## >^C|^^;(I^EPARTMEN T O F TRANSPORTATIO N ^ FEDERA L AVIATIO N ADMINISTRATIO N f"* ^ p( ^ OFFIC E O F HEARING S ^ ^ * ^ I |/1^:/ ^ WASHINGTON , D.C . ,.. , *^i j I n th e Matter

o f Mari aTavera s i ; • , r



# ^""'vucnr'^r-- ^ 2008SW21019 8 CP10SW000 5 o/MT^-ClJIi o Th e Honorabl e Isaac D . Benki n 

# ^bit) - COMPLAINANT' S FIRS T SET O F INTERROGATORIES , REOUEST S FO RPRODUCTIO N O F DOCUMENTS . AND REOUEST S FO RADMISSIO N Pursuant t o 1 4 C.F.R . 13.22 0 an dRule s 3 3 an d3 4 o f th e Federa

l Rule s o f Civi l Procedure , Complainant

request s tha

t th e Respondent

provid e th e followin g discover y withi n thirt

y (30 ) days . It i s requeste dtha

t th e Respondent

answe r th e followin g interrogatorie s andproduc e th e document s hereinafte

r described . Thi s reques t shal l b e deeme dt o b e continuin g t o th e extent permitte d b y Rul e 26(e ) o f th e Federa

l Rule s o f

Civi l Procedure s o a s t o requir e you to file supplementa

l responses . Thi s reques t i s intende d t o cover

all document s in th e Respondent' s possessio n or

subjec t t o Respondent' s custod

y an dcontro l an dinclude s document s in th e possessio n o f eac h individua

l wh o acts , or

ha s acte da

t relevant times , a s a

n employee , agent

or representativ e o f Respondent . DEFINITION S A . Whe n knowledg e or

informatio n in possessiw i o f apart y i s requested, ' such reques t include s knowledg e of

th e party' s agents , representative s and , unles s privileged , th e party' s attorneys . B . Th e pronou n "you " and"yours " refer s t o th e part y t o who mthes e interrogatorie s ar e addressed . C . Unles s otherwis e indicated , thes e interrogatorie s refe r t o th e time , plac e andcircumstance s o f th e

## occurrence s mentione do r complaine dof

i n th e pleadings . D . Whe n use dwit

h respec t t o a n individual , corporate , busines s or governmenta

l entity , "identify " mean s stat

e th e nam e an d presen t

busines s or

residenc e addresse s o f

th e individual s o

r entitie s an d th e employer , governmental or busines s affiliatio n an dpositio n o f th e individual . E . Th e term s "document " and"statement " niea n withou t limitation , th e followin g items , whethe r printe do r recorde dor

reproduce dby an

y othe r me^h^ica l proces s or

writte n or

produce d by hand : agreements , communications , correspondence , telegrams , memoranda , summarie s or record s o f telephon e conversations , summarie s or record s o f

personal conversation s o r interviews , diaries , reports , notebooks , not e charts , plans , drawings , sketches , maps , summarie s o r report s o f investigations , opinion s o r report s o f

consultants , photographs , motio n picture films, tap e recordings , computerize ddata , brochures , pamphlets , advertisements , circulars , pres s releases , drafts , letters , an

y marginal comment s appearin g o n an y document , andall other

writings , includin g electroni c writings . F . Whe n use dwit

h respec t t o adocument , "identify " mean s ftimish th e document itself , o r i n lieu thereof , th e name an ddate o f

th e document , th e name an daddres s of th e perso n o

r person s originatin g th e document , th e name an daddress , i f any , o f th e perso n or

person s t o whomth e documen t i s addressed , th e name s andaddresse s of all person s t o who mcopie s o f th e document s wer e o r hav e bee n sent , an dth e organization , firmo r agenc y wit

h whic h al l suc h person s were connecte da s of

th e date o f

th e document , andif

no t i n possessio n of

th e origina

l o r acopy , furnish ; th e nam e andaddres s o f

th e custodia

n o f th e origina

l or acopy , pr . ftimish th e nam e andaddres s o f

a

## perso n who myo u believ e i s in possessio n o f th e origina

l or acopy o f suc h document . G . "Oral communication " mean s an y ora l exchang e wit

h words . H . Whe n use dwit

h respec t t o a n ora l communication , "identify " mean s stat e th e dat e and plac e wher e suc h ora

