Complete Legal Name
*
Maiden Name (if applicable)
Date Of Birth
*
MM
DD
YYYY
Place Of Birth
Are you Currently Employed? If so, for whom?
What is your normal monthly salary?
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Primary Phone
*
(###)
###
####
Email
*
Work Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Work Phone
(###)
###
####
Where Should Mail Be Sent?
Spouse's Full Legal Name
*
Spouse's maiden name (If applicable)
Spouse's Home Address
Spouse's Work Address
Spouse's County of Residence
Spouse's Primary Phone
*
(###)
###
####
Spouse's Work Phone
(###)
###
####
Spouse's Date of Birth
*
MM
DD
YYYY
Spouse's Place of Birth
Is your spouse employed? If so, for whom?
What is your spouse's normal monthly salary?
Date of Marriage
*
MM
DD
YYYY
Place of Marriage
Date of Separation
Reason for Divorce
*
Have you attempted Marriage Counseling?
If No, Do you think it would help?
Your objectives regarding this legal matter
Briefly describe all of the property you and your spouse have accumulated during your marriage.
Did either of you receive an inheritance during the marriage?
If yes, please describe.
Did either of you receive gifts during the marriage? If so, please describe.
Briefly describe the property that you owned at the time of your marriage.
Briefly describe your current debts.
Are you certain that you know the extent of all property owned by you and your spouse?
Do you or your spouse own an interest in any family business, partnership, or joint venture?
If yes, please describe the business
Have you signed a marital agreement (before or during your marriage)?
Do you or your spouse have other sources of income? If so, please describe.
Do you need financial support from your spouse?
If you or your spouse have retirement accounts, state the approximate amount of the vested interest
What is the approximate value of your current liquid assets
For each child please state: full name, date & place of birth, Social Security # (last 4 digits)
If any of your children have unique issues, please describe:
With whom are your children currently residing?
Do any of your children own property? If so, please describe.
Referred By:
Specific questions you would like answered:
