Information Needed for Divorce
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Information needed for your Divorce
PERSONAL: Wife’s Information Husband’s Info
Full Name- (no initials)
(Wife’s maiden name)-
Physical address-
Mailing Address- (if different) phone number- date of birth- place of birth- race-
Social Security #- occupation(job title)-
Employer-
Employer’s address-
work phone #- work schedule- employed there since-
Highest school grade completed-
Hawaii resident since- Date of and State & County of marriage-
Date of physical separation-
Prior marriage(s) from-to dates, state of marriage or divorce-
Is Wife pregnant? Does Wife want to resume maiden name?
FINANCIAL: # of dependents claimed: paid every- [ ] week [ ] 2 weeks [ ] twice a month [ ] month [ ] other taxes taken out (per period): (Do not fill-out if including Paystub / LES)
Federal- $
State- $
FICA- $ (Social Sec. + Medicare)
Health Insurance- $
Retirement- $
Garnishment - $
Union/Other- $
Other regular monthly income?- $
Housing Expenses per month: rent/mortgage- $ utilities (water, electric, phone, cable)- $
Transportation Expenses per month: Car payment- $ insurance- $ maintenance- $ gas/oil- $
Personal Expenses per month:
Wife Husband Children (# )
Food
Clothes medical & dental needs laundry/cleaning personal articles recreation
School (include food)
Household
Bus
Childcare other ( )
Assets:
Credit Union Accounts:
Name of Credit Union-
Average Balance-
Who’s Name is it in?- (Husband, Wife or Joint) Who gets it?-
Bank Checking and Savings Accounts:
Name of Bank- checking or savings
Average Balance-
Whose name is it in? ( H W or J)
Who gets it?-
Stocks, Bonds, CD’s:
Company name-
Type of investment-
Whose name is it in?- ( H W or J) date acquired- current value-
Who gets it?-
Cars, Trucks, Motorcycles, Boats, Campers:
Year Make Title (H W J) Current value Debt owed on Who Gets?
Real Property: address H W J fee/lease date acquired cost value debt owed
(If you own real property please describe what will happen to it in your divorce)-
Life Insurance: company insured face amount Beneficiary cash value debt owed
Retirement; Pension; Profit Sharing accounts: company type years in benefits payable when vested value
(What do you agree to do with these retirement benefits?)
all other Major Assets:
Description (H W J) Value any debt owed on Who Gets?
Property held in trust or by third persons: All Outstanding Debts:
1) Creditor-
Whose name is the debt in? (H W J)-
Balance owed-
(minimum) monthly payment-
Who will pay?-
2) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment-
Who will pay?-
3) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment-
Who will pay?-
4) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment- Who will pay?-
5) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment-
Who will pay?-
6) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment-
Who will pay?-
7) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment-
Who will pay?-
8) Creditor-
Whose name is it in? (H W J)-
Balance owed-
(minimum) monthly payment- Who will pay?-