VFL Toolkit — Virginia Divorce Client Intake (Import-Ready)

Virginia Divorce Client Intake

Please answer about yourself and your spouse in your own words. You are the client completing this form. Answer what you know; use the notes boxes to explain anything uncertain. Your attorney will review legal choices with you. Check your answers at the end and submit the form.
About You
Will you be the spouse filing for divorce?
If you are not filing for divorce, which best describes your situation?
Please explain your filing or separation situation
Your name

First NameMiddle NameLast Name
Name suffix
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
National identifier
Your Social Security number (9 digits)
Phone number
Please enter a valid phone number.Format: (000) 000-0000.
Email address
example@example.com
Street address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State
ZIP code
Honorific
Pronouns

Other
Did you change your name because of this marriage?
Former name
Birth name
Have you had any other prior legal name changes?
Prior name-change history
Should the divorce decree restore your former name?
Preferred contact method
How did you hear about us?
Your Spouse
Spouse's Full Name

First NameMiddle NameLast Name
Name Suffix
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
National Identification Number
Social Security number for your spouse (9 digits), if known
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Street Address
City
State
ZIP Code
Honorific
Pronouns

Other
Former Name
County of Residence
Your county or independent city of residence
Residency
Are you a Virginia domiciliary?
Is your spouse a Virginia domiciliary?
Your Virginia residency duration
If not, what state do you reside in outside Virginia?
If not, what country do you reside in outside the United States?
Spouse's Virginia residency duration
Military
Are you currently serving in the military?
Your military branch
Your military service status
Your military service start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Your military duty station
Are you stationed in Virginia?
Have you been stationed there for at least six months?
Your military station city
Your military station state or country
Are you eligible for 20/20/20 military-spouse benefits?
Are you receiving Survivor Benefit Plan benefits?
Is your spouse currently serving in the military?
Your spouse's military branch
Your spouse's military service status
Your spouse's military service start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Your spouse's military duty station
Is your spouse stationed in Virginia?
Has your spouse been stationed there for at least six months?
Your spouse's military station city
Your spouse's military station state or country
Is your spouse eligible for 20/20/20 military-spouse benefits?
Is your spouse receiving Survivor Benefit Plan benefits?
Marriage
Date of marriage

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
City or county where married
State or country where married
Date of separation

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
City or county where separated
State or country where separated
Have you continuously lived separate and apart since the separation date?
Do you intend the separation to be permanent?
Qualifying separation period
Grounds for divorce
Describe the fault grounds
What would you like to do about a separation agreement?

Other
Date the agreement was signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Are you proceeding without an agreement?
Are there minor children of the marriage?
Number of children of this marriage
Child 1 details
Child 1 First name
Child 1 Middle name
Child 1 Last name
Child 1 Suffix
Child 1 No middle name confirmation
Child 1 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 1 Special needs
Child 1 Primary residence
Child 1 Parenting schedule
Child 1 Last four digits of SSN
Child 1 Full legal name
Child 2 details
Child 2 First name
Child 2 Middle name
Child 2 Last name
Child 2 Suffix
Child 2 No middle name confirmation
Child 2 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 2 Special needs
Child 2 Primary residence
Child 2 Parenting schedule
Child 2 Last four digits of SSN
Child 2 Full legal name
Child 3 details
Child 3 First name
Child 3 Middle name
Child 3 Last name
Child 3 Suffix
Child 3 No middle name confirmation
Child 3 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 3 Special needs
Child 3 Primary residence
Child 3 Parenting schedule
Child 3 Last four digits of SSN
Child 3 Full legal name
Child 4 details
Child 4 First name
Child 4 Middle name
Child 4 Last name
Child 4 Suffix
Child 4 No middle name confirmation
Child 4 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 4 Special needs
Child 4 Primary residence
Child 4 Parenting schedule
Child 4 Last four digits of SSN
Child 4 Full legal name
Child 5 details
Child 5 First name
Child 5 Middle name
Child 5 Last name
Child 5 Suffix
Child 5 No middle name confirmation
Child 5 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 5 Special needs
Child 5 Primary residence
Child 5 Parenting schedule
Child 5 Last four digits of SSN
Child 5 Full legal name
Child 6 details
Child 6 First name
Child 6 Middle name
Child 6 Last name
Child 6 Suffix
Child 6 No middle name confirmation
Child 6 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 6 Special needs
Child 6 Primary residence
Child 6 Parenting schedule
Child 6 Last four digits of SSN
Child 6 Full legal name
Child 7 First name
Child 7 Middle name
Child 7 Last name
Child 7 Suffix
Child 7 No middle name confirmation
Child 7 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 7 Last four digits of SSN
Child 8 First name
Child 8 Middle name
Child 8 Last name
Child 8 Suffix
Child 8 No middle name confirmation
Child 8 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 8 Last four digits of SSN
Child 9 First name
Child 9 Middle name
Child 9 Last name
Child 9 Suffix
Child 9 No middle name confirmation
Child 9 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 9 Last four digits of SSN
Child 10 First name
Child 10 Middle name
Child 10 Last name
Child 10 Suffix
Child 10 No middle name confirmation
Child 10 Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Child 10 Last four digits of SSN
Custody/Parenting

