Utah Divorce Questionnaire

In order to get started on your Divorce, please fill out the Divorce Questionnaire below. All of the information requested is necessary to be able to file your divorce petition.

Your Information

Name *
Address *
AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
Home Phone *
Work Phone
Cell Phone
Email *
Social Security Number *
Driver's License Number and Issuing State *
Date of Birth *
Birthplace *
Employer *
Empoyer Address *
AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
Employer Phone *
Number of marriages (including this marriage)? *
If not first marriage, how did last marriage end (dirvorce, death, etc)?
If not first marriage, date last marriage ended?
Level of education (high school, bachelor, masters, etc.)?
Race (White, Black, Etc.)?
Are You In the Military *
YesNo
Emergency Contact Name and Number
How Did You Hear About Us? *
OnlineReferralRadioTVOther

Your Spouse's Information

Your Spouse's Full Name *
Your Spouse's Address *
AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
Your Spouse's Phone Number
Your Spouse's Email Address
Your Spouse's Social Security Number
Your Spouse's Driver's License Number and Issuing State
Your Spouse's Date of Birth *
Your Spouse's Birthplace
Your Spouse's Employer
Your Spouse's Employer's Address
AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
Your Spouse's Employer's Phone
Your Spouse's Number of Marriages (including this marriage)?
If not first marriage, how did last marriage end (divorce, death, etc.)?
If not first marriage, date last marriage ended?
Your Spouse's Level of Education
Your Spouse's Race (White, Black, etc.)?
Is Your Spouse In The Military *
YesNo

Jurisdiction

What County Have You Lived In For the Last 3 Months? *
What County Has Your Spouse Lived In For The Last 3 Months? *
If your spouse is not residing in Utah, indicate county and date your spouse last resided in Utah:
What county have your children lived in for the last 6 months? *

Marriage and Grounds for Divorce

Date of Marriage *
Place of Marriage *City, County, State
Date of Separation (if separated)?
Why are you seeking a divorce? *
Irreconcilable Differences (Most Common)AdulteryOther
Explain nature of problems. *
Will your spouse contest the divorce? *
YesNoI don't know

Child(ren) Information

Number of Children Born During This Marriage *
Number of Children Under the Age of 18 *
List the information for the minor child(ren) at issue in this divorce
Child's name, social security number, and date of birth (Example: James Franklin, XXX-XX-XXXX, 04/23/1999)
Are you and your spouse expecting the birth of a child? *
YesNo
If yes to the question above, what is the due date?
If yes to the question above, is the husband the father of the expected child?
YesNo
If no to the question above, does your spouse dispute this?
YesNo

Spousal Support (Alimony)

Will spousal support (alimony) be paid? *
Yes I will pay alimony.Yes my spouse will pay me.No.
How much alimony will be paid?
When will the alimony payments terminate?
On a date certain.Upon death, cohabitation, or remarriage.Other
If alimony is to terminate on a date certain, when will that be?
Do you anticipate that alimony will be contested by your spouse? *
YesNoI don't know

Personal Property Division

Have you and your spouse already divided all of your personal property, and are you ok with the division? *
YesNo
IF NO to Question above, specify the personal property and include how you want it divided. *
Include the item name, value of the item, the percentage of the item you will receive andt he percentage of the item your spousel receive. (Example: Honda Civic, $5500, 100% for me, 0% for my spouse.)

Marital Home and Other Real Property

Did you acquire a home during the marriage? *
YesNo
Marital Home Address
AddressAddress Line 2CityState / Province / RegionPostal / Zip CodeCountry
Current Home Value
Mortgage Payment
Mortgage Balance
How do you want to handle the marital home?
The property should be awarded to me.The property should be awarded to my spouse.My children and I will reside in the property until one of the standard conditions occurs.My children and my spouse will reside in the property until one of the standard conditions occurs.We will sell the property now and divide the equity.Other
For any other real property (second home, land, cabin, time-share, etc.) you acquired during the marriage, provide the same information.
Address, current home value, mortgage payment, mortgage balance, how you want to handle the home.

