Adams & Edens Law Firm - No-Fault Divorce

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No-Fault Divorce with No Children

No Fault Divorce QUESTIONNAIRE
Your County:
Your Name:
Address:	City: State: Zip:
Phone:
Fax:
E-mail:
Social Security:
Date of Birth:	U.S. Citizen? Yes No
Gender:	Male Female
Occupation:
Income:
Employer:
Work Address:
Work Telephone:
	Spouse Information
Name of spouse:
Wife Pregnant:	Yes No
County:
Address:	City: State: Zip:
Date of Birth:
Social Security Number:
Gender:	Male Female
U.S. Citizen:	U.S. Citizen? Yes No
Occupation:
Income:
Employer:
Employer Address:
Work Telephone:	--
m	Marriage Information
Date of Marriage:
Place of Marriage:
Marriages:	You Spouse Number of marriages you and your wife have had.
Separation Date:
Address:
Maiden Name:
Restore Maiden name:	Yes No
a	Divorce Information
Reason for Divorce:
	Separation Agreement
Property Division:	Property you get: Property the spouse gets:
Division of Debts:	Debts you get: Debts spouse gets:
k	Form Delivery Instructions
Format:
Describe Other terms or Provisions desired, if any:

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