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INFORMATION ABOUT THE PLAINTIFF: (YOU)
PLAINTIFF’S Full Name: (TYPE NAME EXACTLY AS IT APPEARS ON YOUR DRIVER'S LICENSE/PASSPORT)
*
First
Middle
Last
Gender
*
Male
Female
WHAT WAS YOUR FULL NAME AT BIRTH?
*
Put Plaintiff's Name Above
Address:
*
City:
*
State:
*
Zip:
*
County of Residence
*
Albany County
Allegany County
Bronx County
Broome County
Cattaraugus County
Cayuga County
Chautauqua County
Chemung County
Chenango County
Clinton County
Columbia County
Cortland County
Delaware County
Dutchess County
Erie County
Essex County
Franklin County
Fulton County
Genesee County
Greene County
Hamilton County
Herkimer County
Jefferson County
Kings County (Brooklyn)
Lewis County
Livingston County
Madison County
Monroe County
Montgomery County
Nassau County
New York County (Manhattan)
Niagara County
Oneida County
Onondaga County
Ontario County
Orange County
Orleans County
Oswego County
Otsego County
Putnam County
Queens County
Rensselaer County
Richmond County (Staten Island)
Rockland County
Saint Lawrence County
Saratoga County
Schenectady County
Schoharie County
Schuyler County
Seneca County
Steuben County
Suffolk County
Sullivan County
Tioga County
Tompkins County
Ulster County
Warren County
Washington County
Wayne County
Westchester County
Wyoming County
Yates County
Other
Date of birth:
*
Date Format: MM slash DD slash YYYY
STATE of Birth
*
Social Security #
*
Phone Number :
*
PLAINTIFF’s Gross Annual Income $
( If blank, we will use $0 as PLAINTIFF’s gross annual income)
PLAINTIFF’S CONFIDENTIAL INFORMATION: (YOUR HUSBAND/YOUR WIFE)
PLAINTIFF’s Race?
*
White
Black
Hispanic
Asian
Other
# of This Marriage For PLAINTIFF: (1st , 2nd , etc.)?
*
First
Second
Third
Fourth
Fifth
If Previously Married How Many Ended by Death?
*
None
One
Two
Three
Four
If Previously Married How Many Ended by Divorce?
*
None
One
Two
Three
Four
PLAINTIFF Highest Grade Level Completed:
Pick Your Highest Grade Completed
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Freshman College
Sophomore College
Junior College
Senior College
Bachelor's
Master's
PHD
☞ COMPLETE THE SECTION(S) BELOW ONLY IF NEEDED
INFORMATION ABOUT THE DEFENDANT (YOUR HUSBAND/YOUR WIFE
DEFENDANT is in the military?:
*
Yes
No
(If yes - DEFENDANT consents to this divorce action)
DEFENDANT will sign the divorce papers?:
*
Yes
No
Maybe
DEFENDANT’S Full Name:
*
First
Middle
Last
Gender
*
Male
Female
DEFENDANT’s Birth Name (This is YOUR Spouse):
*
Address:
*
City:
*
State:
*
Zip:
*
County of Residence
*
Albany County
Allegany County
Bronx County
Broome County
Cattaraugus County
Cayuga County
Chautauqua County
Chemung County
Chenango County
Clinton County
Columbia County
Cortland County
Delaware County
Dutchess County
Erie County
Essex County
Franklin County
Fulton County
Genesee County
Greene County
Hamilton County
Herkimer County
Jefferson County
Kings County (Brooklyn)
Lewis County
Livingston County
Madison County
Monroe County
Montgomery County
Nassau County
New York County (Manhattan)
Niagara County
Oneida County
Onondaga County
Ontario County
Orange County
Orleans County
Oswego County
Otsego County
Putnam County
Queens County
Rensselaer County
Richmond County (Staten Island)
Rockland County
Saint Lawrence County
Saratoga County
Schenectady County
Schoharie County
Schuyler County
Seneca County
Steuben County
Suffolk County
Sullivan County
Tioga County
Tompkins County
Ulster County
Warren County
Washington County
Wayne County
Westchester County
Wyoming County
Yates County
Other
Date of birth:
*
Date Format: MM slash DD slash YYYY
STATE of birth:
*
Social Security #:
*
Phone Number :
DEFENDANT’s Gross Annual Income $
( If blank, we will use $0 as DEFENDANT’s gross annual income)
DEFENDANT’S CONFIDENTIAL INFORMATION:
DEFENDANT’s Race?
*
White
Black
Hispanic
Asian
Other
# of This Marriage For DEFENDANT: (1st , 2nd , etc.)?
*
First
Second
Third
Fourth
Fifth
If Previously Married How Many Ended by Death?
*
None
One
Two
Three
Four
If Previously Married How Many Ended by Divorce?
*
None
One
Two
Three
Four
Pick DEFENDANT's Highest Grade Completed
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Freshman College
Sophomore College
Junior College
Senior College
Bachelor's
Master's
PHD
INFORMATION ABOUT THE MARRIAGE
What kind of wedding ceremony?
*
Religious
Civil
City where the parties were married?
*
County where the parties were married?
*
State where the parties were married?
*
Date of marriage?
*
Date Format: MM slash DD slash YYYY
Are there any assets/debts to be divided?
*
Yes
No
If YES, please complete the Assets & Debts Intake
Is there an existing agreement/stipulation?
*
Yes
No
If YES, please attach an executed copy of the agreement.
File
ALIMONY
The parties do NOT want alimony in the divorce (skip the rest of this section)
The parties WANT alimony in the divorce (fill out the rest of this section)
Plaintiff to pay or receive alimony?
Pay
Receive
How Much $ Alimony per month?
Alimony Start Date?
Date Format: MM slash DD slash YYYY
Alimony End Date?
Date Format: MM slash DD slash YYYY
Alimony Paid How?
Directly
Wage Garnishment/SCU
ARE THERE ANY KIDS FROM THE MARRIAGE OVER THE AGE OF 21? IF YES, PLEASE FILL OUT THE INFORMATION BELOW:
#1 CHILD’S NAME
Date
Date Format: MM slash DD slash YYYY
Social Security Number
#2 CHILD’S NAME
Date
Date Format: MM slash DD slash YYYY
Social Security Number
#3 CHILD’S NAME
Date
Date Format: MM slash DD slash YYYY
Social Security Number
Consent
*
By checking this box, I understand that I'm instructing Premier Paralegal LLC or its subsidiary authorization to create divorce documents at my sole direction.
By checking this box, I understand that I'm instructing Premier Paralegal LLC or its subsidiary authorization to create divorce documents at my sole direction.
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