INFORMATION SHEET

Please make sure you fill in every blank. If a question is not applicable please state so.Please type or print clearly.
Date: _____________ 1 OR 2 party divorce ______ Email address____________________
Plaintiff's name:_______________________________________________

Address:____________________________________City _______________

Postal code _____________ Country _______________

Phone No: ____________ Age ____Citizenship _____________

Defendant's name: __________________________________

Address:____________________________________City _______________

Postal code _____________ Country ________________

Phone No: ___________ Age ____Citizenship ______________________

Maiden name of wife: _________________________________

Date and Place of Marriage
______________________________________________

Names, date and place of birth of children, if any:

________________________________________________

________________________________________________

________________________________________________
Custody of children (mother or father)________________________
______________________________________________
Date and place of marriage
Date of written Separation Agreement if there is one: ____________
Place Agreement signed (if there is one)_____________________
How long have you been separated?:__________
Does wife desire the use of maiden or former name? ________

Plaintiff's identifying no.
(passport, military, social security, etc:__________________________
Name of Notary Public for plaintiff:___________________________
Date of notarization: _______
* Defendant's identifying no.
( passport, military, social security, etc.)_________________________
Name of Notary Public for defendant:_______________________
Date of Notarization: ____
* For two party cases only