Divorce Questionnaire

Uncontested Divorce with Children

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Use this form to either (1) start your divorce case, or (2) obtain a precise price quote. 
All relevant information on both sides of the form is required.

If you have any questions, require assistance in completing this form, or wish to speak with one of our
 matrimonial attorneys prior to submitting your information, please contact us directly at (800) 518-0211.

INFORMATION REGARDING YOU (THE PLAINTIFF) INFORMATION REGARDING YOUR SPOUSE (THE DEFENDANT)
Your first name*    
MI
Spouses first name    
MI
Your last name*
Spouse's last name
Your street address*
Spouse's street address
City*
City
State*
State
Zip*
Zip
County
County
Country
Country
Your phone number*
Spouse's phone number
Your Email address*
Spouse's Email address
Your date of birth
Month  Day  Year
   
Spouse's date of birth
Month  Day  Year
   
Your place of birth:
City
State
Country
Spouse's place of birth:
City
State
Country
Date of marriage:
Month  Day  Year
   
 
Place of marriage:
City
State
County
Country
 
Type of marriage Ceremony
Civil Religious

 
Maiden name
Maiden name
Your social security number (SSN)
Spouse's social security number (SSN)
Number of marriages before this one
Spouse's number of marriages before this one
If previously married, how did those marriage(s) end?
Divorce Death
If spouse previously married, how did those marriage(s) end?
Divorce Death
Your race
Spouse's race
Your education level
Spouse's education level

SERVICE OF DOCUMENTS ON YOUR SPOUSE
Is your spouse willing to accept, sign, and return divorce documents quickly (within 120 days) and without the need for professional service of process?
Yes No Not sure

Please note:
(a) If you indicate "yes", we will attempt to mail or Email documents to your spouse. If he/she does not sign & return documents to us within 4 weeks, we will need to have him/her professionally served to avoid the risk of having your case expire. Professional service will add to your cost.
(b) If you indicate "no" or "not sure", we will need to perform professional service at additional cost ($150 & up).
LEGAL GROUNDS FOR YOUR DIVORCE
Grounds for divorce
NEW! No-Fault (the relationship has broken down permanently for at least 6 months – this is the simplest and quickest option.)
Abandonment (you have not lived together for at least one year)
Sexual abandonment (you have not had sex with your spouse for at least one year)
Separation agreement (you have lived apart for at least one year pursuant to (a) a judgment of separation or (b) a written & filed separation agreement
Imprisonment (your spouse has been imprisoned for at least three [3] consecutive years after you were married)
Adultery (you will need the testimony of a witness to the adultery EVEN WITH your spouse's admission, and only if it has been less than 5 years since you found out ... this ground will add substantial time & costs ... save time & money by choosing "No-fault".)
Cruel & inhuman treatment (your spouse treated you so badly that it endangered your physical or mental health. You will need to specify exact dates, places and details of the cruel & inhuman treatment ... this will add substantial time & costs ... save time & money by choosing "abandonment" or "No-fault".)

If abandonment, who moved out of the marital home?
Plaintiff Defendant

If abandonment, last date when you lived together:
Month
Day
Year

If sexual abandonment, last date when you had relations with your spouse:
Month
Day
Year

Complete address where you and your spouse were living together when the grounds for divorce you selected above occurred:
Address  
City
State
Zip

CHILDREN
Number of children (with your spouse) under 21
Child #1 Name
SSN
Date of birth
Month
Day
Year

Child #2 Name
SSN
Date of birth
Month
Day
Year

Child #3 Name
SSN
Date of birth
Month
Day
Year

Child #4 Name
SSN
Date of birth
Month
Day
Year

Any children expected?
Yes No
Where are children living?
Me (plaintiff)
Spouse (defendant)
Other 		Who shall have legal Legal Custody of the children?
Me (plaintiff)
Spouse (defendant)
Other

Have you ever been to Family Court with your spouse?
Yes No

If yes, please provide the following:

CHILD SUPPORT
Court docket no.
County
Date of Order
Month
Day
Year

LEGAL CUSTODY
Court docket no.
County
Date of Order
Month
Day
Year

VISITATION
Court docket no.
County
Date of Order
Month
Day
Year

Has either spouse been a party in an Order of Protection?
Yes No

Has either spouse been a party in a Child Abuse/Neglect Proceeding?
Yes No

Is either spouse registered under New York State's Sex Offender Registration Act?
Yes No
Visitation by spouse
Reasonable rights of visitation away from custodial residence
Visitation pursuant to existing court order
Health Insurance
Provided by me (Plaintiff)
Provided by Defendant

Name of Health Insurance Company


Address of Health Insurance Company:
Street Address



City


State

Zip

Policy number

Please provide the name(s) and present address(es) of the person(s) with whom the child under the age of 21 has lived within the last five (5) years are:

Name 1

Address

City

State

Zip



Name 2

Address

City

State

Zip

CHILD SUPPORT

How much child support is to be paid by non-custodial parent?
(minimum $300 per year)

If employed, plaintiff annual gross income:
 		If employed, defendant annual gross income:
If unemployed, plaintiff annual gross income:


Specify: SSI SSD Public assistance		 If unemployed, defendant annual income:


Specify: SSI SSD Public assistance
Non-Custodial Parent’s Employer

Employer Name:

Address:


City


State

Zip

 
   
MARITAL PROPERTY

Is there any Marital Property, bank accounts, debts, etc. that need to be divided in a written agreement?
Yes No

If you answered yes above, please provide precise details regarding who gets what.

 
RESIDENCY

Please choose the statement which best describes your situation:
Plaintiff has been a resident of New York for a continuous period of at least two years immediately preceding filing for divorce.

Defendant has been a resident of New York for a continuous period of at least two years immediately preceding filing for divorce.

The Grounds for divorce occurred in New York, and both parties were residents of New York at the time of filing for divorce.

Both spouses were married in New York as husband and wife, and either spouse is and has been a resident of New York for a continuous period of one year immediately preceding the divorce action.

Both spouses have resided in New York as husband and wife, and either spouse is a resident of New York when the action commenced, and has been a resident of New York for a continuous period of a year immediately preceding the action.

The Grounds for divorce occurred in New York, and either spouse has been a resident of New York for a continuous period of one year before filing for divorce.

 

SPOUSAL SUPPORT
Are you or your spouse seeking spousal support? Yes No


If you answered yes above, please provide precise details regarding who gets what.


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NOTE: The information you provide will assist our attorneys in providing quality legal advice. While we hold all your information in strict confidence, submitting information via this website without a formal retainer does not establish an attorney-client relationship. If you have any questions, please contact us directly at (800) 518-0211.