Thomas Noble - Divorce Questionnaire

CONFIDENTIAL DIVORCE QUESTIONNAIRE

Your first consultation is free of charge. All information provided by you, whether written or oral, will be held in the strictest confidence; provided, however, you bring someone with into our consultation, this will result in a loss of the attorney-client privilege. All time expended after the initial consultation on this legal matter, or other matters which may arise, will be charged to you at our customary rates. Payment is due upon receipt.

If you have brought someone with you to this consultation, and that person sits in on the consultation, it may result in a waiver of the attorney-client privilege.

Information About You
Date:
*Complete Legal Name:
Maiden Name (if applicable):
Home Address:
City, State & Zip:
County of residence for last 6 months:
Phone:
Work Address:
City, State & Zip:
Phone:
Fax (if applicable):
*E-mail address:
Date of birth:
Place of birth:
Social Security Number:
Texas Driver's License Number:
Referred by:
Address where correspondence should be sent:		Home Work
Information About Your Spouse
Complete Legal Name:
Maiden Name (if applicable):
Home Address:
City, State & Zip:
County of residence for last 6 months:
Phone:
Work Address:
City, State & Zip:
Phone:
Date of birth:
Place of birth:
Social Security Number:
Texas Driver's License Number:
Information About the Marriage
Date of marriage:
Place of marriage:
Date of separation:

Describe the reasons for the divorce in the area below:

Have you attempted marriage counseling? If not, do you think it would help?

Please enter your objective(s) regarding this matter in the area below:

Information About Your Estate

Briefly describe all of the property you and your spouse have accumulated during your marriage.

Did you or your spouse receive an inheritance during the marriage? If so, please describe.

Did either of you receive gifts during the marriage? If so, please describe.

Briefly describe the property that you owned at the time of your marriage.

Briefly describe your current debts.

Are you certain that you know the extent of all property owned by you and your spouse?

Do you or your spouse own an interest in any family business, partnership, or joint venture? If so, please describe it.

Have you signed a marital agreement before or during your marriage?

How are you currently employed?

What is your normal monthly salary?

How is your spouse currently employed?

What is your spouse's normal monthly salary?

Do you or your spouse have other sources of income? If so, please describe.

Do you need financial support from your spouse?

What is the approximate value of your current liquid assets (bank accounts, certificates of deposit, mutual funds, brokerage accounts, and cash)?

If you or your spouse have retirement accounts, state the approximate amount of the vested interest in these accounts.

If you have a minor child or a disabled child of this marriage, please continue; otherwise, please go to bottom of form and press submit.

Information About Your Children

For each child please state:

Name:

Date of birth:

City of birth:

Social security number:

Do any of your children have unique problems such as learning disabilities, physical disabilities, or emotional problems? If so, please describe.

Do any of your children own property? If so, please describe.

Do you expect that you and your spouse will disagree over possession of the children after divorce? If so, why?

With whom are your children currently residing?

Other Information

Is there anything other information about you, your spouse, your estate, or your children which you want me know? If so, please describe.