Sample Divorce Information Form printable pdf download

DIVORCE INFORMATION FORM

1) Do you qualify for one (1) of the “Grounds for Divorce” listed on the Uncontested Divorce page:

( )

If Yes, please specify which ground for divorce (i.e. Irretrievable Breakdown in Relationship):

__________________________________________________________

(If No, then do not complete this form because you cannot get a divorce in New York State.)

2) Do you qualify for one (1) of the “Residency Requirements” listed on the Uncontested Divorce page:

( )

If Yes, please specify which one (i.e. Choice 1, 2, 3, 4, or 5): ________

(If No, then do not complete this form because you cannot get a divorce in New York State.)

3) Have you been married for over six (6) months: ______

(If No, then depending on your choice for Grounds for Divorce, you may or may not be able to get a

divorce in New York State.)

4) Who is going to be the Plaintiff (initiating the divorce): Husband or Wife _____________

5) Husband’s Full Married Name as it appears on the marriage certificate: ________________________

6) Husband’s residential mailing address: _________________________________________________

7) Wife’s Full Married Name as it appears on the marriage certificate: ___________________________

8) Maiden Name (i.e. Wife's last name only prior to marriage): ___________________________

Note:

Please do not provide the wife's full name, just the last name only.

9) Wife’s residential mailing address:_____________________________________________________

10) Was the marriage Civil or Religious: _______________

11) Are there any Children under 21 years old: Yes or No

If Yes, how many Child(ren) involved _____ and who has to pay child support: Father or Mother

12) Are there any Property between you and your spouse: Yes or No

13) What is the Plaintiff’s contact phone # to put on the documents: ___________________

14) Will your spouse sign the divorce papers: Yes or No

15) What is the Plaintiff’s e-mail address: ____________________________

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Divorce Information Form

Sample Divorce Information Form