Divorce Or Annulment Questionnaire printable pdf download

Divorce Or Annulment Questionnaire

DIVORCE OR ANNULMENT QUESTIONNAIRE

Please fill-out the following information, to the best of your ability, and either bring it with you to one of

your appointments at our office, mail it to: Law Office of Tracey D. Johnson, LLC, 1404 Minnesota

Avenue, Kansas City, Kansas 66102, or fax it to: 913-371-6716. If you have any questions call

913-499-0422.

HUSBAND’S INFORMATION

Husband's Name __________________________

Date of Birth: Age: ________________________

Birthplace: _______________________________

Race: ___________________________________

Occupation: ______________________________

Employer name and address _________________

________________________________________

Gross Income (before taxes) _________________

Hourly Rate _______ or Salary Rate ___________

Paid: Weekly, Biweekly, or Monthly (Circle One)

Number of this marriage:____________________

If married before, did marriage end in divorce, death, annulment, dissolution?

Social Security Number ____________________

Highest level of education completed: _________

Current address: __________________________

________________________________________

WIFE’S INFORMATION

Wife's Name ______________________________

Maiden Name: If Wife

filing for Divorce, do you want your maiden name

restored to you at the time the Decree is entered?

Yes ________ No ________

Date of Birth: Age: _________________________

Birthplace: ________________________________

Race: ____________________________________

Occupation:_______________________________

Employer name and address __________________

_________________________________________

Divorce Or Annulment Questionnaire