84 lines
3.9 KiB
CSV
84 lines
3.9 KiB
CSV
Identifier,Query,Response
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BEQ_1,"1st Bequest (relationship , full name)?",
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BEQ_2,2nd Bequest?,
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BEQ_3,3rd Bequest?,
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BEQ_S,Special Bequest?,
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BRANCH_OF_SERVICE,Military member's branch of service?,
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CASE_CODE,Case code assigned by the Court?,40101
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CASE_NUMBER,Case number assigned by the Court?,
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CH_#,Number of children from this marriage (two)?,
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CH_AGE1,Age of first child (5)?,
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CH_DOB1,Birthdate of first child (##/##/##)?,
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CH_NAME1,Full name of first child?,
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CH_RESIDE,Children reside with (Petitioner/Respondent/Both)?,
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C_GUARD_1,"Children's first guardian? (relationship, name)",
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C_GUARD_2,Children's second guardian?,
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C_GUARD_3,Children's third guardian?,
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C_GUARD_4,Children's fourth guardian?,
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DB_PLAN_NAME,Name of the defined benefit plan?,
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DB_VALUATION_DATE,Date used to value DB plan (##/##/##)?,
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DC_PLAN_NAME,Name of the defined contribution plan?,
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DC_VALUATION_DATE,Date used to value DC plan (##/##/##)?,
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DIED_ON,Date subject died (##/##/##)?,
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DOLLARS_OF,"Month, year of purchasing power (June, 1999)?",
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EIN,Employer identification number?,
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FRINGE_PERCENTAGE,Fringe benefit percentage applied to loss?,
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FUTURE_EC_LOSS,"Dollars of future earning capacity loss (633,210)?",
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FUTURE_FRINGE_LOSS,"Dollar value of future fringe loss (82,554)?",
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FUTURE_SERVICE_LOSS,"Dollar value of future service loss (82,554)?",
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FUTURE_WAGE_LOSS,"Dollar value of future wage loss (633,210)?",
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INJURED_ON,Date of injury (MM/DD/YY)?,
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IS_PREGNANT,"Wife is (pregnant, not pregnant)?",
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JUDGMENT_DATE,Date of Judgment (##/##/##)?,
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MARRIAGE_#,"Marriage is (first, second, etc.)?",
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MARRIED_CS,City and state of marriage?,
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MARRIED_ON,Date of marriage (##/##/##)?,
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MONTHS_WHILE_MARRIED,Months of military service while married?,
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PAST_EC_LOSS,"Dollars of past earning capacity loss (45,332)?",
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PAST_FRINGE_LOSS,"Dollar value of past fringe loss (16,985)?",
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PAST_SERVICE_LOSS,"Dollar value of past service loss (16,985)?",
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PAST_WAGE_LOSS,"Dollar value of past wage loss (45,332)?",
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PAY_HOUR_#,Hourly rate for services (###.##)?,
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PAY_HOUR_TEXT,Hourly rate for services (One Hundred)?,
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PAY_MON_#,Minimum monthly payment (###.##)?,
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PAY_MON_TEXT,Minimum monthly payment (Fifty)?,
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PAY_RET_#,Retainer that is required (###.##)?,
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PAY_RET_TEXT,Retainer that is required (Three Hundred)?,
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PERCENT_AWARDED,Percent of defined benefit to Alternate Payee?,50.00% (Fifty Percent)
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PLAN#,Plan number?,
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PLAN_NAME,Full name of the retirement plan?,
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POINTS_WHILE_MARRIED,Points accumulated by Reservist while married?,
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P_GUARD_1,"1st Personal Guardian? (relationship, full name)",
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P_GUARD_2,2nd Personal Guardian?,
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P_GUARD_3,3rd Personal Guardian?,
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P_GUARD_4,4th Personal Guardian?,
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P_REP_1,"1st Personal Rep.? (relationship, full name)",
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P_REP_2,2nd Personal Rep.?,
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P_REP_3,3rd Personal Rep.?,
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P_REP_4,4th Personal Rep.?,
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SECTION,Pertinent section of state statutes?,767.255
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SEPARATED_ON,Date of separation (##/##/##)?,
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SERVICE_WAGE_RATE,Hourly rate used to value lost services (10.00)?,
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SUE_FOR_#,Amount suing for (###.##)?,
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SUE_FOR_TEXT,Amount suing for (One Thousand Thirty Two)?,
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SUE_FOR_YEAR,Suing for services provided in year (####)?,
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SUMMONS_FILED,Date summons was filed (##/##/##)?,
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SUMMONS_SERVED,Date summons was served (##/##/##)?,
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TAX_YEAR,Tax year (####)?,
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TOTAL_EC_LOSS,"Dollar value of earning capacity loss (875,244)?",
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TOTAL_LOSS,"Dollar value of all losses (875,244)?",
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TRIAL_DATE,Date of trial (##/##/##)?,
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TRUSTEE_1,"1st Trustee? (relationship, full name)",
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TRUSTEE_2,2nd Trustee?,
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TRUSTEE_3,3rd Trustee?,
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TRUSTEE_4,4th Trustee?,
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VEN_CITY,County of venue?,Milwaukee
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VEN_CNTY,City of venue?,Milwaukee
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VEN_ST,State of venue?,Wisconsin
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^ALTP,"Alternate Payee is (1 = client, 2 = other party)?",
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^HUS,"Husband is (1 = client, 2 = other party)?",
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^PART,"Participant is (1 = client, 2 = other party)?",
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^PET,"Petitioner is (1 = client, 2 = other party)?",
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^RES,"Respondent is (1 = client, 2 = other party)?",
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^WIF,"Wife is (1 = client, 2 = other party)?",
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