If proceeding without an agreement, how should these issues be handled?

Rows	By agreement	By court decision	Undecided
Property division
Spousal support

Custody arrangement

Other
Parenting-time arrangement

Other
Is there a regular parenting schedule?
Overall parenting schedule
Regular pickup time

Hour Minutes

AM/PM Option
Regular drop-off time

Hour Minutes

AM/PM Option
Exchange location
Holiday schedule
Summer and school-break schedule
Include a right of first refusal?
Right of first refusal trigger hours
Relocation restriction

Other
Parent-child communication schedule
Child Support
Child support status
Child support payor
Child support payee
Agreed monthly child support amount
Presumptive guideline child support amount
Child support basis
Reason for child support deviation
Child support payment schedule
First child support payment day
Second child support payment day
Child support start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Child support payment method
Direct-payment details
DCSE case number
Who pays child health insurance
Monthly child health insurance amount
Who pays child dental insurance
Monthly child dental insurance amount
Who pays child vision insurance
Monthly child vision insurance amount
Who pays work-related childcare
Monthly work-related childcare amount
Your tax-dependency years
Spouse's tax-dependency years
Your child-support certification statement
Spouse's child-support certification statement
Reserve child support
Child Support Arrearage
Child-support arrearage status
Total child-support arrearage
Arrearage period start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Arrearage period end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Interest on child-support arrears
Child-support arrears payment schedule

Other
Monthly payment amount
Payment day(s) of the month
Payment start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Payment method

Other
Spousal Support
Spousal-support status
Spousal-support payor

First NameMiddle NameLast Name
Spousal-support payee

First NameMiddle NameLast Name
Spousal-support monthly amount
Spousal-support payment schedule
Spousal-support payment day(s) of the month
Spousal-support start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Spousal-support payment type
Spousal-support modifiability
Spousal-support payment details
Spousal-support conditional lump-sum or installment terms
Spousal-support termination conditions for payor
Spousal-support termination conditions for payee
Spousal-support arrearage status
Health Benefits
Will you provide health insurance coverage for your spouse or children?
Will your spouse provide health insurance coverage for you or the children?
Will each spouse provide their own health insurance?
Will your spouse provide military health benefits?
Property
Are all property and debts fully resolved?
Does either you or your spouse own any real property?
Marital residence nickname
Marital residence street number and name
Marital residence city, state, and ZIP
Marital residence title holder
Marital residence current value
Marital residence mortgage balance
Marital residence monthly mortgage payment
Marital residence mortgage payor
Marital residence disposition
Marital residence deadline

