1. How long have you been married? (in years)

2. Where do you reside? (address)

3. How long have you lived there? (in years)

4. Are there any children from the marriage?
Yes No

5. Is the custody of the children going to be an issue?
Yes No

6. Who has been the primary care taker of the children (e.g. getting them ready for school, taking care of them when they are sick, preparing their meals)?

7. How old are the children? (children, age)

8. Are you and your spouse the same religion?
Yes No

9. What do you do for a living?

10. What does your spouse do for a living?

11. What do you earn (annual salary estimate)?

12. What does your spouse earn (annual salary estimate)?

13. Do you own any real estate?
Yes No

14. When was it purchased? (mm/dd/yyyy)

15. How much equity do you have in your home?

16. Did you and your spouse incur any debts after your marriage?
Yes No

17. Are there any 401K or other retirement accounts in the name of either you or your spouse?
Yes No

18. What are the values of your pensions?

19. Do you feel this will be an amicable divorce or a contested divorce (on a scale of 1-10, with 1 being no disagreements and 10 being highly contested)?

20. Is there any other information that you feel we need to know to help serve you?

Your Name

Your Phone Number (xxx-xxx-xxxx)

Your Email Address