Uncontested Divorce Intake Form
Date:
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Your Full Name
Your answer
Your Address
Your answer
County you reside in
Your answer
Phone number
Your answer
Your email address
Your answer
Your gross monthly income
Your answer
Date of birth
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Number of marriages
Your answer
How long a Georgia Resident
Your answer
Date of Marriage
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Date of Separation
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DD
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Spouse's Full Name
Your answer
Spouse's Date of Birth
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DD
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YYYY
Spouse's Address
Your answer
County Spouse resides in
Your answer
Spouse's number of marriages
Your answer
Wife's maiden name and is maiden name being restored? If yes, what is full new name
Your answer
Please list all of the children of this marriage giving full names and date of birth
Your answer
Is there an agreement to custody and visitation? Explain
Your answer
If minor children, do they have health insurance? who pays? and monthly amount?
Your answer
List all motor vehicles of either party and party retaining
Your answer
List all real estate owned by either party, and party retaining
Your answer
Are there any Retirement, Pension, or other investments? If so, how divided
Your answer
Are there any credit cards or other debt of either party? If so, how divided
Your answer
Is there any other personal property of either party? If so, how divided
Your answer
Any other provisions in agreement or concerns or questions for attorney
Your answer
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