Information for Lee for Uncontested Divorce

You can use this template to gather the information for your uncontested divorce ahead of time. If you're planning to use the option of Uncontested Divorce by Long Distance, you can e-mail me an image file after you have filled in the information. If the information below is in red, I need it only if you and your spouse have minor children together.

Information for the Husband			Information for the Wife

Husband’s first name	________________________________		Wife’s first name	________________________________

Husband’s middle name	________________________________		Wife’s middle name	________________________________

Husband’s last name	________________________________		Wife’s last name	________________________________

Is Husband Jr., III?	________________________________

What would the Husband prefer for me to call him?	________________________________		What would the Wife prefer for me to call her?	________________________________

Husband’s home phone	________________________________		Wife’s home phone	________________________________

Husband’s work phone	________________________________		Wife’s work phone	________________________________

Husband’s e-mail	________________________________		Wife’s e-mail	________________________________

How can I leave a secure phone message for the Husband?	________________________________		How can I leave a secure phone message for the Wife?	________________________________

Husband’s Soc. Sec. Number	________________________________		Wife’s Social Security Number	________________________________

Husband’s home street address	________________________________		Wife’s home street address	________________________________

Husband’s City	________________________________		Wife’s City	________________________________

Husband’s State	________________________________		Wife’s State	________________________________

Husband’s zip	________________________________		Wife’s zip	________________________________

Husband’s County	________________________________		Wife’s County	________________________________

Does Husband live within city limits?	________________________________		Does Wife live within city limits?	________________________________

Husband’s DOB	________________________________		Wife’s DOB	________________________________

Last grade finished in high school	________________________________		Last grade finished in high school	________________________________

Highest college completed (yrs.)	________________________________		Highest college completed (yrs.)	________________________________

Husband’s work title	________________________________		Wife’s work title	________________________________

Husband’s employer	________________________________		Wife’s employer	________________________________

Husband’s work address	________________________________		Wife’s work address	________________________________

Husband’s work city	________________________________		Wife’s work city	________________________________

Husband’s work state	________________________________		Wife’s work state	________________________________

Husband’s work zip	________________________________		Wife’s work zip	________________________________

Husband’s annual income	________________________________		Wife’s annual income	________________________________

Husband’s race	________________________________		Wife’s race	________________________________

What number marriage is this for the Husband?	________________________________		What number marriage is this for the Wife?	________________________________

How did the Husband’s most recent marriage end?	________________________________		How did the Wife’s most recent marriage end?	________________________________


Date of the marriage	__________________________________________________

City in which marriage occurred	__________________________________________________

State in which marriage occurred	__________________________________________________

County in which marriage occurred	__________________________________________________

Separation Date	__________________________________________________

Total children of this marriage	__________________________________________________

How did you find out about Lee?	__________________________________________________

Which party will Lee represent? The Husband or the Wife?	__________________________________________________

If you do not have any children together, you may stop here


Of the children, number who are still younger than 19	__________________________________________________

Where will the children live (Mom? Dad? Someone else?)	__________________________________________________

Will you have joint custody or sole custody?	__________________________________________________

What will the wife’s name be after the marriage?	__________________________________________________

What is the child care expense per month?	__________________________________________________

What is the cost of health insurance per month, and who is paying it?	__________________________________________________

Please provide the following information for each child. If you have more than four children, feel free to use an extra copy of the form

Full name	_________________