l communicatio n wa s made , th e name s o f all individual s wh o participate d i n th e communication,'"an dthei r positions , employers , andemployers ' addresses , th e name s o f al l individual s wh o were present a t th e tim e th e communicatio n wa s made andthei r busines s affiliation s andpositions , th e nature an dsubstanc e o f th e communication , th e nature andsubstanc e o f eac h document

recordin g or

pertainin g t o suc h ora

l communication , andth e name and present addres s o f th e present

custodia n o f eac h suc h document . I . Fo r all interrogatorie s t o whic h th e respondin g individua l ha s a n objection , stat

e th e factua

l an d lega l basi s fo r th e claime dprivilege , or

an y other authorit y whic h provide s th e claime dbasi s fo r th e objection . J . Al l document s requeste da s t o whic h th e respondin g individua l claim s privileg e or

an y other objectio n a s agroun dfo

r non-productio n shal l b e identifie dchronologicall y a s follows : (a ) date , (b ) title , (c ) type o f

document (e.g . memorandum , report , chart , etc.) , (d ) subjec t

matter (withou t revealin g th e informatio n a s t o whic h privileg e o r statutor y authorit y i s claimed) . (e ) factua

l an dlega

l basi s fo r th e claime dprivilege , or an y other authorit y whic h

## provide s th e claime dgroun dfo r non-productivit

y INTERROGATORIE S 1 . Identif y th e names , titles , busines s or home addresse s andtelephon e number s o f each perso n who mth e Respondent

intend s t o cal l a s awitnes s a t th e hearin g of

thi s matter . 2 . Provid e th e substanc e o f th e testimony to b e offeredb y eac h o f sai dwitnesses . 3 . Wit h respec t t o eac h exper

t witnes s identifie di

n respons e t o reques t

Nos . 1 and2 above : (a) identif

y th e subjec t

matte r o n whic h th e exper

t i s expecte dto testify ; (b ) lis t th e substanc e of

th e fact s andopinion s t o whic h th e exper t i s expecte dto testify ; (c ) provid e asummar

y of th e ground s fo

r eac h opinion ; (d ) i f th e Respondent

intend s to introduc e into evidenc e or otherwis e rely upon awritte n curriculu mvitae or

othe r writte n document

listin g th e expert' s professiona l qualifications , identif

y andattac h copie s o f

all suc h documents . 4 . T o th e extent

no t encompasse di

n your respons e t o reques t

Nos . 1 , 2 and3 above , identif y an d produc e statement s o f

al l individual s who spok e to , or were interviewe dby , th e Respondent regardin g thi s matter . 5 . Identif y an dproduc e copie s o f

an y andall document s o n whic h th e Respondent anticipate s relying , or

wil l rely , i

n suppor t of th e cas e i t wil l present

a t th e hearin g in thi s matter , includin g bu t no t limite dto document s yo u inten dto introduc e int o evidence . 6 . I n you r answer yo u state dthat

Responden t

i s limite dfinancial means . Pleas e hav e th e enclose d

## Financia l Statement o f Debto r for mfilledou t

in orde r t o make adeterminatio n a s t o Respondent' s ability t o pa

y th e propose dcivi l penalty .

REOUEST S FO RPRODUCTIO N O F DOCUMENT S 1 . T o th e extent

no t encompasse di n your

respons e t o reques t

Nos . 1 , 2 and3 above , identif y an d produc e statement s of

all individual s wh o spok e to , or were interviewe dby , th e Responden t regardin g thi s matter . 2 . Identif y andproduc e copie s o f

an y an dall document s o n whic h th e Respondent anticipate s relying , or

wil l rely , in suppor

t o f th e cas e it

wil l present

a t th e hearin g in thi s matter , includin g bu t no t limite d to document s yo u inten dt o introduc e into evidence . 3 . Provid e signe dcopie s o f Respondent' s 200 6 throug h 200 9 personal ta x return forms . REOUEST S FO RADMISSION S 1 . Durin g adeparture dela y o f th e abov e flight, lef

t your sea t andfollowe daflight

attendant t o th e first clas s t o reques t

water . 2 . Durin g Flight

423 , yo u tol dflight

attendant s tha

t yo u were a

n attorney andkne w important peopl e in government

an da t America n Airlines , an dcoul dhav e flight attendant s fired. 3 . Durin g th e deplanin g stag e of th e abov e flight, yo u tol dflight attendant Ms . Juli aSasso n tha

