Family Law Questionnaire Template Page 2

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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?

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