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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
CR-200
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
FORM INTERROGATORIES—CRIME VICTIM RESTITUTION
CASE NUMBER:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
SHORT TITLE OF CASE:
Asking Party:
Answering Party:
Set No.:
Sec. 1. Instructions to All Parties
(a) Interrogatories are written questions prepared by a party to
the action that are sent to any other party in the action to be
answered under oath. The interrogatories below are form
interrogatories approved for use by victims in criminal cases to
assist them in recovering unpaid restitution.
(b) For time limitations, requirements for service on other
parties, and other details, see Code of Civil Procedure sections
2030.010—2030.410 and the cases construing those sections.
(c) These form interrogatories do not change existing law
relating to interrogatories, nor do they affect an answering
party's right to assert any privilege or make any objection.
Sec. 2. Instructions to the Asking Party
(a) These interrogatories are designed for optional use by
crime victims to assist them in recovering unpaid restitution as
provided in Code of Civil Procedure section 2033.720.
(b) Check the box next to each interrogatory that you want the
answering party to answer. Take care to choose those
interrogatories that are applicable to the case.
(c) Additional interrogatories may be attached.
Sec. 3. Instructions to the Answering Party
(a) You must answer or provide an appropriate response to
each interrogatory checked by the asking party.
(b) As a judgment debtor you must disclose assets up to an
amount clearly sufficient to satisfy the judgment.
(c) As a general rule, within 30 days after you are served with
these interrogatories, you must serve your responses on the
asking party and serve copies of your responses on all other
parties to the action who have appeared in court. See Code of
Civil Procedure sections 2030.260–2030.270 for details.
(d) Each answer must be as complete and straightforward as
the information reasonably available to you, including the
information possessed by your attorneys or agents, permits. If
an interrogatory cannot be answered completely, answer it to
the extent possible.
(e) If you do not have enough personal knowledge to fully
answer an interrogatory, say so, but make a reasonable and
good-faith effort to get the information by asking other persons
or organizations, unless the information is equally available to
the asking party.
(f) Whenever an interrogatory may be answered by referring to
a document, the document may be attached as an exhibit to
the response and referred to in the response. If the
document has more than one page, refer to the page and
section where the answer to the interrogatory can be found.
(g) Whenever an address and telephone number for the same
person are requested in more than one interrogatory, you
need only provide them in the first interrogatory asking for
that information.
(h) If you are asserting a privilege or making an objection to an
interrogatory, you must specifically assert the privilege or
state the objection in your written response.
(i) Your answers to these interrogatories must be verified,
dated, and signed. You may wish to use the following form at
the end of your answers:
I declare under penalty of perjury under the laws of the State
of California that the foregoing answers are true and correct.
(DATE)
(SIGNATURE)
Sec. 4. Definitions
Words in BOLDFACE CAPITALS in these interrogatories are
defined as follows:
(a) PERSON includes a natural person, firm, association,
organization, partnership, business, trust, corporation, or
public entity.
(b) ADDRESS means the street address, including city, state,
and zip code.
(c) ASSET or PROPERTY includes any interest in real estate
or personal property. It includes any interest in a pension,
profit-sharing, or retirement plan.
(d) SUPPORT means any benefit or economic contribution to
the living expenses of another person, including gifts.
Form Approved for Optional Use
Judicial Council of California
CR-200 [Rev. January 1, 2021]
FORM INTERROGATORIES—CRIME VICTIM RESTITUTION
Page 1 of 4
Code of Civil Procedure,
§§ 2030.010–2030.410, 2033.710
Sec. 5. Interrogatories
The following interrogatories have been approved by the
Judicial Council under Code of Civil Procedure section
2033.720:
Identity of Persons Answering These Interrogatories
CONTENTS
1.0
2.0 General Background Information—Individual
3.0 Current Income
4.0 Employment Information
5.0 Employment History
6.0 Support Received From Others
7.0 General Background Information—Business
8.0 Bank Accounts and Cash
9.0 Property
10.0 Other Assets
11.0 Other Income
12.0 Liabilities and Debts
2.8 Have you ever filed for bankruptcy? If so, state:
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(a) the disposition;
(b) the court;
(c) the year.
2.9 Have you filed income tax returns during the last
three years? If so, state:
(a) the dates filed;
(b) a date and place where the records can be
inspected;
(c) whether you are attaching the income tax
records to your answers to these interrogatories.
