INTAKE QUESTIONNAIRE

Divorce

NOTICE OF CONFIDENTIALITY

The information contained in this document is subject to attorney-client privilege as provided by the state of Wisconsin rules of professional conduct for attorneys and will not be disclosed to third persons other than those to whom the disclosure is made in furtherance of the rendition of professional legal services.

DISCLAIMER

The following questionnaire is provided to prospective clients who wish to have the attorneys at Divorce PRO Wisconsin access their case for future representation on a limited scope basis. By submitting this questionnaire and requesting a case evaluation, client is accepting attorney's offer of a free initial consultation without obligation on the part of either client or attorney to engage in any further representation.

  • ABOUT YOU
  • OTHER PARTY
  • MORE INFO
  • MARRIAGE
  • DISCLOSURE

Your Contact Info

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Email

Primary Phone

Secondary Phone

Your Additional Info

Occupation

Monthly Income (before tax)

Are you currently in the U.S. Military

Date of Birth

Other Party Contact Info

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip

Email

Primary Phone

Secondary Phone

Other Party Additional Info

Occupation

Monthly Income (before tax)

Is the other party in the US Military?

Date of Birth

Additional Questions

Are either of you on Social Security, Welfare, W-2, AFDC, Food Stamps, or Title 19?

Have you been a resident of the State of Wisconsin for at least the last six (6) months?

Have you been a resident of the county in which you live for at least the last thirty (30) days?

Have you or your spouse filed any other action for divorce, annulment, legal separation, or paternity with regard to this particular relationship?

Do you believe that your marriage is irretrievably broken?

Are you currently separated?

About the Marriage

Date of Marriage

City of Marriage

State of Marriage

County of Marriage

Do you have any children by this marriage?

Number of minor children by this marriage

Do you have any children who are not the product of this marriage?

Is legal custody (i.e. decision-making authority) or physical placement (i.e. the child's future residence) at issue?

Are you or your spouse pregnant?

The following information pertains to your Financial Disclosure Statement, which the Court will require you to prepare and file prior to any hearing involving financial issues and/or prior to the granting of a judgment of divorce.

Do either of you own real estate?*

Do either of you own a vehicle?

Do either of you own retirement accounts, pensions, or whole life insurance policies?

Do either of you maintain a deposit account having a balance of more than $500.00?

Do either of you own a business or have an interest in a business enterprise?

Do either of you own property that you believe is not subject to division as part of the marital estate (i.e. inherited property, gifts, personal injury awards, etc)?

Do either of you owe money?

Have either or both of you filed for bankruptcy?

Do you have any special instructions or circumstances that pertain to your case?

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