Your complete legal name:
Gender:MaleFemale
Drivers License Number:
Drivers License State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
E-mail Address:
Phone Number:
Maiden / Former Names:
Current Street Addess:
City:
State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
County (not Country):
Your age:
Your Date of Birth:
Your Social Security Number:

Spouses complete legal name:
Gender:MaleFemale
Drivers License Number:
Drivers License State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
E-mail Address:
Phone Number:
Maiden / Former Names:
Current Street Addess:
City:
State: Choose a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:
County (not Country):
Spouses age:
Spouses Date of Birth:
Spouses Social Security Number:

Does either person wish to restore a former name?
If so, which party and name?
Month, day and year of marriage:
City and State of marriage:
Are you presently seperated?YesNo
If so, the approximate date of separation:

Is the wife pregnant?
If so, when is the child due?
If so, is spouse the father of the child?
How many MINOR children are born to this marriage?

Please give name, date of birth, and social security number for all children (if applicable):

Child 1:
Name:
DOB:
SSN:

Child 2:
Name:
DOB:
SSN:

Child 3:
Name:
DOB:
SSN:

Child 4:
Name:
DOB:
SSN:

Child 5:
Name:
DOB:
SSN:

Child 6:
Name:
DOB:
SSN:

Who shall have physical custody?
Do you wish to have joint legal / physical custody?

(THIS MUST BE AGREEABLE TO BOTH PARENTS)
If there is joint custody, what percentage of time will the child(ren) spend with each parent? Important.

Percent with Mother:
Percent with Father:
If split custody, which child(ren) will live with the mother?
If split custody, which child(ren) will live with the father?
Who have the children lived with for the last six (6) months?:

Parenting time / visitation should be: (Please be specific with times, days of week, holidays and birthdays)
IMPORTANT.

Which holidays will the children spend with the mother?
Which holidays will the children spend with the father?
Will there be any summer or vacation visitation for the non-custodial parent? If so, please give details.

Who will provide medical insurance for the child(ren)?
Insurance cost per month for child/ren: (Important.)
Who will pay deductibles and uninsured costs? (Important.)
Who will maintain life insurance with the child(ren) as beneficiary?
Is there an existing Child Support Order?

If YES, you must provide the following information in the area below:
Date of Order: ______________.
Case number:_______________,
issued by ____________County.
Dollar amount per month:______________________.

WILL THIS BE A CO-PETITION DIVORCE? (BOTH PARTIES AGREE TO SIGN THE DIVORCE JOINTLY)?Please SelectYesNo

Below, please list all PROPERTY that should be awarded to each spouse - Please try to not abbreviate, try to use punctuation and try not to type in all upper or lower case, if possible:

Husband:

Wife:

Below, please list all DEBTS that should be paid by each spouse - Please try to not abbreviate, try to use punctuation and try not to type in all upper or lower case, if possible:

Husband:

Wife:

How many years and months have you been a resident of your state?
How many years and months have you been a resident of your county?

IMPORTANT INFORMATION REQUIRED IF CHILDREN ARE INVOLVED!

(The following information must be completed if there are minor children born or adopted to this marriage.)

Husband's employer:
His employer's complete address:
His gross monthly pay (before taxes):
Wife's employer:
Her employer's complete address:
Her gross monthly pay (before taxes):
Does anyone receive alimony from a previous marriage?
If so, who?
How much per month?
Does anyone receive child support from a previous marriage or relationship?
If so, who?
How much per month?
Does anyone pay child support from a previous marriage or relationship?
If so, who?
How much per month?
Are there any daycare costs paid out-of-pocket relating to the children of this marriage?
If so, who pays?
Monthly cost of daycare?
Does either spouse receive welfare?
If so, who?
How much per month?
Does either party wish to receive spousal support?
If so, who?
How much?
For how long? (specify months or years)
Total Spousal Support at end of obligation:?

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Name (as it appears on card):
Credit Card Type (Visa/Mastercard/etc.):
Credit Card Number:
Credit Card Expiration:
Credit Card Security Code (usually 3 digits on the back)
Billing Address:


If you would like to pay by VISA, MASTERCARD, DISCOVER or AMERICAN EXPRESS, please include the complete Name as appears on card,
Credit Card Number, the type of card and the expiration date in the box above OR YOU MAY TELEPHONE (503) 772-5295 TO MAKE PAYMENT...
OR you may submit this questionnaire electronically and MAIL payment to: Legal Alternatives, 6442 SE 91st Ave., Portland, OR 97266...
Once payment is received we will prepare your documents right away.

AFTER COMPLETING THE FORM, AND ENTERING PAYMENT INFORMATION, CLICK THE "SUBMIT" BUTTON TO TRANSFER THE DOCUMENTS TO OUR SYSTEM.

I (we) hereby request that Legal Alternatives prepare our uncontested divorce. I (we) understand that Legal Alternatives are not lawyers, they are independant paralegals. We agree and attest that no legal advice has been given to us. We have chosen of our own free will to have Legal Alternatives fully prepare these documents for a fee. We have selected the forms and provided all the information used in our divorce documents.
If you agree to these terms, please indicate by typing "I Accept" before submitting the form.

Thank you!

Enter "I Accept" to accept this agreement: