Please indicate your sex as either "his" or "her"
 

Client's Name
 

Adverse Party Name
 

Party's Place of Residence
 

Party's County of Residence
 

City of Marriage
 

County of Marriage
 

Plaintiff's Current Residence
 

Defendant's Current Residence
 

Amount of Monthly Mortgage Payment
 

Marital Assets
 

Marital Debts
 

Party's Real Property
 

Party's Personal Property (Personal Property refers to any property that is not real estate)
 

Party's investments or bank accounts

What does the client desire in Judgment of Divorce? 

Date of Marriage
 

Name of Plaintiff before marriage
 

Name of Defendant before marriage?
 

Date of Separation (Leave this blank if you are still residing together)
 

How many minor children are there?
 

Names and birthdates of the minor children:

Who do the children presently reside with?
 

Current residence of minor children?
 

What is/are the minor children's address of residence?
 

Has there been any previous custody litigation?  If so, what county did it take place in, and what was the case number?
 

Do any other persons have custody?
 

Reasons for spousal support (If you are requesting spousal support, or if you are contesting it, either on a temporary or permanent basis, please list the reasons here)

Property Restraining order.  (Sometimes, a temporary order to protect marital property is appropriate.  Such orders do not prevent the parties from buying food, gasoline, and the other necessities of life.  However, if one of the parties has incurred substantial amounts of credit recently, or squandered marital assets or made threats to do either, please list the circumstances and details here.)

The following questions refer to the mother and father of the minor children.  Namely, you and the opposing party.

Mother's first name
 

Mother's Middle Name
 

Mother's Last Name
 

Mother's previous last name
 

Mother's Mailing Address
 

Mother's weight
 

Mother's height
 

Mother's date of birth
 

Mother's social security number
 

Mother's driver's license number
 

Mother's eye color
 

Mother's hair color
 

Mother's race
 

Does mother have any scars or tatoos?
 

Mother's home phone
 

Mother's work phone
 

Mother's maiden name
 

Mother's occupation
 

Mother's employer's address
 

Mother's gross weekly income
 

Is Mother on public assistance?
 

Is Mother on AFDC?
 

Father's First Name
 

Father's Middle Name
 

Father's Last Name
 

Father's Mailing Address
 

Father's weight
 

Father's height
 

Father's date of birth
 

Father's social security number
 

Father's driver's license number
 

Father's eye color
 

Father's hair color
 

Father's race
 

Does Father have any scars or tatoos?
 

Father's home number
 

Father's work number
 

Father's occupation
 

Father's employer's address
 

Father's gross weekly income
 

Is Father on public assistance?
 

Is Father on AFDC?
 

Minor child one's name
 

Minor child two's name
 

Minor child three's name
 

Minor child four's name
 

Minor child one's birthdate?
 

Minor child two's birthdate
 

Minor child three's birthdate
 

Minor child four's birthdate
 

Minor child one age
 

Other minor children of party's one
 

Other minor children of party's two
 

Minor child 3 SSN
 

Minor child two SSN
 

Minor child one SSN
 

Minor child three age
 

Minor child two age
 

Health Care coverage for minor children
 

Names of the minor children covered by the plan
 

Name of the policy holder
 

Name of the Insurance Company or HMO
 

Policy Certificate or Contract Number