Questions For Moving Party (Plaintiff / Defendant) Form - Chesapeake Circuit Court - Uncontested Divorce - Ore Tenus Hearing

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Case No: __________________
Questions for Moving Party (Plaintiff / Defendant)
1. State your name: _____________________________________________
2. State your address: __________________________________________________________________________________________
3. Are you married to: _______________________________________________?
4. Were you married on _________________________________ (date) in _______________________________________ (location)?
5. Are you and your spouse over 18? ____________
6. Were you or your spouse residents and domiciliaries of Virginia for at least six months preceding the filing of this divorce? _________
a. (Military members) Were you or your spouse stationed in or did you reside in Virginia for at least six months preceding the
filing of this divorce? _______________
7. Have either you or your spouse been incarcerated in a mental or penal institution at any time since the filing of this divorce? _______
8. Are you and your spouse mentally competent? ___________
9. Have either you or your spouse been a member of the armed forces of the United States on active duty at any time since the filing of
this divorce? _____________
10. Did you and your spouse separate on _________________________________________________ (date)?
11. When you and your spouse separated did one of you intend for the separation to be permanent? ____________
a. If not, when did one of you form that intent? _______________________________________________________________
b. Which one of you formed the intent? ______________________
12. Since the date of the separation have you and your spouse lived separate and apart without cohabitation and without interruption?
____________
13. Is there any reasonable chance of reconciliation? ____________
14. Are there any children born or adopted of the marriage? ___________ What are their names and ages? ______________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
15. Have you and your spouse entered into a written and signed property settlement agreement? ________ Is this it? Do you recognize
the signatures of the parties? _________________________
16. Do you want the court to affirm, ratify and incorporate the property settlement agreement into the final divorce decree? _________
17. Is there a request to have a former name restored? _________ What is it? _____________________________________________
18. Do you want the court to grant you a divorce based upon the grounds of having lived separate and apart without cohabitation and
without interruption for a period in excess of one year (six months)? _________
19. Does this agreement dispose of all issues pending before this Court? ___________
20. Are you aware of any other actions pending in any other jurisdiction? __________
21. The stipulation agreement gives primary custody to the ________________________________________________. Do you feel
_____________________________________ is a fit and proper person to have physical custody of the child(ren)? ____________
The stipulation agreement also gives visitation rights to the______________________________________________. Do you feel
____________________________ is a fit and proper person to have visitation with the child(ren)? __________________________
_________________________________________________________________________________________________________
Signature of Moving Party: _____________________________________
Date: _________________________
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