suite 1900
Tampa, FL 33602-5311
(813) 472-7550; (813) 472-7570 (facsimile)
Counsel for Defendants, Williams, Parker,
Harrison, Dietz & Getzen, P.A., John Moore, and
Terri Costa
FIRST REQUEST FOR PRODUCTION IN AID OF EXECUTION
TO TERESA BASNIGHT
The temporal range for the following requests is February 2009 through the present.
1 A completed fact information sheet, attached as Exhibit “A”’.
2 All documents requested in, or otherwise providing the information requested in, the fact
information sheet, attached as Exhibit “A”.
Any documents identified in Plaintiff's answers to the First Set of Interrogatories in Aid
of Execution propounded concurrently herewith.
Copies of Plaintiff's foreign, federal, state, county, and municipal tax records and returns,
inclusive of any and all amendments, addenda, schedules and worksheets, including but
not limited to income, intangible, estate, and gift tax records and returns, filed by you
personally, or jointly with any other person or entity, excluding TiBar, LLC.
All tax returns, inclusive of any and all amendments, addenda, schedules and worksheets,
prepared but not filed by you or on your behalf with any federal, state, or local taxing
authority.
All cashier’s checks, money orders, or certified checks under your control, whether in
your name individually or jointly.
All securities documents, including but not limited to stock certificates, bonds, and
certificates of deposit, owned or beneficially held by you, either alone or jointly with any
other person or entity, excluding TiBar, LLC, and all evidences of secured investments.
All documents reflecting the names of any financial institutions, including but not limited
to banks, savings and loan associations, and credit unions, at which you currently, in the
past, or intend to have in the future, any checking accounts, security accounts, savings
SS —
accounts, share drafts, IRA accounts, 401K accounts, brokerage accounts, CDs, money
market funds, or any other form of financial accounts.
All documents reflecting the extent and nature of all financial interests, property, and
property rights owned by you and the locations thereof.
10 All notes, deeds, title certificates, mortgage, or security instruments that reflect: a) any
debts owed to you; b) property (real or personal) owned by you; c) property (real or
personal) in which you have a security or beneficial interest; and d) any of the foregoing
in which you had an interest during the temporal period noted above.
1] All stock books and stock transfer ledgers of any corporation, excluding TiBar, LLC, in
which you have been an officer, director or stockholder during the temporal period noted
above.
12 All credit card records showing charges made on accounts in your name, either
individually or jointly.
13 All documents reflecting pension fund, profit sharing plans, or other fringe benefits
which you have through your employer or former employers.
14 All documents reflecting contingent interests you have a right to, whether in any estate,
real property, or otherwise.
15 All documents that reflect the existence and status of any legal, equitable, or other
interest held by you, in whole or in part, in real property.
16 All documents that reflect the existence and status of any legal, equitable, or other
interest held by you, in whole or in part, in personal property, including but not limited to
boats, automobiles, airplanes, mobile homes, antiques, stamps, art, coins, gold, and
jewelry.
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17 All documents that reflect the existence and status of any legal, equitable, or other
interest held by you, in whole or in part, in intellectual property, including but not limited
to patents, copyrights, trademarks, and inventions.
18 All documents identifying all assets currently owned by you, whether jointly or
individually, in which you have any interest. “Asset” means any real, personal,
intangible, or any other property.
19 All documents reflecting the transfer or disposition of any asset previously held by you,
the date of transfer or disposition, and the person or entity who received the same.
20 All documents relating to all assets held by an entity, excluding TiBar, LLC, that you
have an interest in.
21 All cancelled checks, bank statements, and account books for all checking accounts,
savings accounts, money market accounts, retirement accounts, mutual fund accounts,
and all other monetary accounts in your name either jointly or individually, or upon
which you have the right to write a check, or for any entity that you have or had an
interest in during the operative temporal range.
22 All certificates of deposit, whether in your name individually or jointly.
23 All financial statements provided by you to any person or entity, or prepared on your
behalf, whether in your name individually or jointly with anyone else.
24 Bills of sale or other documents reflecting personal or real property purchased or sold by
you.
25 All insurance policies insuring any individual, businesses, or property (real or personal)
which you hold an interest in, either in whole or in part, excluding TiBar, LLC.
26 All insurance policies that you are a beneficiary of (including but not limited to life,
medical, and hospitalization policies).
27 All documents reflecting monies due to you.
28 All contracts pursuant to which another person or entity is currently indebted to you.
29 All documents reflecting the gross amount and source of income received by you, either
directly or indirectly.
30 All documents identifying retirement plans in which you are or were a participant in,
under which benefits were, are, or will be payable to you or your designated beneficiary.
31 All documents reflecting an ownership or beneficial interest in any entity.
32 All documents reflecting pending claims for monies or unsatisfied judgments for monies
entered against you.
33 All notices of any IRS or Federal bankruptcy proceedings implemented against you or an
entity that you have an interest in.
34 All documents reflecting rents that you, or an entity that you have an interest in,
excluding TiBar, LLC, are entitled to.
35 All trust agreements that you are the beneficiary, grantor, or trustee of.
36 All documents reflecting a security interest in any real or personal property held by you.
37 All documents reflecting any loans sought by or on behalf of you.
38 All documents relating to the any source of funds used to pay your creditors.
39 All loan agreements that you have been a party to.
40 The deeds, or copies thereof, to all real property owned by you, or an entity that you have
an interest in, excluding TiBar, LLC, solely or jointly.
—e
41. If you are self-employed, or a partner, or own more than 10% of the outstanding capital
stock of any corporation, excluding TiBar, LLC, then for each corporation for the past
thirty-six (36) months, produce items 4, 7, 12, and 24.
CERTIFICATE OF SERVICE
I hereby certify that a copy of the foregoing has been served on:
Wayne Alder, Esq. Stuart C. Markman, Esq.