3.0 Current Income
3.1 List all income you received during the past 12
months, its source, the basis for its computation,
and the total amount received from each source.
1.0 Identity of Persons Answering These Interrogatories
1.1 State the name, ADDRESS, telephone number, and
relationship to you of each PERSON who prepared or
assisted in the preparation of the response to these
interrogatories. (Do not identify anyone who simply
typed or reproduced the responses.)
4.0 Employment Information
4.1 State:
2.0 General Background Information --Individual
2.1 State:
(a) your full name;
(b) every name you have used in the past;
(c) the dates you used each name.
2.2 State the date and place of your birth.
2.3 State:
(a) your present residence ADDRESS and
telephone number;
(b) whether you live in a private home, apartment,
or other type of residence;
(c) if you live in a private home, who owns it;
(d) if you live in an apartment, the name and
ADDRESS of your landlord, the monthly rent,
and the name of the PERSON who pays the
rent;
(e) your residence ADDRESSES for the past five
years;
2.4 State:
(f) the dates you lived at each ADDRESS.
(a) the name, ADDRESS, and telephone number of
each school or other academic or vocational
institution you have attended, beginning with high
school;
(b) the dates you attended;
(c) the highest grade level you have completed;
(d) the degrees you received;
(e) the dates the degrees were received.
2.5 Do you have a driver's license or identification
card? If so, state:
(a) the state or other issuing entity;
(b) the license or identification card number, type
of license, and expiration date.
2.6 State any and all social security numbers that you have.
2.7 Are you married? If so, state:
(a) your spouse's full name;
(b) any maiden name;
(c) the date of your marriage;
(d) your spouse's current ADDRESS.
(a) the name, ADDRESS, and telephone number of
your present employer;
(b) your current title, the nature of your work, and
dates of employment;
(c) whether you work part-time or full-time;
(d) the frequency of payment (weekly, biweekly, or
monthly);
(e) gross pay;
(f) net pay;
(g) whether you receive additional compensation for
(h) the average amount of overtime you work per
overtime pay;
week;
(i) the form of payment of salary (check, cash, or
other; if other, please explain);
(j) the name and ADDRESS of each bookkeeper,
payroll clerk, or other person having records of
salaries or other sums of money paid to you by
your present employer.
4.2 Are you self-employed or an independent
contractor? If so, state:
(a) the address and telephone numbers of the
persons or businesses for whom you have
performed work or services during the last 12
months;
(b) the nature of the work or services performed
and the dates they were provided;
(c) whether you billed each service or the work
performed at a flat rate, an hourly rate, or a job
rate, and the amount of payment you received;
(d) the name and ADDRESS of each bookkeeper,
payroll clerk, or other person having records of
salaries or other sums of money paid to you
during the last three years for your work.
5.0
Employment History
5.1 State the employer's name and ADDRESS, dates
of employment, job title, and nature of the work for
each job you have had in the last five years. If you
were self-employed in the last five years, state your
business ADDRESS, dates of self-employment,
title, and nature of the work.
CR-200 [Rev. January 1, 2021]
FORM INTERROGATORIES—CRIME VICTIM RESTITUTION
Page 2 of 4
6.0 Support Received From Others
6.1 Have you received any financial SUPPORT in the last
three years? If so, state:
(a) the name, age, ADDRESS, and relationship to you of
each PERSON from whom you have received
SUPPORT;
(b) the dates you received the SUPPORT and the
amount you received.
7.0 General Background Information— Business
7.1 Are you in any partnerships? If so, state for each:
(a) the current partnership name;
(b) all other names used by the partnership in the last
five years and the dates each was used;
(c) whether you are a limited partnership and, if so, in
amount.
8.0 Bank Accounts and Cash
what jurisdiction it operates;
(d) the name and ADDRESS of each general partner;
(e) the ADDRESS of the principal place of business
7.2 Have you done any business under a fictitious name
during the last five years? If so, state:
(a) the current and any former fictitious business names;
(b) the dates each was used;
(c) the ADDRESS of the principal place of business.
8.1 Do you have, in your own name or jointly with another
PERSON, any bank accounts, commercial savings
accounts, credit union accounts, or safe deposit
boxes? If so, state for each:
(a) the institution's name and ADDRESS where the
account or the safe deposit box is located;
(b) the amount of the balance of any account and the
contents of any safe deposit box;
(c) the source of the money in any account or safe
deposit box;
(d) the date you last made a deposit;
(e) the type and the amount of your last deposit;
(f) the amount of cash that you currently possess.
