Prenuptial/cohabitation Agreement Questionnaire Template - Vogel Lawyers Page 3
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MARRIAGE/COMMON LAW RELATIONSHIP
Expected date of
Anticipated Place of
Marriage/Cohabitation:
Marriage:
Did you live together prior to the marriage?
Yes
No
If so, when and where?
PURPOSE OF PRENUPTIAL OR COHABITATION AGREEMENT
(Check all that apply)
ensure financial stability of children
determine division of assets and/or liabilities in the event of separation
maintain assets as separate property in the event of separation
permit the parties to enter into a Will without legal claims to the other party
provide for spousal or partner support to either party on separation
waive spousal or partner support in the event of separation
Other reasons:
________________________________________________________________________________
________________________________________________________________________________
Do you currently own or plan to own property jointly with your future spouse? Yes
No
If yes, describe: ______________________________________________________________________
How would you like your property and your spouse’s property to be divided on separation?
____________________________________________________________________________________
FINANCIAL INCOME INFORMATION
Income Particulars
Client - Amount
Spouse- Amount
Employment Income
Pay Period (weekly, bi-weekly,
monthly)
Employment Insurance Benefits
Worker’s Compensation Benefits
Interest and Investment Income
Pension Income
Self-employment Income
Other Income (describe)
Client:
Total Income (line 150) on last filed Income Tax Return
year
Expected income at line 150 of this year’s Income Tax Return
year
Future education or employment intentions (if known):
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