Andrew Seiden, Esq. Kristin Norse, Esq.
Becker & Poliakoff Kynes, Markman & Felman, P.A.
625 N Flagler Dr 100 S. Ashley Drive, Suite 1300
West Palm Beach, FL 33401 Tampa, FL 33602
(561) 832-8987 (FAX) (813) 221-6750 (FAX)
via e-mail, on this aay of February, 2014.
Attorm
PD.10995803.2
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FACT INFORMATION SHEET
Full Legal Name: SPOT RATT OTE T RATES HAHAH OOAT RA ERA PARE TREE OPER ET OTT E TE EET OSES EFAS EE EES ESE PEPE EEE E SENSE TET REET TERETE TERE O SEED EES ERCP OE PETE HEE ET ETS ESO R EH UTES EUSA DESH S HERON HAH PR PTET PET SER OUP ETRE ESOS RE REDE RET PRC O EEO E HENS EER
Nicknames or Aliases: SUSE SE DOTS H OED HARES OCRE PETS ETA TOES HET H ET ETO ESE RE RESO REPETE STEER TORE FETT ESTE ROE E ET EOE TEESE SA EPR PASH O KEPT EET ET ET EF EAE E TEE ROUSE PECEEO COPED PEPE EHTS UOTE EEF E NOES UUR EPCS EERE OEE DEUS REO U EEUU EEUU BR OUREUOGED
Residence Address: SETHE SECTS RE RESET RE CAA DESPA REESE SESE HEE EE EEE SEE T ESE EERE SET FER ASEH SH ERAS HE TET FET EERO ESET FOS EF SESE SEEDS RAO POS FASE ET ERE S ESET ETS E EERE SHOE CAEORASH SORE SEAT PES R EET UEP T UOTE ORT E ES ECE TOROS THREE PER ECR ROSE EC EDS
Mailing Address (if different): POMPE EET HEEFT TREE EES EEE O ESE OSE PEPER AHA PAS TATE TEESE STEED ET OTS ES ESEDTEE ORE TCROF POR FESR TOES HERE E EATER HE SE SEE H EOE SER OHEEESPAE ET EE OE SHEET EE SES USSR ESET PRE PPM AT OH ETE PE EES EE EO DESEO EDS EDOORES
Telephone Numbers: (Home) (Business) FPP ET TEP E STH THEFT UATE SES CRS ORE RER HTS TO TREE E EET ESTEE HES ET TEESE THT PSHE HEPAT TET ETE SEES EERO CHE PEDEEHRE THEE E ORE EOE PETS
Name of Employer: FSU TP TEER E DERE SR OHE REA HA RHA ESAS EE ERSTE THEO EP ETE ERE ESE EERE EE PACS PORTHOS HET HET HES EF ESE SETA DETER ESE SEE PEER TASES H SPER OE FEET TESTO UES TESCO CATE DDE SHR APART O ESE USER UTED ESET EEC R ERROR DOSP EEUU HUNGER USD EDO UDO EEDESE
Address of Employer: POSSE PATO S OTHE REPRE RET REDE PESTLE CE RESET ERE REFEREE OEE S EEE SESE UTES DETER SED OCR EET AE HPS ER TERETE ASR ET PEAT TEESE RE DEST R ESCAPE HTT E OPER PETE EEE REUSE DETER APOC S ET ORM ETT RUSE EAE D EET D OCOD PARE SeE ERE PHOS
Position or Job Description: TEPPER CERT E PETER SER ESET ETE PA SHAE RO HEHE HTSUS ETE ET ET UT ECR ROTTER THETA EEE EOE TEETER ET OTL OTROS PEPE EE TOT EOE EET HAP E ESRC ERA POE EE OUT E TRUST PEER EO EEC DESEO CPE P ERT REET EOE EUS ERED ESOS
Rate of Pay: $ per . Average Paycheck: $ per PCRS F AREAS ESAS ESET RESET ES EAFASPESHA EET ETHOS EF EF ETERS EE POES EERO ES HHS T REET CETTE REUSE SCA RSRS HENS
Average Commissions or Bonuses: $ per . Commissions or bonuses are based on POCCSTFSH ESP ES FASTA PRAHA EOE E SEFC TAS COT ERORSAEES
Other Personal Income: $ from PUP ORCC TESA AOE HAS ESAS ESET ET ESET ESTER EE EEE SESHTTP RSET HERS CAE TT TESTS ESTE OETA OEE P OSAP APEC RS SESE STEHT SEER PERS TAS SHT AT EP TRE ETT ETS ESSE ERTS POPE HESS EE SE OEE ES ESESED
(Explain details on the back of this sheet or on an additional sheet if necessary.)