t sh e i s stupid . 4 . Durin g th e deplanin g stag e of th e abov e flight, you tol dflight attendant Ms . Juli aSasson tha

t America n Airline s ha s poo r

qualit y employee s lik

e herself , andhence , experience s financial

## problems .

4 . Yo u the n proceede dt o pus h th e flight attendant backwards , knockin g he r t o th e floor

of th e aircraft . 5 . A s aresult , yo u physicall y assaulte dth e flight attendant a s sh e wa s conductin g he

r flight duties . 6 . A s aresul t

o f thi s incident , yo u wer

e questione dan ddetaine dunti l th e followin g day . Respectftilly submitted , Alfi-e d R . Johnson , Jr . Regional Counse l UQ\Jix4 . limnMu . Date : _MIMM/I- ' 

## By : Leoni dTalisman Attorne y Federa l Aviatio n Administratio n 1 Aviatio n Plaz a Jamaica , N Y 1143 4 Telephone : 71 8 553-340 3 Facsimile : 71 8 995-569 9U.S . Departmen t o f Justic e Financia l Statemen t

o f Debto r {Submitte dfo r

Governmen t

Actio n o n Claim s Du e th e Unite d States ) NOTE : Us e additiona l sheet s wher e spac e o n thi s for m i s insufficien t

o r continu e o n bac k

o f las t page . FINANCIA

L STATEMEN

T O F DEBTO

R Authorit y tor th e solicitation o

f th e requeste d informatio

n i s on e o r mor e o f th e following ; 5 U.S.C . 301 , 90 1 (se e Note , lixccutive Orde

r 6166 , Jun e 10 , 1933) ; 2XIJ.S. C 50l.(;M<;(jf.;3 1 U.S.C . 951 , eMf?. ; 4 4 U.S.C . 3101 ; 4 CF

R101 , f < see?. ; 2 8 CF

R0.160 , 0.17 1 an

dAppendi x t o Subpar t Y . Fed.R.Civ.P . 33(a) , 2 8 use . 1651,320 1 etseq . Th e principa l purpose fo

r gatherin g thi s informatio

n i s t o evaluat e you r abilit y t o pa y th e Government' s clai

mo r judgmen t against you . Routin

e use s o f the informatio

n ar e establishe

di n th e followin g U.S . Departmen

t o f Justic e Cas e Fil

e System s publishe di n Vol . 4 2 o f th e Federa l Register : Justice/CIV-00 1 a

t page 5332 ; Justice/TAX-OO l a t pag e 15347 ; Justice/USA-00 5 a t page s 53406-53407 ; Justice/USA-00 7 a t page s 53408-53410 ; Justice/CRIM-01 6 a

t pag e 12274 . Disclosur

e o f th e informatio

n i s voluntary . I

f th e requeste dinformatio

n i s no t tiimished , th

e U.S . Departmen

t o f Justic e has th e righ t t o suc h disclosur

e o f th e informatio

n b y lega l methods . 

### Sectio n 1 Persona l Informatio n 1 . Ful l Name(s )

Stree t Addres s Cit y Stat e Count y o f

Residenc e Ho w lon g a

t thi s residence ? .?.ip _ 1 a . Hom e Telephone : ( ) Bes t Tim e t o Cal l a.m .

) p.m . lb . Cellula r

Number : (

_ 2 . Marita l Status : n Marrie dD Separate d DUnmarrie d(single , divorced , widowed ) 3 . You r Social Securit y No . (SSN ) 4 . Spouse' s Socia l Securit y No . 3a . You r Dat e o f Birt h (mm/dd/yy ) 4a . Spouse' s Dat e o f