Bank Accounts

How would you like to handle any bank accounts and cash on hand? *
There is no money held in bank accounts at issue in this matter.Divide all money in bank accounts evenly.Other, please specify below
How bank acounts and cash on hand will be handled (if other was selected above)

Stocks, Bonds, Other Investments

How would you like to handle any stocks, bonds, or other investments *
There are no stocks, bonds, or other investments at issue in this matter.Divide all stocks, bonds, or other investments evenly.The division of stocks, bonds, or other investments should be dealt with as follows.ded the following
Please list any stocks, bonds, or other investments and how those assets will be divided between the parties

401K, Pension, Other Retirement Benefits

Have you or your spouse earned a pension or othe retirement during the marriage? *
YesNo
If yes to the question above, provide the reitrement benefit information below.
Include the name of pension or retirement and plan administrator, the last 4 digits of the account number, who the retirement account belongs to, what percentage you will receive, and what percentage your spouse will receive. (Example: Fidelity IRA, 2345, my spouse, 50%, 50%)
Do you want our office to prepare a QDRO to divide any of the retirement plans described above? *
YesNo
If yes to the question above, who should pay for the QDRO?
I willMy spouseDivide evenlyOther

Business Interests

How would you like to handle any business interests which were acquired during the marriage? *
There are no business interests at issue in this matter.The business interests at issue in this matter will be dealt with as follows.
Please list the business interests in this matter (if any) and how they will dealt with

Life Insurance

How would you like to handle any life insurance policies which were acquired during the marriage? *
There are no life insurance policies at issue in this matter.I will maintain my spouse as a bneficiary to the current life insuance policies.My spouse will maintain me as a beneficiary to the current life insurance policies.Both parties will maintain the other as a beneficiary to the current life insurance policiesNeither party will be obligated to maintain the other party as a beneficiary to the current life insurance policies.Other

Debts and Liabilities

Are there any outstanding debts incurred during the marriage? *
YesNo
If yes to the question above how will the debts be split? *
I will pay all of the debts incurred during the marriage up to the date of separation.My spouse will pay all of the debts incurred during the marriage up to the date of separation.We both we continue to be responsible to pay all debts incurred during the marriage.My spouse’s payment of debt should be considered as alimony or additional child support.Other (fill out below)
Debts will be divided as follows:
Include the name of the creditor, description of the debt, the outstanding balance, who the debt belongs to, amount you will take, amount spouse will take. (Example: Bank of America, credit card, $3,000, joint debt, 50% for me, 50% for my spouse)

Health Insurance

How would you like to handle any health insurance policies which were acquired during the marriage? *
There are no health insurance policies at issue in this matter.I will maintain my spouse on the current health insurance policy for a set period of time.My spouse will maintain me on the current health insurance polciy for a set period of time.Other.

Tax Returns

How will tax returns be filed? *
There are no tax matters at issue in this divorce.The parties will file separately for the last tax year.The parties will file jointly for the last tax year and divide evenly any tax refund or tax liability.I will claim the child(ren) as dependents for tax purposes.I will claim a certain number of child(ren) and my spouse will claim a certain number of child(ren).I will claim the child(ren) in even years and my spouse will claim the children in odd years.My Spouse will claim the child(ren) in even years and I will claim the children in odd years.Buyout (one party pays the other a sum certain for the benefit of claiming the dependents every year).Other

Attorney's Fees and Court Costs

Who will be responsible for the attorney's fees of this action? *
I will pay all attorney’s fees if uncontested. My Spouse will pay the attorney’s fees if contested.My Spouse will pay all of the attorney’s fees.I and my spouse will share equally the attorney’s fees if uncontested.Each party will be responsible for his/her attorney’s fees.No provision for attorney’s fees.

Miscellaneous

If applicable and you want to be restored to your maiden name please put your maiden name in the space below.
If enforcement or the need for changes arises in the future, do you want to require mediation before going back to court?
Yes (recommended)No
Are you in need of any special relief from the court such as a restraining or protective order?
YesNo
If yes to the question above, please describe.
Please tell us anything else you believe we should know.

Verification

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Utah Divorce Questionnaire

Your Information

Your Spouse's Information

Jurisdiction

Marriage and Grounds for Divorce

Child(ren) Information

Child Custody

Parent-Time (Visitation)

Child Support

Spousal Support (Alimony)

Personal Property Division

Marital Home and Other Real Property

Bank Accounts

Stocks, Bonds, Other Investments

401K, Pension, Other Retirement Benefits

Business Interests

Life Insurance

Debts and Liabilities

Health Insurance

Tax Returns

Attorney's Fees and Court Costs

Miscellaneous

Verification

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