Social Security Number: Birthdate: cc csessccssssccscssesesessecssscecssssevscsssusucesscerevscessusescusevsvessusauassssversusecsevsvscsassesessesececeseeees
Driver’s License Number: COPE TPR O CORA REHHESEAA PASEO ETE TTT EO ES ESE TEESE RECA E REPEC E RSET EEE EE SETS E SCE D ERE DEE DD OOE PERSE ROTH O URE OET UT TEER DEUS USER DE DORE DE AO RSET HTT OEE FEU O OED OCSRSR SRS PARTE a PUD E ES OUD ECHEDEREDORE POD oNeEEUSEDECED
Marital Status: SPOUSES NAM? ou. cesccseessssesssessseccsssessscescessusssusessuscsssessussssecessesossesssecsseseussescsssessueessuversuussssesasecseteccueseaneeeessses
Spouse Related Portion
EXHIBIT
PD.10996269. 1
Spouse’s Address (if different): TOPPA PR ETE EEE T ERS CEO A PREFER ARTE HERE H EEO ETRE SUED ESPERO HEE FORE EE HET H ET EERE DE DOE DEDEDE SHOE HERE RHEE PUREE LEE E SOE DUCTISOE DOE PRUETT UOTE TOC PEC CE RSE PE EEE ET RESP USOC OE SESE SEAS DOU wOEE
Spouse’s Social Security Number: Birthdate: vo.cccccccscccsssssssssscecsssssssscecsscsssesscessseusvessessesessvavsesesesssessvesseesecscecsececeseseeses
Spouse’s Employer: FOTO Ree Eee E ETE UT EEE TORE REED OES H EPA ESHER O ESET OEE EP EOE DOE AE PATHE RT EEE SOT DEORE TE HESCSS ROM PEO R SHOUTS EEUU PEC R OE DERE DY AE RS EEO EOE THE UE UEP DECECD EDO REE H OE ERE UE DET EESEDERSE DPC O EOD DEN OESOSOUS USER EMEDORETEEY
Spouse’s Average Paycheck or Income: $ per COMET TPE T ETS ESOT REDE TR ESHA PAPAS EET EEE E TOTS TEES ESAS ES EAPO EEE HO ETE O ERECT RETR AERA PETE E ETE E TOUTES ESO REPUTE AT PET UE RETO E PEED ORE SOE eEED
Other Family Income: $ per (Explain details on back of this sheet or on an additional sheet if necessary.)
Describe all other accounts or investments you may have, including stocks, mutual funds, savings bonds, or annuities, on
the back of this sheet or on an additional sheet if necessary.
Names and Ages of All Your Children (and addresses if not living with you): POP CAPA POET ESE ETE O USFS T ETE PHATE HEUTE SOE ORT SA PEEP EH UE USES UTERO ARPT HEPES ETT EEPESED ESTED DAD
Child Support or Alimony Paid: $ per FEET EP TESA OTA C ARSE HA ESET ETS EF OEP ETE R APES REPRE HT ET TSE STEERER EOS ESE PORE HATH HT TT OT ET RESTO STOOP ET ETO TEER ESET SE PESEP EEO ESTEE ESTO REED ESE SATU E EUS EUES SUES
Names of Others You Live With: EOC Oe RPE E ORO URES REE OCR HADEN HSER EEOC DE DERESAS HECHT ET PETES EER EFOERER PE EHS RPE PE REESE PORTE REPOS R ORE PE EASE TES EE DUET PATON HERE SEU EE EERE SDE DEEDS DOSE ST PUGET OS DESUE DESDE PEPESSEUEOEES
Who is Head of Your Household? You Spouse Other Person
Checking Account at: Account # ee ER Oe ORR O TORE ETE E TEER ER ERAS STE e ETE HAUT EET ES UE TOO SEO HE FACES ERE E ETE UE DROP OR PAT ETE RSE PERE ROOD RUE EEE ET OE CT DES SR POU PETER EUS ES EUR E OD
Savings Account at: Account # PEO FTO E PERE TOE R RA ARH ESE AHA RESUS H ERE HES HF SHE HEP TEE ESE SES ESE ASAP EPTFE TSE SES ES DERE P ETHERS AE PERE TESTU OEE OE SUSE E THOU ES UOEST DOR OH US EE EEE e ES EODeSDeCeeeuE
For Real Estate (land) You Own or Are Buying:
Address ee EEE OEE OT ORE e ORE RE ROE THOSE ECU UE DOERR DEH OHA EHEC DHT ET ETUDE ESE DEP OSAE OTE EEU HEE DOO DESDE DEDEDE SEDO EEUU ESEDUDCHSEOSESIU HEE EUESUUE DEDEDE DERE DEO EEE SENS SEL SCOOEPOUSE EEO EEE ROS UOUS PRE POSEMED EU PE OES ESUEDOLOSEtOED
All Names on Title: eee ee eee EEE EE OUTER ERE PATHS ROE ETE EERO USES EERE OHA REO EET EEE EE NERS SO REDE S RE EO HEHE TSE P ESE OE ES DOOE ORDO N HEU E EEE OES DESH DEC TOES OEE U DEE EEE UES EOE POR SEE TEE DETUDES ODE DDAOHONSESESOUESS DE DOO bAEDEEENS
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PD. 10996269. |
Mortgage Owed to: Oe eee R EE EOE ECT EOE UOT US UO US UAA PERSE EEA E REC REDEDDEDASSE DESO SO RSET SECEDE DESSEE D ET EEE E PES EEST ES EE RERSESES ERPS HORTA TENT ETE SESE TDEOHET OUST E HE EDEN O UTES EE DEER OO EU EE EEE SESCUCEOODE SOE DSAE DED EEOE EES OES
Balance Owed: CORE TOTP E TOT E TOTO RAS RE ORE E PEROT ESET EEE E EOE TASES PETE EET ET EEF ESS ATE DA OSES PETERSEN ET ONCE DEDE PORT EO HET EET UE TEEPE ERE DESEO RPE DE ESET ET UU EEE RETO ECSU TREO REESE DENSE EES SE SODE DONE EEE CENSOEESGDS DST OEA FEE DEEEEEEeED
Monthly Payment: $ eee ee eR PEE OE ETE E OTT ROSE R APART eH EEF ESO ESETOE DEEPER TSH ETE E EEE EAE DERE OT ERD TEES EOE ENTE TEES OOP ERED SFE SER EOE EEE UPUC UTD EOE DRED PE PHU O EOE E REPOS ESE OS DOC EERE ET EERE USO EES OESESOR DUE US DEN SEEDEGUSDEESS
(Attach a copy of the deed or mortgage, or list the legal description of the property on the back of this sheet or on an
additional sheet if necessary. Also provide the same information on any other property you own or are buying.)
