DivorceEASE^™ Online Services

Please enter all of the information requested below. Use legal names as you wish them to appear on the final documents. Click on Submit when you are done and we will send you your completed documents within one week of your request. Items in italics need not be completed for separation agreements.

PLAINTIFF		SPOUSE (Defendent)
FIRST NAME		FIRST NAME
LAST NAME		LAST NAME
STREET ADDRESS		STREET ADDRESS
APT		APT
CITY		CITY
STATE ZIP		STATE ZIP
COUNTY		COUNTY
TELEPHONE		TELEPHONE
FAX		FAX
DATE OF BIRTH		DATE OF BIRTH
PLACE OF BIRTH		PLACE OF BIRTH
EDUCATION COMPLETED		EDUCATION COMPLETED
# PREVIOUS MARRIAGES ENDED IN DIVORCE		# PREVIOUS MARRIAGES ENDED IN DIVORCE
# PREVIOUS MARRIAGES *ENDED IN DEATH***		# PREVIOUS MARRIAGES *ENDED IN DEATH***
SOCIAL SECURITY NUMBER		SOCIAL SECURITY NUMBER
RECEIVE PUBLIC ASSISTANCE		RECEIVE PUBLIC ASSISTANCE
RACE		RACE
IF OTHER, FILL IN		IF OTHER, FILL IN
Is either party in the active military (not reserves)	Yes, husband is in military		Yes, wife is in military
INCOME		INCOME
MAIDEN NAME
PLACE OF MARRIAGE
DATE OF MARRIAGE
WAS MARRIAGE PERFORMED BY CLERGY		Y N
LAST ADDRESS LIVED AT TOGETHER-INCL CITY, STATE
DATE STOPPED LIVING TOGETHER
Grounds for divorce:
Date of Abandonment/Lockout/Separation:
If using cruelty, please list 3 incidents within last 5 years, include approximate dates and locations. If using a Separation Agreement, we will need a copy of the filed agreement. If using confinement, we will need a letter from the prison stating dates of confinement.)		Cruelty:
PERSON STARTING ACTION (HUSBAND/WIFE)		EMAIL ADDRESS:
Jurisdiction
IF YOU PAID BY CREDIT CARD OR CHECK, NAME ON ACCOUNT:

Complete this sectiononly if you have ever had children with this spouse (natural, adopted, living or deceased)
NUMBER OF CHILDREN
Names, Birthdates and Social Security Numbers of children (note if any are emancipated or deceased) Include current addresses of all children.
Do you want child support to go through the Child Support Collections Unit?		Y N
Are there any Family Court Orders that will be continued by the Divorce? If so, please send us a copy of the Order.		Y N
Custody
If 3rd Party has custody - name, relationship and address
Visitation
Other arrangements listed below:
Does Husband have health Insurance from his employer Y N Type of insurance: Will he be continuing plan for your children? Y N If so, we need Name of Plan, Address, Name of Plan Administer and ID #		Does Wife have health Insurance from her employer Y N Type of insurance: Will she be continuing plan for your children? Y N If so, we need Name of Plan, Address, Name of Plan Administer and ID #


Complete this section only if you wish to have an agreement concerning the division of property.
List property/debts that you would like listed in a separate agreement. Include account #'s. Include insurance, automobiles (include year and make), bank accounts, debt and credit cards. If you have children, this is the place to list any special provisions you want included: college, extra curricular activities, day care, babysitting, private school, clothing, un-reimbursed medical, etc. Does wife own any real estate? Y N Does Husband own any real estate? Y N (If so, list below with how to divide)
If you have not paid yet, click here

DivorceEASE™ Online Services

Please enter all of the information requested below. Use legal names as you wish them to appear on the final documents. Click on Submit when you are done and we will send you your completed documents within one week of your request. Items in italics need not be completed for separation agreements.

Copyright © 2009 All rights reserved. Revised: August 23, 2009

DivorceEASE^™ Online Services

Copyright © 2009 All rights reserved.
Revised: August 23, 2009