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Marital residence buyout amount
Party 1 percentage of residence sale proceeds
Your percentage
Party 2 percentage of residence sale proceeds
Percentage for your spouse
Party 1 dollar share of residence sale proceeds
Party 2 dollar share of residence sale proceeds
Marital residence listed debts paid from sale proceeds?
Number of investment properties
Investment Property 1 type
Investment Property 1 address
Investment Property 1 title holder
Investment Property 1 current value
Investment Property 1 mortgage balance
Investment Property 1 monthly rent
Investment Property 1 occupant
Investment Property 1 disposition
Investment Property 1 notes
Number of vehicles
Number of other assets
Number of debts
Reserve equitable distribution for later?
Waive equitable distribution?
Retirement
How many retirement accounts do you have?
Retirement Account 1 Type
Retirement Account 1 Owner / Plan Holder
Retirement Account 1 Institution
Retirement Account 1 Approximate Value
Retirement Account 1 Disposition
Retirement Account 1 Division Method
Retirement Account 1 Division Amount / Percentage
Retirement Account 1 Equalization Amount and Date
Retirement Account 1 Plan Administrator / Account Number
Retirement Account 1 Coverture Dates
Military Pension Election
Are any issues contested or likely to require a hearing or trial?
Trial Preparation
What facts or issues do you disagree about?
What exact outcome do you want the court to order?
If the court does not order your first choice, what outcome could you accept?
What facts, records, or statements may hurt or contradict your position?
What requested or expected records are still missing or pending?
Are there protected-address, sealed-record, confidentiality, safety, accessibility, or courtroom-security concerns?
List any dates, work schedules, deployments, caregiving duties, or other availability limits that may affect a hearing or trial.
Trial Witness 1
Trial Witness 1 Full Name

First NameLast Name
Relationship or Role
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What this witness knows or is expected to say
Availability constraints
Do you believe a subpoena will be needed
Trial Witness 2
Trial Witness 2 Full Name

First NameLast Name
Relationship or Role
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What this witness knows or is expected to say
Availability constraints
Do you believe a subpoena will be needed
Trial Witness 3
Trial Witness 3 Full Name

First NameLast Name
Relationship or Role
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
What this witness knows or is expected to say
Availability constraints
Do you believe a subpoena will be needed
Trial Exhibit 1
Trial Exhibit 1 Description
Why it matters
Source witness
Date created

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Author or creator
Person or organization keeping the original
Do you currently have a copy
Original, certified, completeness, confidentiality, or authentication concerns
Trial Exhibit 2
Trial Exhibit 2 Description
Why it matters
Source witness
Date created

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Author or creator
Person or organization keeping the original
Do you currently have a copy
Original, certified, completeness, confidentiality, or authentication concerns
Trial Exhibit 3
Trial Exhibit 3 Description
Why it matters
Source witness
Date created

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Author or creator
Person or organization keeping the original
Do you currently have a copy
Original, certified, completeness, confidentiality, or authentication concerns