Birth (mm/dd/yy) _ 5 , D Ow n 1 lom e DRen t DOthe r

(specify , i.e . shar e rent , liv e with relative) _ 6 . Lis t th e dependant s yo u ca n clai mo n you r ta x return : (Attac h shee t i f mor e spac e i s needed ) Firs t Nam e Relationshi

p .Ag e Doe

s thi s perso n Firs

t Nam e Relationshi

p Ag e Doe

s thi s perso n liv e wit h you' ' liv e wit h you? DN O DVe s DN O OVe s • N O nVe s ON O DVe s Sectio n 2 7 . Ar e yo u o r you r spous e self-employe d o r operat e abusiness ? (Chec k "Yes " i f eithe r applies ) You r DN o D Ye s I f yes , provid e th e followin g information : Busines s 7a . Nam e o f Busines s 7c . Employe r Identificatio n No : Informatio n 7b . Stree t Addres s _ Cit y Stat e .Zip _ 7d . D o yo u hav e employees ? • N o D Ye s 7e . D o yo u hav e account s receivable ? D N o • Ye s I f yes , pleas e complet e sectio n 8 o n pag e 5 . .ATTACHMENT

S REQl'IRED : Pleas

e provid e proo f o f self-employmen

t incom e fo r th e prio r J month s (e.g . invoices , commissions , sales records , incom e statement) . Sectio n 3 Employmen t Informatio n 8 . You remploye r

Stree t Addres s Cit y Stat e Wor k telephon e no . ( ) Ma y w e contac t yo u a t work ? • N o 8a . Ho w lon g wit h thi s employer ? 8b . Occupatio n Zi p a Ye s 9 . Spouse' s Emplaye r

Stree t Addres s Cit vStat e Zi p Wor k telephon e no . ( ) Ma y w e contac t yo u a t work ? • N o 9a . Ho w lon g wit h thi s employer ? 9b . Occupatio n DYe s

^" ^ ATT.VCHMENT

S REQUIRED : Pleas

e provid e proo f o f gros s earning s an

d deduction

s fo r th e pHs t 3 month s fro

meac h employe r ( e g pa y stubs , earning s statements) . I f year-to-dat e inlbmiatio

n i s available , sen

d onl y I suc h statemen t a s lon g a s aminimu mo f 3 months i

s represented .Nam

e SSN Pag e 2 

### Sectio n 4 Othe r Incom e Informatio n 10 . D

o yo u receiv e incom

e fro msource s other

tha n your ow n busines s o r

your employer ? (Chec

k al l tha t apply. ) D Pensio n D Socia

l Securit y D Other

(specify , e.g . chil d support , alimony , rental )

^ ^ ATTACHMENT S REQUIRED ; Pleas e provide proo f o f pension/socia

l security/other

incom e fo r th e pa.s t 3 month s fro

meach payor , includin g an

y statement s showin g deductions . I f year-to-date information i s available , sen donl y 1 stateinent a s lon g a s 3 montti s i s represented . 

### Sectio n 5 11 . CHECKIN G ACCOUNTS . Lis t al l checkin g accounts . (I f

you nee d additiona

l space , attach aseparat

e sheet. ) Banking , Typ e o f 11 1 vestment . Accoun t Cash , Credi t

1 1 a . Checkin g an d Lif e Insuranc e Informatio n

lib . Checkin g Fu H nam e o f Bank , Credi t Union o r Institutio n • "Nam e Addres s City/State/Zip Nam e Addres s Ban k Account No . Curren

t Accoun t Balanc e

City/State/Zip_ I Ic . Tota

l Checkin g Account s Balance s 12 . OTHE RACCOUNTS . Lis t al l accounts , includin g brokerage , saving s an d mone y market , no

t liste d i n 11 . 12a . 12b . 12c . Typ e o f Accoun t Ful

l nam e o f Bank , Credi t Unio n o r Institutio n Nam e Addres s City/State/Zi p Name Addres s City/State/Zip Tota l Other Accoun t Balance s Ban k Accoun t No . Curren

t Accoun t Balanc e

ATT.\CHMENT S REQUIRED ; Pleas e include your current ban k statement s (checking , savings , mone y marke t an d brokerag e accounts ) fo r th e pas t 3 month s fo

r al l accounts . 13 . INVESTMENTS . Lis t all investmen

t asset s below . Includ

e stocks , bonds , mutua

l funds , stoc

k options , certificate s o f

deposit s andretirement

asset s such a s IRAs , Keog h and 401(k) plans . Nam e o f Compan y Numbe

r o f Shares/Unit s 13a . 13b . 13c . 13d . Tota l Investment s $ Curren t Valu e $ $ $ Loa

n Use

d a s collateral Amoun t (i f any ) o n loan ? $ n N o n Ye s $ D N o D Ye s $ D N o D Ye s

