Divorce Information Form

•  Please fill out the following contact information:

  What is your Name:
  We should Contact you by:	Choose an option Home Phone Work Phone Cell Phone Message Service ?
  Phone:
  E-mail:

  Choose from our Services drop down menu:  Choose an option Divorce Support Modifications Annulments Marital Settlement Agreements Adult Adoptions Stepparent Adoptions Paternities Name Changes Quitclaim Deeds Responses

• Date of Marriage :  -- mmddyy        

• Date Separated :  -- mmddyy
  

• Does your spouse agree to the divorce?

  Yes No
  

• Does wife want her former name back?

  Yes No
  

• Does either party have retirement/pension benefits, IRA's, etc.?

  Yes No
  

• Does either party own real estate?

  Yes No
  

• Are there household possessions or personal items that needs to be divided?

  Yes No
  

• Are there household possessions or personal items that needs to be confirmed as separate property?

  Yes No
  

• Are there debts to divide?

  Yes No
  

• Do you have any children?

  Yes No       If yes, how many?

• Will spousal support be paid to either party?

  Yes No

• How long have you lived in California ?

  How many years?

• In what county ?   Choose an Option Los Angeles Orange San Bernardino Riverside Ventura San Diego Other    If  'Other' please specify: 

• How long have you lived in that county ?

   How many years?