For All Motor Vehicles You Own or Are Buying:
Year/Make/Model: Color CEPTS ESOS ORO ROS ER HATED ETE E TFA O SETAE HET R EE PHOT EET E ETRE RECO S ESE OE HET ET ET ET EET ROSETTE PERRET TERE OEP OCET PP HOUR UU OSES DEORE DE DERE NEUE USES UUU EO RSE DOD
Vehicle ID No: Tag No: Mileage FERRE UTES EOE TR ORO RAFT ESET REST ESTES ER EE RADE ROTH SEE RECT EE RESHAPE REET E CREE ETT OOS E HEPES RETO EERE SES RED OCE PPR POPE Ee EeRSeE®
Names on Title: Present Value: $ SPEC PAPO ROHS EEE E SET O OEE O OER HRA HER PETES TERETE ESTE PORTA TES ETE T ESE O EEE E UE PE RECHT SEO U EES U ODE DEO TE EEUU UU ESOP OR TOE EEE EPO ES EE DE SSE DAES HEC EENEUEUDDESS
Loan Owed to: ee eee R EOE HERI TET EERE U PERT DOLE H ST PESO UTES USD E DAT EE URE U HT EEEUOER DADE OOS EOU HSU PEESUODEDDGDDEOE STORES ESEETES ERE DS SOORDASOCET EES OEOUP EDUC E SEDER TCHS UEEOODEEOEUDESESSDEUDER ESD USTEUNTEDEECSthedurues
Balance on Loan: $ ee eee THAT EE EEE EERE TREE RFA PEO E SEES UR UEE SCOR ROE TEP E CHESS SE REUOCOUSDSCO FEHR UE EONS EPOR DEES OCU EE EEE EEESEODUCUEE SUSE EUEP ETE SUSE PAE EE CHEN U ON DOCU RTOS EHHOHOUSOESDESEBEDAGUESEEESS
Monthly Payment: $ eee ee EN ORR OTE R TUE ESOT REPOS EEE E DEAE EO UE USSSA SOE DA PADS HERTS EOEEE DEP SE DOSES HUNT ECHS ECE DO DEG HESO ESE PEOESUUDSDEDEEDUOH EK EOE NEUSE SDE DOESSUUUUNPUCEDOCEGDODENSEOESSEOESODSEDEUEHENoEEOES
(List all other automobiles, as well as other vehicles, such as boats, motorcycles, bicycles, or aircraft, on the back of this
sheet or on an additional sheet if necessary.)
Have you given, sold, loaned, or transferred any real or personal property worth more than $100 to any person in the last
five years? If your answer is “yes,” describe the property, market value, and sale price, and give the name and address of the
person who received the property.
Does anyone owe you money? Amount Owed: $ POPE Re Rem REECE RAPE PA OE HES UEETT EE ESESE DAT HEE TET ESTO ESE DECOE SORT HTH O EOE EET EOE EP OE RUTH UTES DECCOPOR UE EESESIDDSCOCEE TENE UTES IOS DET OE DAU ruEpueunseeeaeDes
Name and Address of Person Owing Money: FOTO Ree a eT ET ARTUR OTERO REESE EEO E FEO EEL ETE ERASE PEROT OEIC EDESE DOS HO RUE SE ET ES FUSE RESPES HEHE EUS ESD ESUOCST ENTER EEOC SED U RE POP EL EES EE DOSAGSEOEUDONCDEUBDEDOOuS
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PD.10996269.1
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REASON MONEY 1S OWE? ou. ecssessesseccnecsesscesecnsecseccscssssusrsscosseavesscavecsucascsssuscsucsusessesscsussuecsuceesanssvcenscssssanasessessssscssussessucsessensesussuesesssuestsesesseserecuesnesarenusctavens
Please attach copies of the following:
a. Your last pay stub.
b. Your last 3 statements for each bank, savings, credit union, or other financial account.
c. Your motor vehicle registrations and titles.
d. Any deeds or titles to any real or personal property you own or are buying, or leases to property you are
renting.
e. Your financial statements, loan applications, or lists of assets and liabilities submitted to any person or entity
within the last 5 years.
f. Your income tax returns filed in the last five years.
UNDER PENALTY OF PERJURY, I SWEAR OR AFFIRM THAT THE FOREGOING ANSWERS ARE TRUE
AND COMPLETE.
COCR Pa RTO ROR TES UTES ESR ESE ODER DEE A TOSS ERE HET EOET ETP ES RETEST RERE RED AE ROMP EASE OTA S EE PETES ESTES ESET ROCCE DSS EERO EE ODE EEE EERE USES ORE RARER EPEC PE EEE ERE PETERS EUS E SOUS TPUSER UE POOR ORSP EEK UO UES USO SEES DEDOE HEME E EE OENS EES DEDE DED DE SEODE DEER SEC UNNCDENSECeDaDeseaeD
Teresa Basnight
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this day of , 2014, by Teresa Basnight,
who is personally known to me or has produced as identification and who aectunsareaeesea did/did not take an oath.
WITNESS my hand and official seal, this —————___
day of , 2014
Notary Public
State of Florida
My Commission expires:
THE JUDGMENT DEBTOR SHALL FILE WITH THE CLERK OF THE COURT A NOTICE OF
COMPLIANCE AFTER THE ORIGINAL FACT INFORMATION SHEET, TOGETHER WITH ALL
ATTACHMENTS, HAS BEEN DELIVERED TO THE DEFENDANT’S ATTORNEY.