14 . CAS H O

N HAND . Include an

y mone y tha t you hav e tha

t i s no t i n the bank . 14a . Tota l Cas h on Han

d$Nam e SS N Pag e 3

Sectio n 5 15 . .AVAILABL E CREDIT . Lis t al l line s o f

credit , includin g credi t

cards . (I f

yo u nee dadditiona l space , attac h a continue d separat e sheet. ) Ful l Nam e o f

Minimu m Credi t Institutio n Credi t Limi t Amoun t

Owe dPaymen t 15a . Nam e $ Addres s City/State/Zip _ 15b . Nam e Addres s City/State/Zip _ 15c . Tota l Minimuri i Payment s $ _ 16 . LIF E INSURANCE . D o yo u hav e lif e insuranc e wit h acas h value ? (Ter mLif

e Insuranc e doe s no t

hav e acas h value. ) 16a . Nam e o f

Insuranc e Compan y 16b . Polic y Number(s ) 16c . Owne r

o f Polic y D N o D Yes

16d . Curren t

Cas h Valu e $ I6e . Outstandin g Loa n Balanc e $ _ Subtrac t "Outstandin g Loa n Balance : lin e 16 e fro m"Curren t Cas h Value " lin e t6 d= I6 f $ _

^ ^ ^ ATTACHMENT S REQUIRE D Pleas e include astatement fro mthe lif e insuranc e companie s tha t include s typ e an

d cash/loa n valu e amounts . I

f currently borrowe dagainst , includ e loa n amoun t an ddat e of loan . Sectio n 6 17 . OTHE RINFORMATION . Respon dt o th e followin g question s relate dt o you r financia l condition : Othe r (Attac h aseparat e shee t i f yo u nee dmor e space . )lnformatio n 17a . D o yo u hav e asaf

e deposi t box ? D N o D Ye s I f yes , pleas e includ e th e nam e an daddres s o f locatio n o f

box , th e bo x numbe r

an dth e content s below :

17b . D o yo u hav e awill ? D N o D Yes ; i f yes , wher e i s i

t kept ? 17c . Ar e ther e an y garnishment s agains t you r wages ? D N o D Ye s If yes , wh o i s th e creditor ? Dat e o f Judgment _ Amoun t o f deb t $ 17d . Ar e ther e an y judgment s agains t you ? D N o If yes , wh o i s th e creditor? _ 17e . Ar e yo u aparty t o alawsuit ? D N o If yes , amoun t

o f sui t $ Subjec t matte r o f sui t n Yes Dat e o f Judgment_ Amoun t o f deb t $ n Yes Possibl e completio n date _ Cour t 17 f Di dyo u eve r

file bankruptcy ? D N o I f yes , dat e filed DYe s Dat e discharge d 17g . I n th e pas t 1 0 year s di d yo u transfe r an y asset s ou t

o f you r nam e fo r les s tha n thei r

actua l value ? D N o D Ye s I f ves . wha t

asset ? Valu e o f asse t a t tim e o f transfe r $ Whe n wa s i t

transferred ? T o who mwa s i t transferred ? 17h . D o yo u anticipat e an y increas e in househol dincom e in th e nex t 2 years ? D N o D Yes If yes , wh y wil l th e incom e increase ? (Attac h shee t i f yo u nee dmor e space. ) Ho w muc h wil l i t

increase ? 17i . Ar e yo u abeneficiar y o f atrus t o r a n estate ? D N o If yes . nam e o f

th e trus t o r estat e DYe s Anticipate damoun t

t o b e receive d $ ^ Whe n wil l th e amoun t

b e received ? 17j . Ar e yo u aparticipan t in aprofi t

sharin g plan ? D N o If yes , nam e o f

pla n DYe s Valu e i n pla n $Nam

e SS N Page 4 

### Sectio n 7 Asset s an d Liabilitie s •Curren t Value i s the amount yo u coul d sel l the asse t fo r toda y 18 . PURCHASE D AUTOMOBILES , TRUCK S AN D OTHE RLICENSE D ASSETS . Includ e boats , RV's , motorcycles , trailers , etc . (I f you nee dadditiona

l space , attac h aseparat

e sheet. ) Curren t •Curren t Loa

n Name o f

Purchas e Monthly Valu e Balanc e Lende r Dat

e Payment 18a. $ $ $ Descriptio n (year , make , model )

18b . LEASED AUTOMOBILES , TRUCK S AN D OTHE RLICENSE D ASSETS . Include boats , RV's , motorcycles , trailers , etc . (I f yo u nee dadditiona

l space , attac h aseparat

e sheet. ) Descriptio n Leas e (year , make , model ) Balanc e Nam e an d Addres s o f Lesso r Leas e Dat e Monthl

y Paymen t 18c . 18d .

