| Divorce
DIVORCE INFORMATION SHEET (NO CHILDREN)
INSTRUCTIONS: HELP US TO HELP YOU TO PROCESS YOUR CASE EFFICIENTLY)
1. Please print clearly.
2. Please give accurate answers – incorrect answers will cause problems
in your case.
3. Please answer all questions – all answers are required to process
your case properly.
YOUR FULL NAME: _______________________________________________ (Male
/ Female)
(first, middle, last)
ADDRESS: ______________________________________________ APT#____________
(I rent / own)
____________________________________________, TEXAS, ZIP: _________________
WHAT COUNTY DO YOU LIVE IN? ___________________________ OVER 6 MONTHS?
_________
HOME PHONE: _____________________ Answering Machine ? Yes No (Normally
home by _______)
WORK PHONE: ___________________ PAGER or CELL: _________________ RACE:
____________
DATE OF BIRTH: ________________ AGE: _______ CITY & STATE OF BIRTH:
_________________
(month, day, year)
SOCIAL SECURITY #________________________ TX DRIVER’S LICENSE #____________________
DATE OF MARRIAGE:_____________________ PLACE OF MARRIAGE: ______________________
(month, day, year) (city and state)
DATE OF SEPARATION: _____________________ REMINDER: PLEASE PRINT CLEARLY
(month, day, year)
Have you or your spouse filed a divorce on each other before? _______________
YOUR SPOUSE’S NAME: ________________________________________________________
(first, middle, last)
ADDRESS: STREET _________________________________________________ APT#____________________,
STATE _______________ ZIP: __________
RACE_________________
DATE OF BIRTH: ______________________ AGE: ________ CITY & STATE OF
BIRTH: _________________ (month, day, year)
SOCIAL SECURITY #____________ DRIVER’S LICENSE# _______________
WIFE’S MAIDEN NAME: ___________________________________________
WIFE WANT HER NAME CHANGED TO: (first, middle, last) __________________________________
PROPERTY: I will keep this car(s): (year, make, model) ___________________________________________________
He/she will keep this car(s): (year, make, model) ___________________________________________________
We currently do not own any real estate. (True or False) _______________
We did not accumulated any 401k, pension, or retirement benefits during
the marriage (T/F) ____
CHILDREN: During the marriage, wife had ___________ child(ren) with husband.
During the marriage, wife had ___________ child(ren) with other person(s).
Wife is not pregnant. (True or False) ______________
We have grown children _________ (True or False) If true, their age(s)___________
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