Legacy duplicate child birth date (not used)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Legacy duplicate child SSN last four (not used)
Do the children have medical insurance?
Do the children have dental insurance?
Do the children have vision insurance?
Medical insurance company
Medical insurance policy name
Medical insurance policy holder
Medical insurance policy number
Medical insurance payor
Medical insurance monthly cost
Children covered by medical insurance
Dental insurance company
Dental insurance policy name
Dental insurance policy holder
Dental insurance policy number
Dental insurance payor
Dental insurance monthly cost
Children covered by dental insurance
Vision insurance company
Vision insurance policy name
Vision insurance policy holder
Vision insurance policy number
Vision insurance payor
Vision insurance monthly cost
Children covered by vision insurance
Vehicle 1 details
Vehicle 1 Year
Vehicle 1 Make
Vehicle 1 Model
Vehicle 1 VIN
Vehicle 1 Titled to
Vehicle 1 Awarded to
Vehicle 1 Current value
Vehicle 1 Loan balance
Vehicle 1 Monthly loan payment
Vehicle 1 Lender
Vehicle 1 Notes
Vehicle 2 details
Vehicle 2 Year
Vehicle 2 Make
Vehicle 2 Model
Vehicle 2 VIN
Vehicle 2 Titled to
Vehicle 2 Awarded to
Vehicle 2 Current value
Vehicle 2 Loan balance
Vehicle 2 Monthly loan payment
Vehicle 2 Lender
Vehicle 2 Notes
Vehicle 3 details
Vehicle 3 Year
Vehicle 3 Make
Vehicle 3 Model
Vehicle 3 VIN
Vehicle 3 Titled to
Vehicle 3 Awarded to
Vehicle 3 Current value
Vehicle 3 Loan balance
Vehicle 3 Monthly loan payment
Vehicle 3 Lender
Vehicle 3 Notes
Vehicle 4 details
Vehicle 4 Year
Vehicle 4 Make
Vehicle 4 Model
Vehicle 4 VIN
Vehicle 4 Titled to
Vehicle 4 Awarded to
Vehicle 4 Current value
Vehicle 4 Loan balance
Vehicle 4 Monthly loan payment
Vehicle 4 Lender
Vehicle 4 Notes
Asset 1 details
Asset 1 Category
Asset 1 Description
Asset 1 Titled to
Asset 1 Classification
Asset 1 Awarded to
Asset 1 Estimated value
Asset 1 Amount owed
Asset 1 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 1 Notes
Asset 2 details
Asset 2 Category
Asset 2 Description
Asset 2 Titled to
Asset 2 Classification
Asset 2 Awarded to
Asset 2 Estimated value
Asset 2 Amount owed
Asset 2 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 2 Notes
Asset 3 details
Asset 3 Category
Asset 3 Description
Asset 3 Titled to
Asset 3 Classification
Asset 3 Awarded to
Asset 3 Estimated value
Asset 3 Amount owed
Asset 3 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 3 Notes
Asset 4 details
Asset 4 Category
Asset 4 Description
Asset 4 Titled to
Asset 4 Classification
Asset 4 Awarded to
Asset 4 Estimated value
Asset 4 Amount owed
Asset 4 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 4 Notes
Asset 5 details
Asset 5 Category
Asset 5 Description
Asset 5 Titled to
Asset 5 Classification
Asset 5 Awarded to
Asset 5 Estimated value
Asset 5 Amount owed
Asset 5 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 5 Notes
Asset 6 details
Asset 6 Category
Asset 6 Description
Asset 6 Titled to
Asset 6 Classification
Asset 6 Awarded to
Asset 6 Estimated value
Asset 6 Amount owed
Asset 6 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 6 Notes
Asset 7 details
Asset 7 Category
Asset 7 Description
Asset 7 Titled to
Asset 7 Classification
Asset 7 Awarded to
Asset 7 Estimated value
Asset 7 Amount owed
Asset 7 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 7 Notes
Asset 8 details
Asset 8 Category
Asset 8 Description
Asset 8 Titled to
Asset 8 Classification
Asset 8 Awarded to
Asset 8 Estimated value
Asset 8 Amount owed
Asset 8 Date acquired