.VTT.XCH.MEINT

S REQUIRED ; Pleas e include your current statemen t fro mlende r wit h monthl y ca r paymen t an d current balanc e o f th e loa n fo r each vehicl e purchase do r leased . 20 . REAL ESTATE . Lis t

all rea l estate you own . (If

you needadditiona

l space , attac h aseparat

e sheet. ) Street Address , Cit

y State , Zip , Count

y Dat

e Purchas e •Curren t Loa

n Monthl

y Lender/Lien Holde

r Purchase dPric e Valu e Balanc e Pvm t 20a . 20b .

2 1 . PERSONA L ASSETS . Lis t al l persona l asset s below . (I f

yo u needadditiona

l space , attac h aseparate sheet ) Fiiiniliire'Persona l effect

s include s th e totn

l current marke t valu e o f you r househol d such a s furnitur e an dappliance s Other Persona l Asset s include s al l artwork , jewelry , collections , antique s or other asset s Descriptio n 2Ia . 21b . 21c . 21d . 2le . Furniture/Persona l Effects $ Other : (Lis t

below ) Artwor k .lewclr y Curren t Valu e $ $ $ $ $ Loa

n Balanc e $ $ $ $ $ Lende

r Monthl

y Paymen t $ $ $ $ % Dat

e o f Fina l Pvm tU Nam e SS N Pag e 5 '•A 

### ; | Sectio n 7 :, ) continue d22 . BUSINES S ASSETS . Lis t al l busines s asset s an

dencumbrance s below , include Unifor mCommercia

l Code filings . (I

f yo u nee d : 3 additiona l space , attac h aseparat

e sheet. ) Tool s use di

n Trad e o r Busines s include s th e basi c tool s o r books usedto conduc t

you r business , ^ j excludin g automobile s Other Busines s Asset s include s machinery , equipment , inventor y o r other assets . Curren t Loa n Monthl y Dat e o f Descriptio n Valu e Balanc e Lende r Paymen t

Fina l Pvm t 22a . 22b . 22c . 22d . 22e . Tool s use di

n Trade / Busines s Other ; (Lis t

below ) , Machiner y Equipmen t $

$ $ $ $ $

$ $ $ $

Sectio n 8 23 . ACCOUNTS/NOTE S RECEIVABLE . Lis t al l account s separately , includin g contract s awarded , bu t no t Accounts /

started . (I f

yo u nee dadditiona l space , attac h aseparat e sheet. ) Note s Receivabl e Descriptio n Amoun t Du e Dat e Du e Ag e o f Accoun t I \ e onl y i f

23a . Nam e $ • 0-3 0 day s neede d Addres s • 30-6 0 day s City/State/Zi p O 60-9 0 day s D 90 + day s 23b . Nam e $ • 0-3 0 day s Addres s • 30-6 0 day s City/State/Zi p • 60-9 0 day s • 90 + day s 23c . Nam e $ • 0-3 0 day s Addres s .- . • 30-6 0 day s City/State/Zi p • 60-9 0 day s Q 90 + day s 23d . Nam e $ • 0-3 0 day s Addres s • 30-6 0 day s City/State/Zi p • 60-9 0 day s D 90 + day s 23e . Nam e $ • 0-3 0 day s Addres s • 30-6 0 day s City/State/Zi p • 60-9 0 day s a90 + day s 23 f Nam e ~ $ " a0-3 0 day s Addres s • 30-6 0 day s City/State/Zi p • 60-9 0 day s D 90 + day s Ad d"Amoun t

Due " fro mline s 23 athroug h 23 f = 23 g $ _Nam e SS N Pag e 6



### Sectio n 9 Monthl y Incom e an d Expens e Analysi s I f onl y on e spous e ha s adebt , bu t bot h hav e income , lis t th e tota l househol d incom e an d expenses . 

