Dissolution (Divorce) Intake Form Page 5
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Your Prior Marriage Information
Were you previously married? ___________ If not, you can skip this section.
Number of previous marriages: ____________
If divorced, when and where did divorce occur? _____________________________________________
Are you obligated to pay spousal maintenance? ______________
If so, in what amount? ____________________________________
Is any amount delinquent? ________________________________________
Are you obligated to pay child support? ___________ Amount? _______________________________
Number of children: _____________ Ages: ______________________________
Is any amount delinquent? ________________________________________
Are you entitled to receive spousal maintenance (alimony)? ________________
If so, in what amount? _______________________________
Is any amount delinquent? ___________________________________
Are you entitled to receive child support from previous relationship? _________________
If so, in what amount? ____________________________
Number of children: ______________ Ages: _______________________________
Is any amount delinquent? ____________________________________
Your Spouse’s Prior Marriage Information
Was your spouse previously married? ____________ If not, you can skip this section.
Number of previous marriages: ____________
If divorced, when and where did divorce occur? _____________________________________________
Is your spouse obligated to pay spousal maintenance? ______________
If so, in what amount? ____________________________________
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