Please fill in the following information to get your divorce papers prepared. If we need additional information we will contact you either by e-mail or by telephone. Once you have submitted this form to us we will begin processing your papers. In some cases we may need additional information. We will not add any information to your papers without a written request to do so.

If any of the information does not pertain to you or if you want certain things left out, please leave the fields blank. Please remember that we are not responsible for your errors and or omissions should the court reject your forms due to missing information.

Please keep in mind that your forms will be prepared using the address you list on this form. It is very important that if you have an APO/FPO address that you list a complete stateside address for the court forms. If you are filing in a different state then the one you reside in, please list the address for the place you are going to file in and under special instructions list the address you want the forms mailed to.

IMPORTANT!!! Due to the high amount of spam mail, some servers (yahoo, hotmail included) put our emails into a bulk mail or a spam folder. Please check your spam and bulk mail folder for your documents as they may get put there. If you do not receive your documents in 48-72 hours, please e-mail us at info@divorcemessage.com or use our online help.

All information is held in the strictest of confidence.

Divorce, Annulment, or Legal Separation?

Type of Divorce (no fault, missing spouse, military)

Is your spouse willing to sign the divorce papers or are going to have him or her served?

Are you or your spouse military?

Information about you (petitioner/plaintiff)

Your full name

Your COMPLETE Address

City, State, and Zip Code

Your telephone number

Your Social Security No

Your Date of Birth

County and state where you will be filing

How long have you resided in this county

Your Employer

Net Monthly Income

Statistical Facts Regarding Marriage

Date of Marriage

Place of Marriage

Date of Separation (not legal separation)

Do you have any other court proceedings regarding your marriage or minor children? If so, we will need that information.

Information about Your Spouse (Respondent/Defendant)

This information is for court papers only. We never contact your spouse.

Full Name

Complete Address

City, State, and Zip Code

Telephone

Social Security No

Date of Birth

Employer

Net Monthly Income

The following is information of the minor children born or adopted to this marriage.

If there are no children please skip this section.

Number of Minor Children

Children's Names

Dates of birth

Childrens SSN

Name and Address of who the children reside with

The addresses where the children have lived for last 5 years (please include the dates at each address)

Custody arrangements for the children (please be specific)

Child Support agreement amount

Special instructions on child issues (please list all of the things you want included)

This section is for the marital or community property/Debts

List all property and who it will be awarded to

List all debts and who will be responsible

Will there be spousal support granted?

Any special instructions?

If the wife wants her former name restored please put the name in

Your e-mail address

Do You Need Fee Waiver Forms? (Low Income)

How Did You Hear About Us?

If after you submit this form to us you need to make a change please e-mail us right away. Any changes that need to be made after we have already completed and mailed your documents will incur a $39.95 charge.

We may need to contact you for further information. Please make sure that all info is correct. Please note that all intake forms received after 12 noon on Friday EST will not be processed until the following Monday.

You may also print this form, fill it out and e-mail it to us or fax it to: 203.651.1071