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PD.10996269. |
Preview
eFile Accepted: 02/19/2014 09:40 AM F iling # 10414052 Electronically Filed 02/18/2014 04:36:04 PM IN THE CIRCUIT COURT FOR THE TWELFTH JUDICIAL CIRCUIT IN AND FOR SARASOTA COUNTY, FLORIDA TIBAR, LLC, TERESA BASNIGHT, and MICHAEL A. BASNIGHT, Plaintiffs, Vv Case No. 2008 CA 18070 WILLIAMS, PARKER, HARRISON, DIETZ & GETZEN, P.A., JOHN MOORE, and TERRI COSTA, Defendants. / DEFENDANT?’S FIRST REQUEST FOR PRODUCTION IN AID OF EXECUTION TO PLAINTIFF TERESA BASNIGHT Defendant, Williams, Parker, Harrison, Dietz, and Getzen, P.A. (“Defendant”), by and through its undersigned counsel and pursuant to Rules 1.560 and 1.350, Florida Rules of Civil Procedure, hereby files its First Request For Production in Aid of Execution to Plaintiff Teresa Basnight (“‘Plaintiff’). Respectfully submitted, PHELPS DUNBAR LLP Cs Jessica Kirkwood Alley, Esq. FBN: 177059 Lawrence Ingram, Esq. FBN: 855510 Shannon Rodriguez, Esq. FBN: 36466 100 South Ashley Drive « Suite 1900 Tampa, FL 33602-5311 (813) 472-7550; (813) 472-7570 (facsimile) Counsel for Defendants, Williams, Parker, Harrison, Dietz & Getzen, P.A., John Moore, and Terri Costa FIRST REQUEST FOR PRODUCTION IN AID OF EXECUTION TO TERESA BASNIGHT The temporal range for the following requests is February 2009 through the present. 1 A completed fact information sheet, attached as Exhibit “A”’. 2 All documents requested in, or otherwise providing the information requested in, the fact information sheet, attached as Exhibit “A”. Any documents identified in Plaintiff's answers to the First Set of Interrogatories in Aid of Execution propounded concurrently herewith. Copies of Plaintiff's foreign, federal, state, county, and municipal tax records and returns, inclusive of any and all amendments, addenda, schedules and worksheets, including but not limited to income, intangible, estate, and gift tax records and returns, filed by you personally, or jointly with any other person or entity, excluding TiBar, LLC. All tax returns, inclusive of any and all amendments, addenda, schedules and worksheets, prepared but not filed by you or on your behalf with any federal, state, or local taxing authority. All cashier’s checks, money orders, or certified checks under your control, whether in your name individually or jointly. All securities documents, including but not limited to stock certificates, bonds, and certificates of deposit, owned or beneficially held by you, either alone or jointly with any other person or entity, excluding TiBar, LLC, and all evidences of secured investments. All documents reflecting the names of any financial institutions, including but not limited to banks, savings and loan associations, and credit unions, at which you currently, in the past, or intend to have in the future, any checking accounts, security accounts, savings SS — accounts, share drafts, IRA accounts, 401K accounts, brokerage accounts, CDs, money market funds, or any other form of financial accounts. All documents reflecting the extent and nature of all financial interests, property, and property rights owned by you and the locations thereof. 10 All notes, deeds, title certificates, mortgage, or security instruments that reflect: a) any debts owed to you; b) property (real or personal) owned by you; c) property (real or personal) in which you have a security or beneficial interest; and d) any of the foregoing in which you had an interest during the temporal period noted above. 1] All stock books and stock transfer ledgers of any corporation, excluding TiBar, LLC, in which you have been an officer, director or stockholder during the temporal period noted above. 12 All credit card records showing charges made on accounts in your name, either individually or jointly. 13 All documents reflecting pension fund, profit sharing plans, or other fringe benefits which you have through your employer or former employers. 14 All documents reflecting contingent interests you have a right to, whether in any estate, real property, or otherwise. 15 All documents that reflect the existence and status of any legal, equitable, or other interest held by you, in whole or in part, in real property. 16 All documents that reflect the existence and status of any legal, equitable, or other interest held by you, in whole or in part, in personal property, including but not limited to boats, automobiles, airplanes, mobile homes, antiques, stamps, art, coins, gold, and jewelry. —---—- 17 All documents that reflect the existence and status of any legal, equitable, or other interest held by you, in whole or in part, in intellectual property, including but not limited to patents, copyrights, trademarks, and inventions. 18 All documents identifying all assets currently owned by you, whether jointly or individually, in which you have any interest. “Asset” means any real, personal, intangible, or any other property. 