Initial Consultation

10. Recipient of State Aid? - Husband

Yes

No

17. Children - Husband. Born or Adopted (List Name, Date of birth, Age)

Phone - Husband (Work)

27. INVESTMENT ACCOUNTS: List Husband or Wife. Institution, How Account is Titled, Current Balance, Balance on Date of Marriage and Whether There are any Co-Mingled Funds.

11. Education Level - Husband

Date of Birth - Wife

INFORMATION ABOUT SPOUSE FOR SERVICE OF PROCESS. List: Best time/place for service, Description of Spouse, Height, Hair Color, Complexion, Weight, Eye Color, Distinguishing Features, Car make and model, License number.

6. Present Occupation - Husband

Present Occupation - Wife

8. Race (e.g. White, African American, Native American, etc.) - Husband

21. ANY RESTRAINING ORDERS to prevent domestic abuse issued against either party within last 90 days? If so, list: STATE, TEMPORARY OR PERMANENT, NAME OF RESTRAINED PARTY, COURT, CASE #, SUBJECT MATTER/INCIDENT.

19. Any Prenuptial Agreement? If so, list Date, Attorneys Involved

Race (e.g. White, African American, Native American, etc.) - Wife

26. RETIREMENT ACCOUNTS: List Husband or Wife. Type of Account, Institution, Present Balance, Balance on Date of Marriage and Whether There is Any Co-Mingled Separate Property.

13. Date of Separation

Wife - Do you wish to retain your maiden name?

Yes

No

15. Number of this Marriage - Husband

25. BANK ACCOUNTS: List Name of Institution, How Account is Titled, Approximate Balance and Source of Funds for each.

Education Level - Wife

Residence - Wife

30. DOES SPOUSE HAVE AN ATTORNEY? If so, list : Name, Address, Phone.

16. Husband - Previous Marriages ended by:

Death

Divorce

Annulment

Phone - Wife (Home)

Phone - Wife (Work)

28. VEHICLES: List Husband, Wife or Jointly Owned. Year, Make, Model and Loan Balance.

Recipient of State Aid? - Wife

Yes

No

Husband - If divorce or annulment, list Date, City, State, which Court and number of Children involved.

EVERYTHING YOU WANT AN ATTORNEY TO OBTAIN FOR YOU.

Divorce, Legal Separation, Annulment or Other

Maintenance

Child Support

Property Distribution

Visitation, Sole Custody or Joint Custody

Attorney's Fees and Costs

Resume Maiden Name

12. Date and Place of this Marriage

Place of Birth - Husband

Number of this Marriage - Wife

Addresses for Children for Past 5 Years.

2. Phone - Husband (Home)

Present Employer - Wife

4. Social Security Number - Husband

Wife- If divorce or annulment, list Date, City, State, which Court and number of Children involved.

29. LIFE INSURANCE: List Provider, Name of Insured, Beneficiary, Account Owner, Death Benefit, Cash Value.

31. Confidential email where we can contact you.

Is the Wife Pregnant at this Time? (Information required by law.)

Yes

No

Don't know

Presently living with spouse?

Yes

No

If so, for each: List State, Date Commenced, Court, Disposition, Date of Disposition, Attorneys Involved.

7. Date of Birth - Husband

Custody/Visitation Dispute Expected?

Yes

No

Don't know

Children - Wife. Born or Adopted (List Name, Date of birth, Age)

Ever in Military Service? - Wife. If so, dates of service (leave blank if no military service)

Wife - Previous Marriages ended by:

Death

Divorce

Annulment

3. Residence - Husband

Type of work done during most of working life, including business - Wife

5. Wife's Maiden Name

Social Security Number - Wife

Present Employer - Husband

1. Full Name - Husband

Place of Birth - Wife

9. Ever in Military Service? - Husband. If so, dates of service (leave blank if no military service)

23. Any Exceptional Needs of Any Child?

Yes

No

Don't know

Type of work done during most of working life, including business - Husband

Full Name - Wife

24. REAL ESTATE OWNED: Husband or Wife? List Property Address, City, State. ALSO LIST Date of Acquisition, Current Value and Mortgage Balance.

22. Any Major Health Problems or Disabilities - Husband or Wife?

18. Any Prior Action for Divorce from Present Spouse?

Yes

No

14. Interest in Reconciliation?

20. Have You, Your Spouse, or Dependent Children received benefits of public assistance from the state Department of Human Services or county Department of Social Service within the past 5 years? If so, list: State, Name of Person Receiving Benefit, Relationship to You, County and State Agency.