Online Georgia Divorce
Intake Form
Name *
Date
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Your Complete Address
Phone number
Email address
County you reside in
Your date of birth
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DD
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YYYY
Number of marriages
How long a Georgia resident
Date of Marriage
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DD
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YYYY
Date of Seperation
Spouse's Full Legal Name
Spouse's Complete Address
How long has spouse lived in Georgia
Spouse's Date of Birth
MM
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DD
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YYYY
County Spouse resides in
Spouse's number of marriages
Wife's maiden name
Does Wife want maiden or former name restored
Clear selection
If so, what will be Wife's full name
Are there any minor children of this marriage
Clear selection
If so, please list all minor children giving full names and dates of birth
Is there an agreement as to custody and visitation
Clear selection
If so, explain the custody and visitation agreement
Do the minor children have health insurance? if so, who provides
List all motor vehicles and the party retaining them
Is there any real estate owned by either party
Clear selection
If so, list all real estate and the party retaining said property
Are there any retirement, pensions, 401(k)s or other investments owned by the parties?
Clear selection
If so, list all plans and how they are to be divided
Are there any debts owed by either party
Clear selection
If so, list specifically how debt is to be divided
Is there any other personal property owned by the parties that needs to be divided? If so, how divided
Are there any other provisions in agreement or questions for the attorney?
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