8.2 Does your spouse have, in his or her own name or jointly
with another PERSON, any bank accounts,
commercial savings accounts, credit union accounts, or
safe deposit boxes? If so, state for each:
(a) the institution's name and ADDRESS where the
account or the safe deposit box is located;
(b) the source of the money in your spouse's bank
account or safe deposit box.
9.1 Do you or your spouse own or have any interest in
PROPERTY in California or elsewhere? If so, state:
(a) the ADDRESS of any real estate, land, buildings,
apartments, or condominiums in which you hold an
interest;
(b) the date acquired and the current value of any real
estate, land, buildings, apartments, or condominiums
in which you hold an interest.
9.2 Do you or your spouse own or have any interest in
stocks, bonds, or other securities or IRA, Keogh, or
deferred compensation accounts? If so, state the source,
value, and location of each.
9.0 Property
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9.3 Are you or your spouse entitled to any money from
any federal, state, city, county, or governmental
department or agency? If so, state the agency, the
date you received or will receive the money, and
the amount.
9.4 Have you or your spouse inherited any money or
property in the last two years? If so, state the nature
and value of the money or property and the date
you received it.
9.5 Do you or your spouse have vehicles? If so, state
for each:
(a) the model, make, year, and owner's name;
(b) whether you own it;
(c) if it is encumbered, state to whom and to the
9.6 Do you have any pending civil actions? If so, state
for each:
(a) the parties' names, the court, and the case
number;
(b) the nature of the claim.
9.7 During the last three years have you received any
judgments or insurance settlements? If so, state for
each:
(a) the source or the judgment or insurance
settlement;
(b) the amount of the judgment or insurance
settlement.
9.8 Have you or your spouse applied for loans from any
banks, credit unions, financial companies, or
other lending institutions in the last three years? If
so, state for each:
(a) if the loan was approved;
(b) the amount of the loan;
(c) what you or your spouse did with the proceeds.
9.9 Do you own any of the following items? If so,
describe each item, the item's location, its
approximate value, and any joint owner:
(a) office equipment;
(b) farm equipment;
(c) gemstones or jewelry;
(d) camera or video equipment;
(e) antiques;
(f) precious metals (gold or silver);
(g) musical instruments;
(h) weapons;
(i) motorcycles;
(j) motor homes;
(k) boats;
(l) airplanes;
(m) furs;
(n) watches;
(o) stamp or coin collections;
(p) china;
(q) original works of art;
(r) crystal.
10.0 Other Assets
10.1 Does any PERSON, company, or institution owe
you money? If so, state for each:
(a) the name, ADDRESS, and telephone number of
the person or institution;
(b) the amount of the debt;
(c) the basis of the debt;
(d) the date the debt is due to be paid.
CR-200 [Rev. January 1, 2021]
FORM INTERROGATORIES—CRIME VICTIM RESTITUTION
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CR-200
10.2 Do you have any pending court proceedings in a
California court where you have posted cash bail
to guarantee your appearance? If so, state:
(a) the name of the court and date of posting;
(b) the amount of cash bail posted;
(c) the date to appear.
10.3 Are you the beneficiary of any trusts, or do you
have any ownership interest in any partnerships,
corporations, or companies? If so, state:
(a) the name and ADDRESS of each trustee,
partnership, corporation, or company;
(b) the date each entity or trust was established;
(c) the ASSETS of each trust or entity.
11.0 Other Income
11.1 During the last three years have you received
cash or other property not identified in the above
interrogatories? If so, state:
(a) the nature and value of the cash or property
(b) the source of the cash or property;
(c) the current location of the cash or property.
12.0 Liabilities and Debts
12.1 Are there any other judgments of record against you?
If so, state for each:
(a) the date entered;
(b) the location of the court and the names of the
parties;
(c) the case number;
(d) the amount of the judgment;
(e) whether you have made any payments;
(f) the amount and source of the payments;
(g) the amount still due.
12.2 What are your average monthly expenses, and
how are they met?
12.3 Are there any liens, levies, or garnishments against
your assets or wages? If so, please explain each in
detail.
12.4 Have you paid any fines or fees in the criminal case
in which the asking party is the victim?
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FORM INTERROGATORIES—CRIME VICTIM RESTITUTION
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