Is the other party currently represented by an attorney?
Yes
No
If yes, please provide the following information:
Name:
Address:
Telephone Number:
OCCUPATION
Wife/Mother Employer:
Address:
Telephone Number:
Job Title:
Gross Income:
Net Income:
Husband/Father Employer:
Address:
Telephone Number:
Job Title:
Gross Income:
Net Income:
LEVEL OF EDUCATION:
Wife/Mother - Last grade completed:
Husband/Father - Last grade completed:
MARITAL BACKGROUND
Current marriage and/or relationship:
Date and location of marriage:
Date of separation:
Have the parties lived in Florida for at least six (6) months prior to this date?
Wife/Mother
Yes No
Husband/Father
Yes No
If neither party has resided in Florida for at least six (6) months, please indicate
the State of residence for the six (6) month period before moving to Florida:
Date of move to Florida:
Has proceeding started?
Yes
No
Have papers been served?
Yes
No
If yes, who started the proceeding, when and where?