### Tota l Incom e

Sourc e 24 . Wage s (yourself

) $ . 25 . Wage s (spouse ) 26 . Interes t

- Dividend s 27 . Ne t Busines s Incom

e 28 . Ne t Renta l Incom e 29 . Pension/Socia

l Securit y . 30 . Pension/Socia

l Securit y . (Spouse ) 31 . Child Suppor

t 32 . Alimon y 33 . Othe r 34 . Tota l Incom e $ . Gros s monthl y Tota l Livin g Expense s

Expens e Items ' 35 . Rent/Mortgag e 36 . Electri c 37 . Natura l Ga s 38 . Cabl e T

V 39 . Telephon e 40 . Wate r 41 . Foo d 42 . Ca r Paymen t 43 . Gasolin e 44 . Ca r Insuranc e 45 . Cell Phone/Page

r 46 . Othe r Utilitie s 47 . Clothin g & Misc . 48 . Healt h Car e 49 . Cour t Ordere dPayment s 50 . Child/Dependan

t Care 51 . Lif e Insuranc e 52 . Other secure d deb t 53 . Othe r expense s 54 . Educatio n Expense s 55 . Tota l Livin g Expense s Actua l Mffffthl Y $

**^ATTACHMENT S REQlilRED : Pleas e include ;

A cop y o f

you r las t Fom i 104 0 wit h al l Schedule s Proo f o f al l curren t

expense s tha t

yo u pai d fo r

th e las t 3 months , includin g utilities , rent , insurance , propert y taxes , etc . Proo f o f al l non-busines s transportatio n expense s (e g ca r payments , leas e payments , fuel , oil , insurance , parking , registration ) Proo f o f payment s fo r

healt h care , includin g healt h insuranc e premiums , co-payment s an d othe r out-of-pocke t

e.\pense s Copie s o f

an y cour t

orde r requirin g paymen t

an dproo f

o f suc h payment s fo r

th e pas t 3 month s

CERTIFICATIO N I declare tha

t I hav e examine d th e information give n i n thi s statemen

t and , to the bes t

o f m y knowledg e an d belief

, i t i s true , correct , an dcomplete , an

dI furthe r declare tha

t I hav e n o assets , owne deither

directly o r

indirectly , o r

incom e o f an y natur e other tha t a s shown i n thi s statement , includin g an y attachment . Signature Socia l Securit y No . Dat e WARNIN G Fals e statement s ar e punishabl e u p t o five year s imprisonment , afine of $250,000 , o r

bot h pursuan t

t o 1 8 U.S.C . §1001 .

Expense s generally no

t allowed : W

e generally d

o no t allo w yo u t o clai mtuitio n fo

r privat e schools , publi c o r private colleg e expenses , charitabl e donations , voluntaiy retirement contributions , payment s o n unsecure d debt s suc h a s credi t

car dbill s an dother simila r expenses . However , w e ma y allo w thes e expenses , if

yo u ca n prov e tha

t they are necessar

y fo r th e healt h and welfar

e o f yo u o r you r family .

## CERTIFICATE O F SERVIC E

I hereb y certif

y tha t o n thi s da

y copie s o f

th e foregoin g complainant' s firs t set o f interrogatories , request s fo

r productio n o f

documents , an drequest s fo r admissio n were sen

t vi aFedera

l Expres s addresse da s follows : Th e Honorabl e Isaac D . Benki n Administrativ e La

w Judg e Offic e o f Hearings , M-2 0 U.S . Department

o f Transportatio n 120 0 Ne w Jersey Avenue , S.E . Eas t Buildin g Groun dFloo r Roo mEl2-32 0 Washington , D.C . 2059 0 Federa l Aviatio n Administratio n (Origina l andon e copy ) 60 0 Independenc e Avenue , S W Wilbu r Wrigh t Buildin g - Roo m2W100 0 Washington , D C 2059 1 Attn : Hearin g Docke t

Clerk , AGC-43 0 Alexe i Schach

t Nalve n & Schacht , Attorney s a t La w 35 0 Fift h Avenue , Suite 402 2 Ne w York , NY 1011 8 

## Date : i:i^?// ' )a n Maher 'Managemen t

an dProgra

mAnalys t Offic e o f Regiona l Counse l 1 Aviatio n Plaz a Jamaica , N Y 1143 4