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Getting a divorce? Separation?

Separation & Divorce: Financial Information Questionnaire


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The financial aspects of divorce include child support, spousal support (often called alimony or spousal maintenance), and property and debt division. Decisions about these aspects of your divorce can be complicated and have long-lasting implications. It is therefore often smart to seek the counsel and representation of an experienced family law attorney to help you through the process and ensure an outcome that meets your needs not only now, but in the future as well. In order to do the best possible job on your behalf, your attorney needs your input and cooperation. You should be prepared to provide him or her with the following information:

INFORMATION ABOUT
YOU
INFORMATION ABOUT
YOUR SPOUSE
Gross Monthly Income
Source/Amount
________________/$__________________________/$________
Source/Amount
________________/$__________________________/$________
Source/Amount
________________/$__________________________/$________
TOTAL:
$________________ $________________
Deductions from Gross Income
State Income Tax
$____________________ $____________________
Federal Income Tax
$____________________ $____________________
Social Security
$____________________ $____________________
Self-employment Tax
$____________________ $____________________
Health Insurance
$____________________ $____________________
Union Dues
$____________________ $____________________
Pension/Retirement
$____________________ $____________________
Mandatory?
Yes ____ No ____ Yes ____ No ____
Support Orders
$____________________ $____________________
Other
$____________________ $____________________
TOTAL DEDUCTIONS:
$____________________ $____________________
NET MONTHLY INCOME: (gross income minus total deductions)
$____________________ $____________________
Monthly Expenses
Rent or Mortgage
$____________________ $____________________
Utilities:
Telephone
$____________________ $____________________
Gas
$____________________ $____________________
Electricity
$____________________ $____________________
Water & Sewer
$____________________ $____________________
Garbage Collection
$____________________ $____________________
Cable Television
$____________________ $____________________
Cellular Phone
$____________________ $____________________
Internet Service
$____________________ $____________________
Property Taxes
$____________________ $____________________
Insurance:
Medical
$____________________ $____________________
Dental
$____________________ $____________________
Life
$____________________ $____________________
Disability
$____________________ $____________________
Long-term Care
$____________________ $____________________

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