Divorce Client Intake Form Page 2
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4________________________________________________________________
Date(s) of Birth: __________________________________________________
Social Security Number(s): _________________________________________
ADDRESSES: (Where and with whom the children have lived for the last 5 years)
__________________________________________________________
________________________________________________________________
2. OPPOSING ATTORNEY:
Name: __________________________________________________________
Docket Number: __________________________________________________
Next Court Date and Time: __________________________________________
3. DEBTS OF THE MARRIAGE:
Name of Creditor: _________________________________________________
Amount Owed: ___________________________________________________
Acct Number: ____________________________________________________
Who will pay debt? ________________________________________________
)
(Attach additional sheet if necessary
4. REAL ESTATE:
1.
Real Estate located at: ________________________________________
Who owns the property? ______________________________________
Debt Amount: _______________________________________________
Lender’s name and address: ___________________________________
Account Number: ____________________________________________
Who will assume and pay debt: _________________________________
2.
Real Estate located at: ________________________________________
Who owns the property? ______________________________________
Debt Amount: _______________________________________________
Lender’s name and address: ___________________________________
Account Number: ____________________________________________
Who will assume and pay debt: _________________________________
5. PERSONAL PROPERTY:
Please list all of the valuable items of personal property that will be, or may be in
dispute, the value of each, and who should receive the property.
Property
Value
Who receives?
6. FINANCIAL/BANKING ACCOUNTS:
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Parent category: Business