Party One Information:

*First Name:

Middle Name (if used on marriage license):

*Last Name:

Suffix (Sr. Jr. I, II, III, etc.)

*Date of Birth: (00/00/0000)

*Street Address:

Address Line 2

*City:

*State:

*Zip Code:

Country:

*Phone Number:

*Email:

Party Two Information:

*First Name:

Middle Name (if used on marriage license):

*Last Name:

Suffix (Sr. Jr. I, II, III, etc.)

Enter Defendant's Date of Birth, if known: (00/00/0000)

Enter Current or Last Known Street Address:

Address Line 2

City:

State:

Zip Code:

Country:

Phone Number:

Email:

Information on Marriage:

*Place of Marriage:

*Date of Marriage: (00/00/0000)

*Is Wife Now Pregnant?

Any children born of this relationship?

If Child(ren), Who will have primary physical custody of the child(ren):

Child Support amount to be paid, per child,
to the individual with primary custody of the child(ren):

What is the regular and holiday visitation schedule, Enter Here:

Who will provide medical coverage for the child(ren):

Is Spousal Support waived:

If Spousal Support is not waived,
enter the amount, start date and duration:

Will anyone receive a pension payment:

Please enter the company name of the pension plan:

Did you purchase property with your spouse? (community property)

Community property Wife will receive:

Community property Husband will receive:

Is there any community debt?

Community debt Wife will receive:
(Please provide the following:
year, make, model of auto, last 4 digits of credit card numbers, etc.)

Community debt Husband will receive:
(Please provide the following:
year, make, model of auto, last 4 digits of credit card numbers, etc.)

*Please use this space to list childrens' full names and date of birth. If this is for an annulment, please give your reason for the annulment.

*Did Wife change her name after the marriage?

Does Wife want to retain her married name?

If resuming maiden name, insert name:

Does Defendant agree to sign annulment documents?

If the Location of the Defendant is Unknown or Defendant is Not Signing the Documents:

1. Personal service will have to be accomplished at the last known address.

2. If the Defendant is unable to be served, an Affidavit of Due Diligence will be required by the Court (this will be an additional cost).

3. You can request to have the divorce matter published.

Do you know Defendant's home or work address?

Enter Defendant's last known address home and/or work, including City, State, Zip Code:

Street Address:

City:

State:

Zip Code:

Phone Number:

Resident Witness Information:

*First Name:

*Last Name:

Suffix (Sr. Jr. I, II, III, etc.

Street Address:

City:

State:

Zip Code:

Phone Number:

Select Service:

Please select the service needed from Abella Divorce Group LLC. Half of the service selected is due before service begins, the remaining half of service and court fees are due upon completion.

Any additional comments or information we may need to know:

Please Note:
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