You can use this template to gather the information for your uncontested divorce ahead of time. If you’re planning to use the option of Uncontested Divorce by Long Distance, you can e-mail me an image file after you have filled in the information. If the information below is in red, I need it only if you and your spouse have minor children together.
Probably the easiest way to fill out the template is to download and print the PDF. And here it is in Word format if that’s easier for you. It’s six pages long if you have minor children; you can stop after four pages if you don’t.
Information for the Husband | Information for the Wife | |||
Husband’s first name | ________________________________ | Wife’s first name | ________________________________ | |
Husband’s middle name | ________________________________ | Wife’s middle name | ________________________________ | |
Husband’s last name | ________________________________ | Wife’s last name | ________________________________ | |
Is Husband Jr., III? | ________________________________ | |||
What would the Husband prefer for me to call him? | ________________________________ | What would the Wife prefer for me to call her? | ________________________________ | |
Husband’s home phone | ________________________________ | Wife’s home phone | ________________________________ | |
Husband’s work phone | ________________________________ | Wife’s work phone | ________________________________ | |
Husband’s e-mail | ________________________________ | Wife’s e-mail | ________________________________ | |
How can I leave a secure phone message for the Husband? | ________________________________ | How can I leave a secure phone message for the Wife? | ________________________________ | |
Husband’s Soc. Sec. Number | ________________________________ | Wife’s Social Security Number | ________________________________ | |
Husband’s home street address | ________________________________ | Wife’s home street address | ________________________________ | |
Husband’s City | ________________________________ | Wife’s City | ________________________________ | |
Husband’s State | ________________________________ | Wife’s State | ________________________________ | |
Husband’s zip | ________________________________ | Wife’s zip | ________________________________ | |
Husband’s County | ________________________________ | Wife’s County | ________________________________ | |
Does Husband live within city limits? | ________________________________ | Does Wife live within city limits? | ________________________________ | |
Husband’s DOB | ________________________________ | Wife’s DOB | ________________________________ | |
Last grade finished in high school | ________________________________ | Last grade finished in high school | ________________________________ | |
Highest college completed (yrs.) | ________________________________ | Highest college completed (yrs.) | ________________________________ | |
Husband’s work title | ________________________________ | Wife’s work title | ________________________________ | |
Husband’s employer | ________________________________ | Wife’s employer | ________________________________ | |
Husband’s work address | ________________________________ | Wife’s work address | ________________________________ | |
Husband’s work city | ________________________________ | Wife’s work city | ________________________________ | |
Husband’s work state | ________________________________ | Wife’s work state | ________________________________ | |
Husband’s work zip | ________________________________ | Wife’s work zip | ________________________________ | |
Husband’s annual income | ________________________________ | Wife’s annual income | ________________________________ | |
Husband’s race | ________________________________ | Wife’s race | ________________________________ | |
What number marriage is this for the Husband? | ________________________________ | What number marriage is this for the Wife? | ________________________________ | |
How did the Husband’s most recent marriage end? | ________________________________ | How did the Wife’s most recent marriage end? | ________________________________ |
Date of the marriage | __________________________________________________ |
City in which marriage occurred | __________________________________________________ |
State in which marriage occurred | __________________________________________________ |
County in which marriage occurred | __________________________________________________ |
Separation Date | __________________________________________________ |
Total children of this marriage | __________________________________________________ |
How did you find out about Lee? | __________________________________________________ |
Which party will Lee represent? The Husband or the Wife? | __________________________________________________ |
If you do not have any children together, you may stop here
Of the children, number who are still younger than 19 | __________________________________________________ |
Where will the children live (Mom? Dad? Someone else?) | __________________________________________________ |
Will you have joint custody or sole custody? | __________________________________________________ |
What will the wife’s name be after the marriage? | __________________________________________________ |
What is the child care expense per month? | __________________________________________________ |
What is the cost of health insurance per month, and who is paying it? |
__________________________________________________ |
Please provide the following information for each child. If you have more than |
|
Full name | __________________________________________________ |
Name the child goes by | __________________________________________________ |
The child’s DOB | __________________________________________________ |
The child’s Social Security Number | __________________________________________________ |
Where the child lives | __________________________________________________ |
The child’s gender | __________________________________________________ |
Full name | __________________________________________________ |
Name the child goes by | __________________________________________________ |
The child’s DOB | __________________________________________________ |
The child’s Social Security Number | __________________________________________________ |
Where the child lives | __________________________________________________ |
The child’s gender | __________________________________________________ |
Full name | __________________________________________________ |
Name the child goes by | __________________________________________________ |
The child’s DOB | __________________________________________________ |
The child’s Social Security Number | __________________________________________________ |
Where the child lives | __________________________________________________ |
The child’s gender | __________________________________________________ |
Full name | __________________________________________________ |
Name the child goes by | __________________________________________________ |
The child’s DOB | __________________________________________________ |
The child’s Social Security Number | __________________________________________________ |
Where the child lives | __________________________________________________ |
The child’s gender | __________________________________________________ |