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Divorce Intake Form
For Couples with Children 

Please fill out as much information as you may have. However, if you do not have all the information requested, just fill out what information you have and the firm will guide you through the rest of the process.

Contact Person: Contact Number:
Wife's Information:
Name:   Last:   First:   Middle:   Maiden:	Home Address:   Street:   City:   State:   Zip Code:	Telephone Numbers:   Home:   Work:   Cell:
Employer's Name:   Monthly Gross Salary:	Employer Address:   Street:   City:   State:   Zip Code:	Do you live inside the city limits?   Yes No Select One Have you been an Alabama resident for the last 6 months?   Yes No Select One
Number of Previous Marriages:   How last marriage ended: N/A Death Divorce Dissolution Annulment	Highest Level of education you completed.   Elementary - 0 Elementary - 1 Elementary - 2 Elementary - 3 Elementary - 4 Elementary - 5 Elementary - 6 Elementary - 7 Elementary - 8 Elementary - 9 Elementary - 10 Elementary - 11 Elementary - 12 College - 1 College - 2 College - 3 College - 4 College - 5+ Select One	What is your race?   American Indian White African American Hispanic Asian Select One Other Email address:
Husband's Information
Name:   Last:   First:   Middle:	Home Address:   Street:   City:   State:   Zip Code:	Telephone Numbers:   Home:   Work:   Cell:
Employer's Name:   Monthly Gross Salary:	Employer Address:   Street:   City:   State:   Zip Code:	Do you live inside the city limits?   Yes No Select One Have you been an Alabama resident for the last 6 months?   Yes No Select One
Number of Previous Marriages:   How last marriage ended:   N/A Divorce Death Annulment	Highest Level of education you completed.   Elementary - 0 Elementary - 1 Elementary - 2 Elementary - 3 Elementary - 4 Elementary - 5 Elementary - 6 Elementary - 7 Elementary - 8 Elementary - 9 Elementary - 10 Elementary - 11 Elementary - 12 College - 1 College - 2 College - 3 College - 4 College - 5+ Select One	What is your race?   African American White Hispanic American Indian Asian Select One Other Email address
General Information
Date of Marriage:   Date of Separation:	Place of Marriage:   City:   County:   State:
Name of Person that is over 19 that can be a witness:	Amount of monthly alimony. If none enter n/a.
Children:
Name of First Child:   First   Middle   Last   DOB	Name of Second Child:   First   Middle   Last   DOB	Name of Third Child:   First   Middle   Last   DOB
Name of Fourth Child:   First   Middle   Last   DOB	Who gets custody of children:   Husband Wife Select One
What type of custody?   Husband has sole custody Wife has sole custody Husband and Wife have joint custody with Wife having primary physical custody Husband and Wife have joint custody with the Husband having primary custody Select One
Assets and Debts
Make and Model of Wife's vehicle:	Make and Model of Husband's vehicle:
List any other assets to be divided between the parties.
List any debts to be divided between the parties.
List any other information:
You agree that submitting the above information does not create an attorney client relationship.

 

The Alabama Rules of Professional Conduct Rule 7.2 requires the following language: “No representation is made that the quality of the legal services to be performed is greater than the quality of legal services performed by other lawyers.”

DISCLAIMER: This site and any information contained herein is intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.