Prenuptial Agreement Template - The Narris Law Office & Family Mediation Offices Page 2
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11_____________________________________________
Full legal name:
__________________________________________________________
Current address: _________________________________
Maiden
Name
(if
applicable):
_________________________________
________________________________
_________________________________
Current phone number: ____________________________
Cell phone number (if different): ______________________
Email: ____________________________________________
Social Security Number: ___________________
Date of birth:
___________________
Place of birth:
___________________
GENERAL INFORMATION:
When do you intend to marry?
Have you lived together?
If so, for how long?
Do you wish to enter a prenuptial agreement in order to:
Address assets you expect to inherit or receive as a gift? ______________
Address assets in the event of divorce? ___________
Address assets for a child? ______________
Address the distribution of assets in the event of death? ________________
CHILDREN:
Please list any children either party has prior to the marriage:
FULL NAME
DATE OF BIRTH
PARENTS
___________________________
_____________________
__________________
___________________________
_____________________
__________________
___________________________
_____________________
__________________
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