DIVORCE AGREEMENT
"A COMPLETE DIVORCE SERVICE"
5240 Portage Road, Portage, Michigan, 49002
Kalamazoo: (269) 345-1173
PLEASE ANSWER ALL QUESTIONS. YOUR DIVORCE ACTION WILL BE PREPARED FROM THE INFORMATION
SUPPLIED ON THIS APPLICATION.
(PLEASE BE AWARE THAT IT IS A CRIME TO FILL OUT THIS APPLICATION WITH
IF YOU ARE PROCESSING
FACTS YOU KNOW ARE FALSE, OR LEAVE OUT FACTS THAT YOU KNOW ARE IMPORTANT.)
YOUR CASE BY MAIL, PLEASE RETURN THIS APPLICATION WITH YOUR CHECK OR MONEY ORDER IN THE
AMOUNT OF $_______________ MADE PAYABLE TO DIVORCE AGREEMENT.
1.
PHONE NUMBERS:
PLAINTIFF (Filing Party)
(Your Full Name)
Eye Color
HOME:
Alias______________
Hair Color
BUSINESS:
S.S.# __________________ Height
Date of Birth:
. #___________
Driver's Lic
Weight
State of Birth:
Scars, tattoos, etc.________
Race
:
ADDRESS
Street
City
State
Zip
County, Michigan
OCCUPATION:
Length of Employment:
years ______ months
EMPLOYER:
Weekly Gross Income $
Weekly Net (Take Home Pay) $
Deductions:
$
(Taxes, pensions, union dues and medical insurance for children only.)
Residence owned or rented?
Highest Grade Completed in School:
2.
:
PHONE NUMBERS
DEFENDANT
_________
:
Eye Color
HOME
(Your Spouse's Full Name)
Alias______________
Hair Color
BUSINESS:
S.S.# __________________
Height
Date of Birth:
. #___________
Driver's Lic
Weight
State of Birth:
Scars, tattoos, etc.________
Race
:
ADDRESS
Street
City
State
Zip
County, Michigan
OCCUPATION:
Length of Employment:
years
months
EMPLOYER: