Family Questionnaire

Client	{yourFull}
Phone	{yourPhone}
eMail	{yourEmail}
MC	{minorChildrens}

{caseNo}	Case
{caseType}	Type
{county}	County
{dissolutionStyle492}	Circuit
{status}	Status
{petitioner490}	Petitioner
{typeA489}	Respondent
{judgeFirst} {judgeLast}	Judge

Status
Case No
Petitioner
Respondent
Office NOTES
Next Action Date

MonthDayYear
Date
Last Action Date

MonthDayYear
Date
County
Circuit
Dissolution Style
Client Is

PetitionerRespondent
Division
Case Type
Judge First
Judge Last
Judge Contact
OCName
OC

YesNo
Certificate of Service Name
Docket/Checklist
Pleadings
Petition Filed

MonthDayYear
Date
Served On

MonthDayYear
Date
21st Day

MonthDayYear
Date
Answer Filed

MonthDayYear
Date
Counter Petition Filed

MonthDayYear
Date
Answer to Counter Petition Filed

MonthDayYear
Date
12.285 Disclosures
FA Letter

MonthDayYear
Date
Parent Course Letter

MonthDayYear
Date
12.285 Disclosures
P FA

MonthDayYear
Date
P COC

MonthDayYear
Date
R FA

MonthDayYear
Date
R COC

MonthDayYear
Date
Demand 12.285

MonthDayYear
Date
Good Faith Letter Sent

MonthDayYear
Date
Good Faith Letter Received

MonthDayYear
Date
Motion to Compel Sent

MonthDayYear
Date
Motion to Compel Received

MonthDayYear
Date
Discovery
RFP PET

MonthDayYear
Date
RFP RES

MonthDayYear
Date
Interrogatories PET

MonthDayYear
Date
Interrogatories RES

MonthDayYear
Date
Deposition RES

MonthDayYear
Date
Deposition PET

MonthDayYear
Date
Mediation
Motion Mediate

MonthDayYear
Date
Order Mediate

MonthDayYear
Date
Mediation Letter

MonthDayYear
Date
Mediation Date

MonthDayYear
DateHourMinutesAM/PM Option
Mediation Outcome
Hearings
Hearing Date

MonthDayYear
DateHourMinutesAM/PM Option
CMC 1

MonthDayYear
DateHourMinutesAM/PM Option
CMC 2

MonthDayYear
DateHourMinutesAM/PM Option
CMC 2

MonthDayYear
DateHourMinutesAM/PM Option
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Complete Questionnaireview Attorney Flat Fee (Uncontested Divorce)

Please complete this questionnaire, answering all questions relevant to your case. It is imperative that you be candid! Your responses to these questions will help to organize your case and will save you money on attorney's fees in trying to gather and assemble information after the case is in progress.

Since your answers are being provided to an attorney, you are assured of confidentiality and are protected by the attorney-client privilege. In order to maintain confidentiality no one else can be present in the meeting with teh attorney unless there is prior approval by the attorney.

THE INFORAMTION IN THIS DOCUMENT IS SUBJECT TO THE ATTORNEY-CLIENT PRIVILEGE, AS PROVIDED IN THE FLORIDA RULES OF CIVIL EVIDENCE. THE CONTENTS OF THIS DOCUMENT CONSTITUTE ATTORNEY WORK PRODUCT. THE CONTENTS OF THIS DOCUMENT CONFIDENTIAL AND ARE NOT TO BE DISCLOSED TO THIRD PERSONS OTHER THAN THOSE TO WHOM DISCLOSURE IS MADE IN FURTHERANCE OF THE RENDITION OF PROFESSIONAL LEGAL SERVICES.

Are you married to the other party?*
Is your divorce uncontested?*

YesNoview Attorney Flat Fee

1. Your Personal Information

Have a question? info@chrisfiori.com | (813) 333-1660
Your full legal name:
(name most often used to title property and accounts)
Name you are also or formerly known as:
Name you prefer to be called
I am the: (choose one)*
I am the: (choose one)*
How should we correspond with you?
From time to time it will be necessary to send you copies of court documents and other documents from our office. How do you prefer receiving correspondence from us?
Contact me by:
Your phone number

Area CodePhone Number
Your E-mail
Your home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
In what Florida County will the divorce be filed it?
Choose a Florida County
Identification and Residency Requirements
Your date of birth

MonthDayYear
Your Social Security number (please provide the last 4 digits only)
Establishing Florida Residency
Driver License Issued by:*
Driver License Issue Date*

MonthDayYear
Date this driver license was issued to you

Last Issued

Less than 6 monthsMore than 6 months
If your Florida driver license was issued less than 6 months prior to the filing of your case, then it will be necessary to prove your residency another way. Please provide the name of someone you know (other than a family member) who would be willing to sign an affidavit attesting to how long you've lived in Florida.
A Florida driver license can be used by the court to establish Florida residency and court jurisdiction. If you do not currently have a Florida driver license, then it will be necessary to prove your residency another way. Please provide the name of someone you know (other than a family member) who would be willing to sign an affidavit attesting to how long you've lived in Florida.
Corroborating Witness
What is Required to Get a Florida Divorce?
Will you be requesting restoration of your maiden name?
Restoring my name?
Maiden Name:

2. Other Party's Identification and Contact Information

Have a question? chris@chrisfiori.com | (813) 333-1660
Other Party's Legal Name
(name most often used to title property and accounts)
Other Party is also known as
(other names used to title property and accounts)
Other Party's home address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Other Party's Identification Information
Other Party's Social Security number (please provide the last 4 digits only)
Other Party's Birth date

MonthDayYear
How should we correspond with the Other Party?

It will be necessary for your spouse to complete and sign certain documents. Generally we will prepare these documents for your spouse, unless you instruct us not to. Please let us know how you would like us to deliver these documents to your spouse by selecting the appropriate response below.
Deliver documents to the other party by
Other Party's E-mail Address
Other Party's Telephone

Area CodePhone Number
Will your spouse be requesting restoration of maiden name?
Spouse's maiden name:

By subitting your answers and uploading this form, you understand that the information is being submitted only so the form and answers may be reviewed and considered for preparation of documents to be filed in your family law case.

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	Property Address	Year Purchased	Fair Market Value	Mortgage Balance	Mortgage	Deed	Marital Home
1
2
3
4

	Year	Make	Model	Loan Balance ($)	Loan	Registration	Driver
1
2
3
4

	Bank Name	Last 4 of Account #	Current Balance	Name on Account
1
2
3
4

	Life Insurance Provider	Insuring Life of:	For Benefit of:	Policy Amount ($)
1
2

	Retirement Provider	Latest Balance ($)	Who's Retirement?	Notes
1
2
3
4

1. Your Personal Information

2. Other Party's Identification and Contact Information

3. The Marriage and Children

Marital Estate, Assets and Liabilities

Minor Children

"Skeletons in the Closet" and Sensitive Topics

	Amount Paid	Paying Party
Health Insurance
Daycare

	Name	Birth Date	Place of Birth	Sex
1
2
3
4
5

	Name	Dates (From/to)	Full Address	Name and present address of person child lived with	Relationship to Child
1
2
3
4
5

	Mon From /To	Tue From/To	Wed From/To	Thur From/To	Fri From/To	Sat From/To	Sun From/To
Week 1
Week 2
Week 3
Week 4