WILLIAM J. CASEY DIVORCE QUESTIONNAIRE

WILLLIAM J. CASEY DIVORCE QUESTIONNAIRE
PLEASE COMPLETE EVERY QUESTION ON THE FORM. EACH ANSWER is NECESSARY FOR THIS OFFICE TO COMPLETE THE PAPERWORK REQUIRED FOR YOUR DIVORCE. THANK YOU.
YOUR NAME
YOUR SPOUSE'S NAME: (PLEASE PRINT)
PHONE NUMBER OF SOMEONE WHO CAN REACH YOU IF WE CONNOT
Format: (000) 000-0000.
DATE

MonthDayYear
Date
E MAIL ADDRESS
example@example.com
PLAINTIFF'S NAME

You are the Plaintiff
FIRST NAME
MIDDLE NAME
LAST NAME
ADDRESS
CITY, STATE, ZIP CODE
COUNTY
INSIDE CITY LIMITS?
HOME PHONE
Format: (000) 000-0000.
CELL PHONE
Format: (000) 000-0000.
DATE OF BIRTH
RACE
EDUCATION LAST GRADE COMPLETED HIGH SCHOOL: COLLEGE
EDUCATION LAST GRADE COMPLETED (HIGH SCHOOL)
EDUCATION LAST GRADE COMPLETED (COLLEGE)
NUMBER OF MARRIAGE
(IF THIS IS YOUR FIRST MARRIAGE, ENTER "1" IF THIS IS YOUR SECOND MARRIAGE, ENTER "2", ETC.)
HOW DID YOUR LAST MARRIAGE END?
(DIVORCE, ANNULMENT, DEATH, OTHER)
YOUR EMPLOYER'S NAME
Address

ADDRESS

Street Address Line 2

CITY, STATE, ZIP CODEState / Province

Postal / Zip Code
PHONE NUMBER
Format: (000) 000-0000.
GROSS MONTHLY INCOME
DEFENDANT'S NAME:

Spouse
FIRST
MIDDLE
LAST
ADDRESS
CITY, STATE, ZIP CODE
COUNTY
INSIDE CITY LIMITS?
HOME PHONE
CELL PHONE
Format: (000) 000-0000.
DATE OF BIRTH
RACE
EDUCATION LAST GRADE COMPLETED (HIGH SCHOOL)
EDUCATION LAST GRADE COMPLETED (COLLEGE)
NUMBER OF MARRIAGE
(IF THIS IS YOUR FIRST MARRIAGE, ENTER"1" IF THIS IS YOUR SECOND MARRIAGE, ENTER "2", ETC.)
HOW DID YOUR LAST MARRIAGE END?
DIVORCE, ANNULMENT, DEATH, OTHER
EMPLOYER'S NAME
ADDRESS
CITY, STATE, ZIP CODE
PHONE NUMBER
MONTHLY GROSS INCOME
PLACE OF MARRIAGE
CITY/TOWN
COUNTY
STATE
DATE OF MARRIAGE
DATE OF SEPARATION
DOES THE WIFE WANT HER MAIDEN NAME BACK?
WHAT IS THE MAIDEN NAME?
CHILDREN (ONLY BORN TO THE HUSBAND AND WIFE TOGETHER)
1. CHILDS FULL NAME
GENDER
DATE OF BIRTH