19 All documents reflecting the transfer or disposition of any asset previously held by you, the date of transfer or disposition, and the person or entity who received the same. 20 All documents relating to all assets held by an entity, excluding TiBar, LLC, that you have an interest in. 21 All cancelled checks, bank statements, and account books for all checking accounts, savings accounts, money market accounts, retirement accounts, mutual fund accounts, and all other monetary accounts in your name either jointly or individually, or upon which you have the right to write a check, or for any entity that you have or had an interest in during the operative temporal range. 22 All certificates of deposit, whether in your name individually or jointly. 23 All financial statements provided by you to any person or entity, or prepared on your behalf, whether in your name individually or jointly with anyone else. 24 Bills of sale or other documents reflecting personal or real property purchased or sold by you. 25 All insurance policies insuring any individual, businesses, or property (real or personal) which you hold an interest in, either in whole or in part, excluding TiBar, LLC. 26 All insurance policies that you are a beneficiary of (including but not limited to life, medical, and hospitalization policies). 27 All documents reflecting monies due to you. 28 All contracts pursuant to which another person or entity is currently indebted to you. 29 All documents reflecting the gross amount and source of income received by you, either directly or indirectly. 30 All documents identifying retirement plans in which you are or were a participant in, under which benefits were, are, or will be payable to you or your designated beneficiary. 31 All documents reflecting an ownership or beneficial interest in any entity. 32 All documents reflecting pending claims for monies or unsatisfied judgments for monies entered against you. 33 All notices of any IRS or Federal bankruptcy proceedings implemented against you or an entity that you have an interest in. 34 All documents reflecting rents that you, or an entity that you have an interest in, excluding TiBar, LLC, are entitled to. 35 All trust agreements that you are the beneficiary, grantor, or trustee of. 36 All documents reflecting a security interest in any real or personal property held by you. 37 All documents reflecting any loans sought by or on behalf of you. 38 All documents relating to the any source of funds used to pay your creditors. 39 All loan agreements that you have been a party to. 40 The deeds, or copies thereof, to all real property owned by you, or an entity that you have an interest in, excluding TiBar, LLC, solely or jointly. —e 41. If you are self-employed, or a partner, or own more than 10% of the outstanding capital stock of any corporation, excluding TiBar, LLC, then for each corporation for the past thirty-six (36) months, produce items 4, 7, 12, and 24. CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing has been served on: Wayne Alder, Esq. Stuart C. Markman, Esq. Andrew Seiden, Esq. Kristin Norse, Esq. Becker & Poliakoff Kynes, Markman & Felman, P.A. 625 N Flagler Dr 100 S. Ashley Drive, Suite 1300 West Palm Beach, FL 33401 Tampa, FL 33602 (561) 832-8987 (FAX) (813) 221-6750 (FAX) via e-mail, on this aay of February, 2014. Attorm PD.10995803.2 —--- FACT INFORMATION SHEET Full Legal Name: SPOT RATT OTE T RATES HAHAH OOAT RA ERA PARE TREE OPER ET OTT E TE EET OSES EFAS EE EES ESE PEPE EEE E SENSE TET REET TERETE TERE O SEED EES ERCP OE PETE HEE ET ETS ESO R EH UTES EUSA DESH S HERON HAH PR PTET PET SER OUP ETRE ESOS RE REDE RET PRC O EEO E HENS EER Nicknames or Aliases: SUSE SE DOTS H OED HARES OCRE PETS ETA TOES HET H ET ETO ESE RE RESO REPETE STEER TORE FETT ESTE ROE E ET EOE TEESE SA EPR PASH O KEPT EET ET ET EF EAE E TEE ROUSE PECEEO COPED PEPE EHTS UOTE EEF E NOES UUR EPCS EERE OEE DEUS REO U EEUU EEUU BR OUREUOGED Residence Address: SETHE SECTS RE RESET RE CAA DESPA REESE SESE HEE EE EEE SEE T ESE EERE SET FER ASEH SH ERAS HE TET FET EERO ESET FOS EF SESE SEEDS RAO POS FASE ET ERE S ESET ETS E EERE SHOE CAEORASH SORE SEAT PES R EET UEP T UOTE ORT E ES ECE TOROS THREE PER ECR ROSE EC EDS Mailing Address (if different): POMPE EET HEEFT TREE EES EEE O ESE OSE PEPER AHA PAS TATE TEESE STEED ET OTS ES ESEDTEE ORE TCROF POR FESR TOES HERE E EATER HE SE SEE H EOE SER OHEEESPAE ET EE OE SHEET EE SES USSR ESET PRE PPM AT OH ETE PE EES EE EO DESEO EDS EDOORES Telephone Numbers: (Home) (Business) FPP ET TEP E STH THEFT UATE SES CRS ORE RER HTS TO TREE E EET ESTEE HES ET TEESE THT PSHE HEPAT TET ETE SEES EERO CHE PEDEEHRE THEE E ORE EOE PETS Name of Employer: FSU TP TEER E DERE SR OHE REA HA RHA ESAS EE ERSTE THEO EP ETE ERE ESE EERE EE PACS PORTHOS HET HET HES EF ESE SETA DETER ESE SEE PEER TASES H SPER OE FEET TESTO UES