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PLAINTIFF:  Husband  Wife                                                                                                            

CLIENT:        Husband  Wife

DIVORCE WORKSHEET

HUSBAND:

FULL NAME:

SSN#:

ADDRESS (Marital residence):

PHONE #:

CITY AND STATE:

AGE:

ADDRESS NOW LIVING:

D.O.B.:

BIRTHPLACE:

PHONE #:

PARENTS' NAMES:

PREVIOUS MARRIAGES:

ADDRESS:

 

CITY, COUNTY & STATE:

 

WIFE:      Name Change: Yes   No   TO:_____________________ Maiden? Yes  No

FULL NAME:                                 

SSN#:

ADDRESS (Marital residence):

AGE:

CITY AND STATE:

PHONE #:

ADDRESS NOW LIVING:

D.O.B.:

BIRTHPLACE:

PHONE #:

PARENTS' NAMES:

PREVIOUS MARRIAGES:

ADDRESS:

 

CITY, COUNTY & STATE:

 

FULL NAME:

SSN#:

MARITAL INFORMATION:

PRESENT MARRIAGE:  DATE:                         PLACE:       ________________       

NO. OF SEPARATIONS:                LAST SEPARATION: _____________________

LAST DATE OF COHABITATION:                                                                                  Living Apart Now:  Yes  No          Will be Living Apart: Yes  No

MARRIED NO. YEARS: ______     

RESIDENT OF GEORGIA SINCE: ________________ Must be at least six months

GROUNDS: __________________________________

CHILDREN OF MARRIAGE:

FULL NAMES OF CHILDREN

               DOB

CUSTODY

SEX

AGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIST ALL ADDRESSES FOR THE CHILDREN FOR THE LAST FIVE YEARS:

Street Address                                  City                                                         State

 

 

 

 

 

 

 

 

 

HUSBAND:

EMPLOYER:

 

ADDRESS:

 

CITY & STATE:

 

PHONE :

 

SUPERVISOR:

 

OCCUPATION:

 

GROSS SALARY: WEEKLY  MONTHLY  YEARLY

$

NET SALARY:     WEEKLY     MONTHLY     YEARLY

$

INVESTMENTS:

$

OTHER INCOME

$

TOTAL MONTHLY INCOME   $

WIFE:

EMPLOYER:

 

ADDRESS:

 

CITY & STATE:

 

PHONE :

 

SUPERVISOR:

 

OCCUPATION:

 

GROSS SALARY: WEEKLY  MONTHLY  YEARLY

$

NET SALARY:     WEEKLY     MONTHLY     YEARLY

$

INVESTMENTS:

$

OTHER INCOME

$

TOTAL MONTHLY INCOME $

REAL PROPERTY FOR DIVISION:

RESIDENCE: HOME   RENTAL  APT.   TITLE VESTED: Husband Wife or H&W

DESCRIPTION:                                                                                                                 

1st MORTGAGE:                                                     BALANCE $                                    

2nd & OTHER MORTGAGES:                                BALANCE                                    

Lis Pendens               FMV $                                    EQUITY $                             

 Names & Addresses of any creditor where a copy of a financial application was given showing the amount of income.

___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PERSONAL PROPERTY FOR COURT TO CONSIDER IN DIVISION:

DESCRIPTION                                   MORTGAGE/LIEN                  FMV                  

Furniture

 

$

 

 

$

 

 

$

 

 

$

 

 

$

AUTOS:

(A) DESC.                                                     ORIG. COST    $                 FMV $ ______

(B) TITLE VESTED IN:    Husband   Wife   Both    

(C) LOAN W/                                                           PAYMENT  $__________    

(D) BALANCE REMAINING $                               DATE PAID OFF                     

(A) DESC.                                                        ORIG. COST   $______ FMV $           

(B) TITLE VESTED IN:      Husband Wife   H & W

(C) MORTGAGE                                              PAYMENT $ __________

(D) BALANCE REMAINING $                       DATE PAID OFF                     

 OTHER ASSETS, STOCKS, SAVING ACCT=S, BONDS                                             

LIFE INSURANCE:

POLICY COMP.         H-W          Face Aount           Cash Value                Beneficiary

 

 

$

$

 

 

 

$

$

 

 

 

$

$

 

 

 

$

$

 

 MEDICAL INSURANCE:

POLICY NAME: __________________________

PYMT. AMT.  : ___________________________

WHERE:  ________________________________

PAYROLL DED.?