Divorce Questionnaire
Tell us a little about yourself and your spouse. Please send a copy of your Driver's License or other State issued identification card and any other supporting/relevant documents to jamel@oesersweat.com
Email address *
Hello! Tell us a little about yourself and your spouse. Please send a copy of your Driver's License or other State issued identification card and any other supporting/relevant documents to jamel@oesersweat.com.
Mr. or Ms. *
First Name *
What is Your First Name?
Your answer
Last Name *
What is Your Last Name?
Your answer
Date of birth *
What was your date of birth?
MM
/
DD
/
YYYY
Place of Birth -You *
Where were you Born? Give City and Country.
Your answer
Last Grade Completed *
INDICATE HIGHEST GRADE COMPLETED
Telephone number? *
What is your telephone number?
Your answer
Email address *
What is your email address?
Your answer
Mailing address? *
What is your mailing address?
Your answer
Mailing Address #2
Additional Mailing Address Information
Your answer
City *
What is your City?
Your answer
State *
What is your State?
Your answer
Zip Code *
What is your zip code?
Your answer
Address History
Address history for the last 3 years
Your answer
Your Spouse
Mr. or Ms. *
First Name *
What is Your spouse's First Name?
Your answer
Last Name *
What is Your spouse's Last Name?
Your answer
Mailing Address #1
Mailing Address Information
Your answer
Mailing Address #2
Additional Mailing Address Information
Your answer
City *
What is your spouse's City?
Your answer
State *
What is your spouse's State?
Your answer
Zip Code *
What is your spouse's zip code?
Your answer
Email address *
What is your spouse's email address?
Your answer
Telephone number? *
What is your spouse's telephone number?
Your answer
Date of birth *
What was your spouse's date of birth?
MM
/
DD
/
YYYY
Place of Birth -Spouse *
Where was your Spouse Born? Give City and Country.
Your answer
Last Grade Completed - Spouse *
INDICATE HIGHEST GRADE COMPLETED BY SPOUSE
Address History
Address history for the last 3 years
Your answer
Spouse's Attorney *
What is the Name, Address & Phone Number of your Spouse's Attorney?
Your answer
Wife's Maiden Name
Your answer
Tell Us About The Marriage
Prenuptial Agreement *
Was there a prenuptial Agreement
Place of marriage *
Your answer
Date of marriage *
MM
/
DD
/
YYYY
Date of Separation *
FYI: In order to qualify for divorce, this date has to be over 6 Months Ago
MM
/
DD
/
YYYY
Marriage performed by? *
Was marriage performed by minister, clergyman or a leader of the Society for Ethical Culture?
Barrier's to Remarriage
Has Plaintiff taken steps to remove barriers to Defendant's remarriage (Cultural, Religious, Contractual barriers)
The marital residence was - *
Where did you live during the marriage?
Legal title of the marital residence is to be
Lump sum or expenses
Amount of lump Sum or details of expenses to be paid
Your answer
Possession of marital residence to be given
Amount of lump Sum or details of expenses to be paid
OTHER REAL ESTATE
there is OTHER REAL ESTATE, the rights to which should be set forth in Agreement - describe property and rights
Your answer
DEBTS
Marital debts
DEBTS
Describe debts to be paid
Your answer
Joint Accounts
Are there joint accounts?
Bank Accounts Drained
have bank accounts been drained by either party?
AUTOMOBILES
identify autos, who gets them (and any provision re expenses of autos):
Your answer
Children
Number of Children *
How many children of the marriage are there?
Information About Children
Name(s), addresses, birth date(s), whether minors (under 21), and Soc. Sec. No(s).:
Your answer
Custody of minor children
Re custody of minor children who will have custody after the divorce? Custodial Parent will be..
Residence of Children
With whom have the children resided over the last 5 years?
Child Support
What is the child support arrangement between the parties? For your information, child support is often 17% for 1 Child, 25% for 2 Children, 29% for 3 children, etc.
Child Support Amount
What is the child support Amount to be paid?
Your answer
Support Collection Unit
Re child support enforcement services of the the Support Collection Unit:
Health Care
Will additional periodic child support be paid for Health Care?
Insurance till Age
If yes, party to provide health care insurance for children until :
Child Care
Will additional periodic child support be paid for Child Care?
Education Expenses
Will additional periodic child support be paid for Education Expenses?
Education till Age
If yes, party to education expenses for children until :
Visitation of Children
Visitation of Children
If other, tell us what your arrangement is/shall be.
Your answer
Anything Else about children you wish to state?
If yes, party to education expenses for children until :
Your answer
The Legal Stuff
Grounds for Divorce *
What are the Grounds for Divorce? (check all that apply)
Required
The Defendant probably will *
The residency requirement is satisfied by - *
To get a divorce in New York, You have to have ties to the State.
County where papers will be filed: *
County in NY State where you or your spouse have lived for 2 or more years
Your answer
Venue is based on *
Why are we filing in the county that you chose?
Family Court proceeding? *
Has a Family Court proceeding been commenced?
Family Court proceeding Info
What is the Index No. of the family court proceeding #/Year
Your answer
Family Court proceeding county
What county was the family court proceeding in?
Your answer
Orders of Protection? *
Has an Order of Protection ever been issued against you or your spouse?
Military Service
Is the Husband in the military? *
Is the Wife in the military? *
Military Retirement Pay
INCOME TAXES
Income Taxes
With respect to income taxes
Income Tax Refund to be paid to:
With respect to refund for income taxes for past year not yet filed
Income Tax Deficiency to be paid by:
With respect to defciency for income taxes for past year not yet filed
Life Insurance
Life Insurance
Husband to maintain Life insurance for benefit of -
Medical Insurance
Please note that the parties will have to have medical insurance or sign a statement that they waive such in order to get a divorce. Also, parties might have the right to COBRA.
Medical Insurance
Husband to maintain medical insurance for benefit of -
Medical Insurance Deductible *
Re the deductible under medical insurance -
Required
Other Medical
Should the same rule apply to -
Other
Is there a pension plan? *
Did either party get a degree during the marriage? *
Did either party get a license during the marriage? *
Pending Divorce? *
Have you been served with Divorce Papers?
Pending Divorce Information
When were you served? Where? What is the index number of the case? What court is it pending in?
Your answer
Anything you want to tell us?
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service