TESCO CATE DDE SHR APART O ESE USER UTED ESET EEC R ERROR DOSP EEUU HUNGER USD EDO UDO EEDESE Address of Employer: POSSE PATO S OTHE REPRE RET REDE PESTLE CE RESET ERE REFEREE OEE S EEE SESE UTES DETER SED OCR EET AE HPS ER TERETE ASR ET PEAT TEESE RE DEST R ESCAPE HTT E OPER PETE EEE REUSE DETER APOC S ET ORM ETT RUSE EAE D EET D OCOD PARE SeE ERE PHOS Position or Job Description: TEPPER CERT E PETER SER ESET ETE PA SHAE RO HEHE HTSUS ETE ET ET UT ECR ROTTER THETA EEE EOE TEETER ET OTL OTROS PEPE EE TOT EOE EET HAP E ESRC ERA POE EE OUT E TRUST PEER EO EEC DESEO CPE P ERT REET EOE EUS ERED ESOS Rate of Pay: $ per . Average Paycheck: $ per PCRS F AREAS ESAS ESET RESET ES EAFASPESHA EET ETHOS EF EF ETERS EE POES EERO ES HHS T REET CETTE REUSE SCA RSRS HENS Average Commissions or Bonuses: $ per . Commissions or bonuses are based on POCCSTFSH ESP ES FASTA PRAHA EOE E SEFC TAS COT ERORSAEES Other Personal Income: $ from PUP ORCC TESA AOE HAS ESAS ESET ET ESET ESTER EE EEE SESHTTP RSET HERS CAE TT TESTS ESTE OETA OEE P OSAP APEC RS SESE STEHT SEER PERS TAS SHT AT EP TRE ETT ETS ESSE ERTS POPE HESS EE SE OEE ES ESESED (Explain details on the back of this sheet or on an additional sheet if necessary.) Social Security Number: Birthdate: cc csessccssssccscssesesessecssscecssssevscsssusucesscerevscessusescusevsvessusauassssversusecsevsvscsassesessesececeseeees Driver’s License Number: COPE TPR O CORA REHHESEAA PASEO ETE TTT EO ES ESE TEESE RECA E REPEC E RSET EEE EE SETS E SCE D ERE DEE DD OOE PERSE ROTH O URE OET UT TEER DEUS USER DE DORE DE AO RSET HTT OEE FEU O OED OCSRSR SRS PARTE a PUD E ES OUD ECHEDEREDORE POD oNeEEUSEDECED Marital Status: SPOUSES NAM? ou. cesccseessssesssessseccsssessscescessusssusessuscsssessussssecessesossesssecsseseussescsssessueessuversuussssesasecseteccueseaneeeessses Spouse Related Portion EXHIBIT PD.10996269. 1 Spouse’s Address (if different): TOPPA PR ETE EEE T ERS CEO A PREFER ARTE HERE H EEO ETRE SUED ESPERO HEE FORE EE HET H ET EERE DE DOE DEDEDE SHOE HERE RHEE PUREE LEE E SOE DUCTISOE DOE PRUETT UOTE TOC PEC CE RSE PE EEE ET RESP USOC OE SESE SEAS DOU wOEE Spouse’s Social Security Number: Birthdate: vo.cccccccscccsssssssssscecsssssssscecsscsssesscessseusvessessesessvavsesesesssessvesseesecscecsececeseseeses Spouse’s Employer: FOTO Ree Eee E ETE UT EEE TORE REED OES H EPA ESHER O ESET OEE EP EOE DOE AE PATHE RT EEE SOT DEORE TE HESCSS ROM PEO R SHOUTS EEUU PEC R OE DERE DY AE RS EEO EOE THE UE UEP DECECD EDO REE H OE ERE UE DET EESEDERSE DPC O EOD DEN OESOSOUS USER EMEDORETEEY Spouse’s Average Paycheck or Income: $ per COMET TPE T ETS ESOT REDE TR ESHA PAPAS EET EEE E TOTS TEES ESAS ES EAPO EEE HO ETE O ERECT RETR AERA PETE E ETE E TOUTES ESO REPUTE AT PET UE RETO E PEED ORE SOE eEED Other Family Income: $ per (Explain details on back of this sheet or on an additional sheet if necessary.) Describe all other accounts or investments you may have, including stocks, mutual funds, savings bonds, or annuities, on the back of this sheet or on an additional sheet if necessary. Names and Ages of All Your Children (and addresses if not living with you): POP CAPA POET ESE ETE O USFS T ETE PHATE HEUTE SOE ORT SA PEEP EH UE USES UTERO ARPT HEPES ETT EEPESED ESTED DAD Child Support or Alimony Paid: $ per FEET EP TESA OTA C ARSE HA ESET ETS EF OEP ETE R APES REPRE HT ET TSE STEERER EOS ESE PORE HATH HT TT OT ET RESTO STOOP ET ETO TEER ESET SE PESEP EEO ESTEE ESTO REED ESE SATU E EUS EUES SUES Names of Others You Live With: EOC Oe RPE E ORO URES REE OCR HADEN HSER EEOC DE DERESAS HECHT ET PETES EER EFOERER PE EHS RPE PE REESE PORTE REPOS R ORE PE EASE TES EE DUET PATON HERE SEU EE EERE SDE DEEDS DOSE ST PUGET OS DESUE DESDE PEPESSEUEOEES Who is Head of Your Household? You Spouse Other Person Checking Account at: Account # ee ER Oe ORR O TORE ETE E TEER ER ERAS STE e ETE HAUT EET ES UE TOO SEO HE FACES ERE E ETE UE DROP OR PAT ETE RSE PERE ROOD RUE EEE ET OE CT DES SR POU PETER EUS ES EUR E OD Savings Account at: Account # PEO FTO E PERE TOE R RA ARH ESE AHA RESUS H ERE HES HF SHE HEP TEE ESE SES ESE ASAP EPTFE TSE SES ES DERE P ETHERS AE PERE TESTU OEE OE SUSE E THOU ES UOEST DOR OH US EE EEE e ES EODeSDeCeeeuE For Real Estate (land) You Own or Are Buying: Address ee EEE OEE OT ORE e ORE RE ROE THOSE ECU UE DOERR DEH OHA EHEC DHT ET ETUDE ESE DEP OSAE OTE EEU HEE DOO DESDE DEDEDE SEDO EEUU ESEDUDCHSEOSESIU HEE EUESUUE DEDEDE DERE DEO EEE SENS SEL SCOOEPOUSE EEO EEE ROS UOUS PRE POSEMED EU PE OES ESUEDOLOSEtOED All Names on Title: eee ee eee EEE EE OUTER ERE PATHS ROE ETE EERO USES EERE OHA REO EET EEE EE NERS SO REDE S RE EO HEHE TSE P ESE OE ES DOOE ORDO N HEU E EEE OES DESH DEC TOES OEE U DEE EEE UES EOE POR SEE TEE DETUDES ODE DDAOHONSESESOUESS DE DOO bAEDEEENS _2- PD. 10996269. | Mortgage Owed to: Oe eee R EE EOE ECT EOE UOT US UO US UAA PERSE EEA E REC REDEDDEDASSE DESO SO RSET SECEDE DESSEE D ET EEE E