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Asset 8 Notes
Debt 1 details
Debt 1 Category
Debt 1 Description
Debt 1 Creditor
Debt 1 Account last four
Debt 1 Current balance
Debt 1 Monthly payment
Debt 1 Classification
Debt 1 Responsible party
Debt 1 Assigned to
Debt 1 Notes
Debt 2 details
Debt 2 Category
Debt 2 Description
Debt 2 Creditor
Debt 2 Account last four
Debt 2 Current balance
Debt 2 Monthly payment
Debt 2 Classification
Debt 2 Responsible party
Debt 2 Assigned to
Debt 2 Notes
Debt 3 details
Debt 3 Category
Debt 3 Description
Debt 3 Creditor
Debt 3 Account last four
Debt 3 Current balance
Debt 3 Monthly payment
Debt 3 Classification
Debt 3 Responsible party
Debt 3 Assigned to
Debt 3 Notes
Debt 4 details
Debt 4 Category
Debt 4 Description
Debt 4 Creditor
Debt 4 Account last four
Debt 4 Current balance
Debt 4 Monthly payment
Debt 4 Classification
Debt 4 Responsible party
Debt 4 Assigned to
Debt 4 Notes
Retirement account 2 details
Retirement account 2 Type
Retirement account 2 Institution
Retirement account 2 Owner
Retirement account 2 Current balance
Retirement account 2 Disposition
Retirement account 2 Division method
Retirement account 2 Division amount
Retirement account 2 Division percentage
Retirement account 2 Equalization amount
Retirement account 2 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 2 Plan administrator
Retirement account 2 Plan number
Retirement account 2 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Retirement account 2 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 2 Notes
Retirement account 3 details
Retirement account 3 Type
Retirement account 3 Institution
Retirement account 3 Owner
Retirement account 3 Current balance
Retirement account 3 Disposition
Retirement account 3 Division method
Retirement account 3 Division amount
Retirement account 3 Division percentage
Retirement account 3 Equalization amount
Retirement account 3 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 3 Plan administrator
Retirement account 3 Plan number
Retirement account 3 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 3 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 3 Notes
Retirement account 4 details
Retirement account 4 Type
Retirement account 4 Institution
Retirement account 4 Owner
Retirement account 4 Current balance
Retirement account 4 Disposition
Retirement account 4 Division method
Retirement account 4 Division amount
Retirement account 4 Division percentage
Retirement account 4 Equalization amount
Retirement account 4 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 4 Plan administrator
Retirement account 4 Plan number
Retirement account 4 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 4 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 4 Notes
Retirement account 5 details
Retirement account 5 Type
Retirement account 5 Institution
Retirement account 5 Owner
Retirement account 5 Current balance
Retirement account 5 Disposition
Retirement account 5 Division method
Retirement account 5 Division amount
Retirement account 5 Division percentage
Retirement account 5 Equalization amount
Retirement account 5 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 5 Plan administrator
Retirement account 5 Plan number
Retirement account 5 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 5 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 5 Notes
Retirement account 6 details
Retirement account 6 Type
Retirement account 6 Institution
Retirement account 6 Owner
Retirement account 6 Current balance
Retirement account 6 Disposition
Retirement account 6 Division method
Retirement account 6 Division amount
Retirement account 6 Division percentage
Retirement account 6 Equalization amount
Retirement account 6 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 6 Plan administrator
Retirement account 6 Plan number
Retirement account 6 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 6 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 6 Notes
Retirement account 7 details
Retirement account 7 Type
Retirement account 7 Institution
Retirement account 7 Owner
Retirement account 7 Current balance
Retirement account 7 Disposition
Retirement account 7 Division method
Retirement account 7 Division amount
Retirement account 7 Division percentage
Retirement account 7 Equalization amount
Retirement account 7 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 7 Plan administrator
Retirement account 7 Plan number
Retirement account 7 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 7 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 7 Notes
Retirement account 8 details
Retirement account 8 Type
Retirement account 8 Institution
Retirement account 8 Owner
Retirement account 8 Current balance
Retirement account 8 Disposition
Retirement account 8 Division method
Retirement account 8 Division amount
Retirement account 8 Division percentage
Retirement account 8 Equalization amount
Retirement account 8 Equalization due date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 8 Plan administrator
Retirement account 8 Plan number
Retirement account 8 Coverture start date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 8 Coverture end date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearType the date as MM-DD-YYYY, for example 03-09-1988, or pick it from the calendar.
Retirement account 8 Notes
Investment property 2 details
Investment property 2 Type
Investment property 2 Address
Investment property 2 Titled to
Investment property 2 Current value
Investment property 2 Mortgage balance
Investment property 2 Monthly mortgage payment
Investment property 2 Monthly rental income
Investment property 2 Occupant
Investment property 2 Disposition
Investment property 2 Notes
Investment property 3 details
Investment property 3 Type
Investment property 3 Address
Investment property 3 Titled to
Investment property 3 Current value
Investment property 3 Mortgage balance
Investment property 3 Monthly mortgage payment
Investment property 3 Monthly rental income
Investment property 3 Occupant
Investment property 3 Disposition
Investment property 3 Notes
Legacy interest amount (superseded)
Review
Please review your answers carefully and make any corrections before continuing.
Is there anything else we should know about your case?
Additional details beyond the numbered sections
Would you like to upload a file or files?
Supporting documents for this intake

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Virginia Divorce Client Intake

About You

Your Spouse

Residency

Military

Marriage

Child 1 details

Child 2 details

Child 3 details

Child 4 details

Child 5 details

Child 6 details

Custody/Parenting

Child Support

Child Support Arrearage

Spousal Support

Health Benefits

Property

Retirement

Trial Preparation

Trial Witness 1

Trial Witness 2

Trial Witness 3

Trial Exhibit 1

Trial Exhibit 2

Trial Exhibit 3

Vehicle 1 details

Vehicle 2 details

Vehicle 3 details

Vehicle 4 details

Asset 1 details

Asset 2 details

Asset 3 details

Asset 4 details

Asset 5 details

Asset 6 details

Asset 7 details

Asset 8 details

Debt 1 details

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Debt 3 details

Debt 4 details

Retirement account 2 details

Retirement account 3 details

Retirement account 4 details

Retirement account 5 details

Retirement account 6 details

Retirement account 7 details

Retirement account 8 details

Investment property 2 details

Investment property 3 details

Review