Uncontested Divorce Intake

Please fill in the following information true, complete and accurate in order to form the basis of the divorce petition to be submitted to the competent court.

Name of the Petitioner

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth

Date

Date of Marriage

Date

Name of the Spouse

First NameLast Name

Address of the Spouse

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please check the reason for dissolution of marriage.

Do you have joint children?

Please fill the chart below regarding joint children.

Rows	Name	Date of Birth	Current Address
Child 1
Child 2
Child 3
Child 4

Specify your requests regarding custody in detail.

Do you have joint assets / debts that will be subject to division of property?

Please indicate your requests regarding division of property below.

Rows	Type	Date of Acqusition	Request
Asset 1
Asset 2
Asset 3
Asset 4

Is there anything else you would like to add?

I, First Name Last Name, request that my divorce petition be prepared in line with the information I have provided above, and submitted to the competent court. The information I provide is accurate and up to date as best of my knowledge.

Date

Signature

Uncontested Divorce Intake

General Information

Reason for Divorce

Joint Children and Custody

Property Ownership