PRO SE DIVORCE SERVICES: QUESTIONNAIRE

PRO SE DIVORCE SERVICES

QUESTIONNAIRE

FOR YOURSELF

NAME: (Also Phone #)

BIRTHDATE:

S.S. NO.:

ADDRESS:

CITY: STATE:

COUNTY:

OCCUPATION:

IF PRIOR DIVORCE, DATE AND COUNTY, STATE:

WIFE MAIDEN NAME RESTORED?

FOR YOUR SPOUSE

NAME: (Also Phone #)

BIRTHDATE:

S.S. NO.:

ADDRESS:

CITY: STATE:

COUNTY:

OCCUPATION:

IF PRIOR DIVORCE, DATE AND COUNTY, STATE:

DATE OF YOUR MARRIAGE: (day/month/year/place):

FOR BOTH PARTIES

REAL ESTATE OWNED (even if there is a mortgage):

TYPE (single family, two family, or ? ):

ADDRESS:

WHO WILL KEEP THE REAL ESTATE:

OTHER PROPERTY (excluding personal belongings and automobiles ):

FOR WHEN THERE ARE CHILDREN

NAME(S):

BIRTHDATE:

REGARDING CUSTODY:

JOINT CUSTODY?:

PHYSICAL PLACEMENT WITH:

OR-SOLE CUSTODY WITH:

PHYSICAL PLACEMENT WITH:

CHILD SUPPORT

$PAID BY:

AMOUNT PAID PER WEEK, BI-WEEKLY, OR MONTHLY?:

Send (click send above) your questionnaire when finished. Then click PayPal link below. Or, you may pay via COD. See below.

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