<p> Information needed for your Divorce</p><p>PERSONAL: Wife’s Information Husband’s Info</p><p>Full Name- (no initials)</p><p>(Wife’s maiden name)-</p><p>Physical address-</p><p>Mailing Address- (if different) phone number- date of birth- place of birth- race-</p><p>Social Security #- occupation(job title)-</p><p>Employer-</p><p>Employer’s address-</p><p> work phone #- work schedule- employed there since-</p><p>Highest school grade completed-</p><p>Hawaii resident since- Date of and State & County of marriage-</p><p>Date of physical separation-</p><p>Prior marriage(s) from-to dates, state of marriage or divorce- </p><p>Is Wife pregnant? Does Wife want to resume maiden name?</p><p>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)</p><p>Federal- $</p><p>State- $</p><p>FICA- $ (Social Sec. + Medicare)</p><p>Health Insurance- $</p><p>Retirement- $</p><p>Garnishment - $</p><p>Union/Other- $</p><p>Other regular monthly income?- $</p><p>Housing Expenses per month: rent/mortgage- $ utilities (water, electric, phone, cable)- $</p><p>Transportation Expenses per month: Car payment- $ insurance- $ maintenance- $ gas/oil- $</p><p>Personal Expenses per month:</p><p>Wife Husband Children (# )</p><p>Food</p><p>Clothes medical & dental needs laundry/cleaning personal articles recreation</p><p>School (include food)</p><p>Household</p><p>Bus</p><p>Childcare other ( )</p><p>Assets:</p><p>Credit Union Accounts:</p><p>Name of Credit Union- </p><p>Average Balance- </p><p>Who’s Name is it in?- (Husband, Wife or Joint) Who gets it?- </p><p>Bank Checking and Savings Accounts:</p><p>Name of Bank- checking or savings</p><p>Average Balance-</p><p>Whose name is it in? ( H W or J)</p><p>Who gets it?- </p><p>Stocks, Bonds, CD’s: </p><p>Company name-</p><p>Type of investment-</p><p>Whose name is it in?- ( H W or J) date acquired- current value- </p><p>Who gets it?-</p><p>Cars, Trucks, Motorcycles, Boats, Campers:</p><p>Year Make Title (H W J) Current value Debt owed on Who Gets?</p><p>Real Property: address H W J fee/lease date acquired cost value debt owed </p><p>(If you own real property please describe what will happen to it in your divorce)-</p><p>Life Insurance: company insured face amount Beneficiary cash value debt owed</p><p>Retirement; Pension; Profit Sharing accounts: company type years in benefits payable when vested value</p><p>(What do you agree to do with these retirement benefits?)</p><p> all other Major Assets:</p><p>Description (H W J) Value any debt owed on Who Gets?</p><p>Property held in trust or by third persons: All Outstanding Debts:</p><p>1) Creditor-</p><p>Whose name is the debt in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- </p><p>Who will pay?-</p><p>2) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- </p><p>Who will pay?-</p><p>3) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- </p><p>Who will pay?-</p><p>4) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- Who will pay?-</p><p>5) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- </p><p>Who will pay?-</p><p>6) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- </p><p>Who will pay?-</p><p>7) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- </p><p>Who will pay?-</p><p>8) Creditor-</p><p>Whose name is it in? (H W J)-</p><p>Balance owed-</p><p>(minimum) monthly payment- Who will pay?-</p>