PES EEST ES EE RERSESES ERPS HORTA TENT ETE SESE TDEOHET OUST E HE EDEN O UTES EE DEER OO EU EE EEE SESCUCEOODE SOE DSAE DED EEOE EES OES Balance Owed: CORE TOTP E TOT E TOTO RAS RE ORE E PEROT ESET EEE E EOE TASES PETE EET ET EEF ESS ATE DA OSES PETERSEN ET ONCE DEDE PORT EO HET EET UE TEEPE ERE DESEO RPE DE ESET ET UU EEE RETO ECSU TREO REESE DENSE EES SE SODE DONE EEE CENSOEESGDS DST OEA FEE DEEEEEEeED Monthly Payment: $ eee ee eR PEE OE ETE E OTT ROSE R APART eH EEF ESO ESETOE DEEPER TSH ETE E EEE EAE DERE OT ERD TEES EOE ENTE TEES OOP ERED SFE SER EOE EEE UPUC UTD EOE DRED PE PHU O EOE E REPOS ESE OS DOC EERE ET EERE USO EES OESESOR DUE US DEN SEEDEGUSDEESS (Attach a copy of the deed or mortgage, or list the legal description of the property on the back of this sheet or on an additional sheet if necessary. Also provide the same information on any other property you own or are buying.) For All Motor Vehicles You Own or Are Buying: Year/Make/Model: Color CEPTS ESOS ORO ROS ER HATED ETE E TFA O SETAE HET R EE PHOT EET E ETRE RECO S ESE OE HET ET ET ET EET ROSETTE PERRET TERE OEP OCET PP HOUR UU OSES DEORE DE DERE NEUE USES UUU EO RSE DOD Vehicle ID No: Tag No: Mileage FERRE UTES EOE TR ORO RAFT ESET REST ESTES ER EE RADE ROTH SEE RECT EE RESHAPE REET E CREE ETT OOS E HEPES RETO EERE SES RED OCE PPR POPE Ee EeRSeE® Names on Title: Present Value: $ SPEC PAPO ROHS EEE E SET O OEE O OER HRA HER PETES TERETE ESTE PORTA TES ETE T ESE O EEE E UE PE RECHT SEO U EES U ODE DEO TE EEUU UU ESOP OR TOE EEE EPO ES EE DE SSE DAES HEC EENEUEUDDESS Loan Owed to: ee eee R EOE HERI TET EERE U PERT DOLE H ST PESO UTES USD E DAT EE URE U HT EEEUOER DADE OOS EOU HSU PEESUODEDDGDDEOE STORES ESEETES ERE DS SOORDASOCET EES OEOUP EDUC E SEDER TCHS UEEOODEEOEUDESESSDEUDER ESD USTEUNTEDEECSthedurues Balance on Loan: $ ee eee THAT EE EEE EERE TREE RFA PEO E SEES UR UEE SCOR ROE TEP E CHESS SE REUOCOUSDSCO FEHR UE EONS EPOR DEES OCU EE EEE EEESEODUCUEE SUSE EUEP ETE SUSE PAE EE CHEN U ON DOCU RTOS EHHOHOUSOESDESEBEDAGUESEEESS Monthly Payment: $ eee ee EN ORR OTE R TUE ESOT REPOS EEE E DEAE EO UE USSSA SOE DA PADS HERTS EOEEE DEP SE DOSES HUNT ECHS ECE DO DEG HESO ESE PEOESUUDSDEDEEDUOH EK EOE NEUSE SDE DOESSUUUUNPUCEDOCEGDODENSEOESSEOESODSEDEUEHENoEEOES (List all other automobiles, as well as other vehicles, such as boats, motorcycles, bicycles, or aircraft, on the back of this sheet or on an additional sheet if necessary.) Have you given, sold, loaned, or transferred any real or personal property worth more than $100 to any person in the last five years? If your answer is “yes,” describe the property, market value, and sale price, and give the name and address of the person who received the property. Does anyone owe you money? Amount Owed: $ POPE Re Rem REECE RAPE PA OE HES UEETT EE ESESE DAT HEE TET ESTO ESE DECOE SORT HTH O EOE EET EOE EP OE RUTH UTES DECCOPOR UE EESESIDDSCOCEE TENE UTES IOS DET OE DAU ruEpueunseeeaeDes Name and Address of Person Owing Money: FOTO Ree a eT ET ARTUR OTERO REESE EEO E FEO EEL ETE ERASE PEROT OEIC EDESE DOS HO RUE SE ET ES FUSE RESPES HEHE EUS ESD ESUOCST ENTER EEOC SED U RE POP EL EES EE DOSAGSEOEUDONCDEUBDEDOOuS _3- PD.10996269.1 — REASON MONEY 1S OWE? ou. ecssessesseccnecsesscesecnsecseccscssssusrsscosseavesscavecsucascsssuscsucsusessesscsussuecsuceesanssvcenscssssanasessessssscssussessucsessensesussuesesssuestsesesseserecuesnesarenusctavens Please attach copies of the following: a. Your last pay stub. b. Your last 3 statements for each bank, savings, credit union, or other financial account. c. Your motor vehicle registrations and titles. d. Any deeds or titles to any real or personal property you own or are buying, or leases to property you are renting. e. Your financial statements, loan applications, or lists of assets and liabilities submitted to any person or entity within the last 5 years. f. Your income tax returns filed in the last five years. UNDER PENALTY OF PERJURY, I SWEAR OR AFFIRM THAT THE FOREGOING ANSWERS ARE TRUE AND COMPLETE. COCR Pa RTO ROR TES UTES ESR ESE ODER DEE A TOSS ERE HET EOET ETP ES RETEST RERE RED AE ROMP EASE OTA S EE PETES ESTES ESET ROCCE DSS EERO EE ODE EEE EERE USES ORE RARER EPEC PE EEE ERE PETERS EUS E SOUS TPUSER UE POOR ORSP EEK UO UES USO SEES DEDOE HEME E EE OENS EES DEDE DED DE SEODE DEER SEC UNNCDENSECeDaDeseaeD Teresa Basnight STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this day of , 2014, by Teresa Basnight, who is personally known to me or has produced as identification and who aectunsareaeesea did/did not take an oath. WITNESS my hand and official seal, this —————___ day of , 2014 Notary Public State of Florida My Commission expires: THE JUDGMENT DEBTOR SHALL FILE WITH THE CLERK OF THE COURT A NOTICE OF COMPLIANCE AFTER THE ORIGINAL FACT INFORMATION SHEET, TOGETHER WITH ALL ATTACHMENTS, HAS BEEN DELIVERED TO THE DEFENDANT’S ATTORNEY. _4- PD.10996269. |