Dissolution (Divorce) Intake Form Page 4
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Your Employment Information
Are you employed? ___________
Full Time? ____________ Part Time? ____________
Reason not employed: ____________________________________________________________________________
Employer: __________________________________________________________________________
Address: _____________________________________________________________________________________________
Position: _________________________________________ Salary: ___________________________________
Length of Employment: _____________________________________
Gross Monthly Income: _______________________ Net Monthly Income: _______________________
Your Spouse’s Employment Information
Spouse Employed? ____________
Full Time? ____________ Part Time? ____________
Reason not employed: ____________________________________________________________________________
Employer: __________________________________________________________________________
Address: _____________________________________________________________________________________________
Position: _________________________________________ Salary: ___________________________________
Length of Employment: _____________________________________
Gross Monthly Income: _______________________ Net Monthly Income: _______________________
Your Education
Highest level of education you’ve completed: ________________________________________________
List any certificates/degrees: ____________________________________________________________________
Your Spouse’s Education
Highest level of education you’ve completed: ________________________________________________
List any certificates/degrees: ____________________________________________________________________
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Parent category: Business