MonthDayYear
Date
2. CHILDS FULL NAME
GENDER
DATE OF BIRTH

MonthDayYear
Date
3. CHILDS FULL NAME
GENDER
DATE OF BIRTH

MonthDayYear
Date
4. CHILDS FULL NAME
GENDER
DATE OF BIRTH

MonthDayYear
Date
5. CHILDS FULL NAME
GENDER
DATE OF BIRTH

MonthDayYear
Date
COUSTODY: JOINT
FULL
SPLIT
WHO WILL HAVE PRIMARY CUSTODY OF THE CHILDREN?
FATHER
MOTHER
DOES THE PLANTIFF PAY CHILD SUPPORT OR ALIMONY TO ANOTHER PARTY?
IF SO, HOW MUCH?
DOES THE DEFENDANT PAY CHILD SUPPORT OR ALIMONY TO ANOTHER PARTY?
IF SO, HOW MUCH?
THERE ANY COSTS FOR DAY CARE FOR THE MINOR CHILDREN?
IF SO, HOW MUCH?
WHO PAYS THESE COSTS NOW?
WHO PAYS THE HEALTH INSURANCE PREMIUMS FOR THE MINOR CHILDREN AND HOW MUCH ARE THEY?
DO YOU WANT YOUR EMPLOYER OR YOUR SPOUSE'S EMPLOYER TO AUTOMATICALLY DEDUCT CHILD SUPPORT FROM YOUR OR YOUR SPOUSE'S PAYCHECK?
DO YOU WANT TO PAY OR RECEIVE CHILD SUPPORT THROUGH THE COURT OR DIRECTLY TO OR FROM YOUR SPOUSE?
WHO WILL PAY THE DEDUCTIBLES THAT MEDICAL INSURANCE DOES NOT COVER?
WHO WILL PAY FOR CHILDREN'S SCHOOLING, EXTRACURRICULAR ACTIVITIES, UNIFORMS, AND FEES THAT FINANCIAL AID DOES NOT COVER?
DIVISION OF PROPERTY
TO WHOM WILL THE HOME BE AWARDED?
HUSBAND
WIFE
IS THE HOME IN BOTH PARTIES NAMES?
IF NOT WHOSE?
WILL THE HOME BE REFINANCED?
ADDRESS OF HOME
CITY,STATE,ZIP CODE
COUNTY
INSIDE CITY LIMITS?
TO WHOM WILL THE AUTOMOBILE BE AWARDED?
HUSBAND
WIFE
IS THE VEHICLE IN BOTH THE PARTIES NAMES?
YEAR
MAKE
MODEL
VIN Number
TO WHOM WILL THE AUTOMOBILE BE AWARDED?
HUSBAND
WIFE
IS THE VEHICLE IN BOTH THE PARTIES NAMES?
YEAR
MAKE
MODEL
VIN Number
TO WHOM WILL THE AUTOMOBILE BE AWARDED?
HUSBAND
WIFE
IS THE VEHICLE IN BOTH THE PARTIES NAMES?
YEAR
MAKE
MODEL
VIN Number
TO WHOM WILL THE AUTOMOBILE BE AWARDED?
HUSBAND
WIFE
IS THE VEHICLE IN BOTH THE PARTIES NAMES?
YEAR
MAKE
MODEL
VIN Number
TO WHOM WILL THE AUTOMOBILE BE AWARDED?
HUSBAND
WIFE
IS THE VEHICLE IN BOTH THE PARTIES NAMES?
YEAR
MAKE
MODEL
VIN Number
OTHER PERSONAL PROPERTY
HUSBAND PROPERTY 1
HUSBAND PROPERTY 2
HUSBAND PROPERTY 3
HUSBAND PROPERTY 4
HUSBAND PROPERTY 5
HUSBAND PROPERTY 6
HUSBAND PROPERTY 7
HUSBAND PROPERTY 8
HUSBAND PROPERTY 9
WIFE PROPERTY 1
WIFE PROPERTY 2
WIFE PROPERTY 3
WIFE PROPERTY 4
WIFE PROPERTY 5
WIFE PROPERTY 6
WIFE PROPERTY 7
WIFE PROPERTY 8
WIFE PROPERTY 9
JOINT DEBTS
DEBT OWED TO
AMOUNT
WILL BE PAID BY
DEBT OWED TO
AMOUNT
WILL BE PAID BY
DEBT OWED TO
AMOUNT
WILL BE PAID BY
DEBT OWED TO
AMOUNT
WILL BE PAID BY
DEBT OWED TO
AMOUNT
WILL BE PAID BY
DEBT OWED TO
AMOUNT
WILL BE PAID BY
BANK ACCOUNTS AND CREDIT CARDS
ACCOUNT OR CARD 1
WILL BE AWARDED TO
ACCOUNT OR CARD 2
WILL BE AWARDED TO
ACCOUNT OR CARD 3
WILL BE AWARDED TO
ACCOUNT OR CARD 4
WILL BE AWARDED TO
ACCOUNT OR CARD 5
WILL BE AWARDED TO
ACCOUNT OR CARD 6
WILL BE AWARDED TO
BANKRUPTCY:
ARE EITHER YOU OR YOUR SPOUSE CURRENTLY IN BANKRUPTCY?
IF YES, PLEASE STATE WHETHER CHAPTER 7 OR 13 AND THE EXPECTED DATE OF DISCHARGE
RESIDENCY INFORMATION:
HAS THE PLAINTIFF BEEN A RESIDENT OF MOBILE, BALDWIN, CHOCTAW, WASHINGTON, OR CLARKE COUNTY FOR THE PAST 6 MONTHS?
Question about you
HAS THE DEFENDANT BEEN A RESIDENT OF MOBILE, BALDWIN, CHOCTAW, WASHINGTON, OR CLARKE COUNTY FOR THE PAST 6 MONTHS?
Question about your spouse
IIMPORTANT QUESTIONS
1. Are you in danger of REPOSSESSION?
How many months behind?
2. Are you in danger of FORECLOSURE?
How many months behind?
3. Are you in danger of a GARNISHMENT?
4. Are you being SUED?
5. Have you been involved in an AUTO WRECK, CLASS ACTION SUIT, OR MASS TORT CASE in the last two years?
6. Do you owe any back taxes?
Have you filed past two years Tax Returns?
7. Which party will claim the children on taxes?
Should be Empty:

WILLLIAM J. CASEY DIVORCE QUESTIONNAIRE

PLAINTIFF'S NAME

EDUCATION LAST GRADE COMPLETED HIGH SCHOOL: COLLEGE

DEFENDANT'S NAME:

PLACE OF MARRIAGE

CHILDREN (ONLY BORN TO THE HUSBAND AND WIFE TOGETHER)

WHO WILL HAVE PRIMARY CUSTODY OF THE CHILDREN?

DIVISION OF PROPERTY

TO WHOM WILL THE HOME BE AWARDED?

JOINT DEBTS

BANK ACCOUNTS AND CREDIT CARDS

BANKRUPTCY:

RESIDENCY INFORMATION:

IIMPORTANT QUESTIONS