Family Law Questionnaire Template (Page 3 of 9) in pdf

Family Law Questionnaire Template Page 3

If no, when and where do you want the other party served

Do you want the other party removed from the home?

 Yes

 No

If yes, why?

Prior marriage and/or relationship?

Has either party ever been married before?

Wife/Mother

 Yes

 No

Husband/Father  Yes

 No

If yes, please indicate the following:

Wife/Mother:

Date of entry of final judgment:

County/State of final judgment:

Name and address of former spouse:

Husband/Father:

Date of entry of final judgment:

County/State of final judgment:

Name and address of former spouse:

Are there children born or adopted as a result of this prior marriage and/or relationship?

 Yes

 No

If yes, please provide the following information:

Name

Age

Present Address

Are you presently receiving or paying support payments for children of a prior marriage and/or

relationship?

 Yes

 No

 Paying

 Receiving

If yes, please state the amount $

per

Have there been physical altercations between you and the other party?

Yes

 No

If yes, please explain:

Family Law Questionnaire Template Page 3