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Potter, Cohen & Samulon Experienced Family Law Firm - Serving the Greater Los Angeles Area. We Understand Your Needs.
(626) 795-0681

Separation & Divorce: Personal Information Questionnaire


Employers
________________________________________
Position
________________________________________
Employer's Address
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Length of Time with Employer
_______ years_______ years
Previous Employer(s) (for last 10 years)
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Gross Monthly Income
$_________________$_________________
Other Income
$_________________$_________________
Source/Amount
________________________
________________________
________________________
________________________
Date of Current Marriage________________________
Place of Current Marriage________________________
Date of Separation________________________
Previous Marriage(s)
Yes ____ No ____Yes ____ No ____
Ended by:
Death ____
Divorce ____
Date ____
Ended by:
Death ____
Divorce ____
Date ____
Children of Current Marriage
NameDate of BirthSocial Security NumberWith Whom Residing
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Children from Other Marriages or Relationships
NameDate of BirthSocial Security NumberWith Whom Residing
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________

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