Divorce Questionaire.

FAMILY LAW QUESTIONNAIRE - LONG FORM

Dear Client: Please answer the questions so that if you retain us we may complete your documents without further delay. Remember, we have been assisting clients with divorces since 1976. We have completed over twenty thousand uncontested divorces. Because of our vast experience, this questionnaire is very detailed so that we get the necessary information to assist you. Our fees for uncontested divorces in Cook County, Illinois are among the lowest available from any private law firm. Please assist us in keeping our fees as low as possible by completing all of the questions to the best of your ability. Thank you. Kevin McCarty, Attorney at Law

VERY IMPORTANT!

PLEASE PROVIDE A BRIEF EXPLANATION OF YOUR GOALS (DIVORCE, SEPARATION, CHILD SUPPORT, CUSTODY, ETC.) PLEASE ALSO INDICATE IF YOU WANT RECEIVE A RESPONSE BY EMAIL OR IF YOU WILL CALL FOR AN APPOINTMENT.

IF YOU DO NOT PROVIDE THIS INFORMATION, WE CAN NOT PROPERLY ADVISE YOU.

DO NOT GUESS AT ANY OF THE ANSWERS!
IF YOU PREFER, PLEASE CALL FOR A FREE CONSULTATION

PLEASE ANSWER EACH QUESTION BELOW IF IT APPLIES TO YOU. YOUR CASE WILL BE PREPARED BASED UPON YOUR ANSWERS SO BE CAREFUL. IF WE HAVE TO REDO YOUR CASE DUE TO YOUR ERROR YOU WILL BE CHARGED AT OUR HOURLY RATE.

HOW DID YOU HEAR OF US?
WOJO Radio
Chicago Sun Times
Billboard
V103 Radio
Friend Friend's Name
LOVE FM Radio
CTA
Defender Newspaper
Google Search/Advertising
Verizon Yellow Pages
Other

GENERAL QUESTIONS

YOUR FULL NAME
YOUR E-MAIL ADDRESS: (We must have this!)
YOUR DATE OF BIRTH STATE OF BIRTH


YOUR ADDRESS:
STREET

CITY
STATE OR COUNTRY
COUNTY
ZIP CODE
YOUR SOCIAL SECURITY NUMBER

YOUR SPOUSE'S FULL NAME
DATE OF BIRTH
STATE OR COUNTRY OF BIRTH

YOUR SPOUSE'S ADDRESS:

STREET

CITY

STATE OR COUNTRY

COUNTY

ZIP CODE

SPOUSE SOCIAL SECURITY NUMBER

UNFORTUNATELY, ILLINOIS LAW REQUIRES THAT WE COLLECT STATISTICAL INFORMATION FOR THE STATE. PLEASE ANSWER THESE QUESTIONS "FOR STATISTICAL PURPOSES ONLY."

APPROXIMATE DATE YOUR LAST MARRIAGE ENDED:

RACE REASON LAST MARRIAGE ENDED HIGHEST GRADE COMPLETED

HUSBAND
NUMBER TIMES MARRIED Caucasian
African American
Latino
Other DEATH
DIVORCE
INVALIDITY

_____________________ _____________________ _____________________ _____________________

WIFE
NUMBER TIMES MARRIED
Caucasian
African American
Latino
Other DEATH
DIVORCE
INVALIDITY

APPROXIMATE DATE YOUR LAST MARRIAGE ENDED:

	RACE	REASON LAST MARRIAGE ENDED	HIGHEST GRADE COMPLETED
HUSBAND NUMBER TIMES MARRIED	Caucasian African American Latino Other	DEATH DIVORCE INVALIDITY
_____________________	_____________________	_____________________	_____________________
WIFE NUMBER TIMES MARRIED	Caucasian African American Latino Other	DEATH DIVORCE INVALIDITY

THIS DECREE IS FOR DIVORCE - IF YOU WANT A "LEGAL" SEPARATION OR AN INVALIDITY ), YOU MUST SPEAK WITH AN ATTORNEY IN
MR. McCarty's OFFICE.

DATE OF THIS MARRIAGE
CITY OF MARRIAGE
COUNTY OF MARRIAGE
STATE OF MARRIAGE
IF NOT MARRIED IN U.S.A., COUNTRY OF MARRIAGE

APPROXIMATE DATE OF FIRST SEPARATION

IT IS MR. LOWE'S POLICY TO USE THE GROUNDS OF "NO FAULT" (IRRECONCILABLE DIFFERENCES) IN ALL DIVORCE CASES WHENEVER APPLICABLE UNDER THE LAW OF ILLINOIS. IF "NO FAULT" DOES NOT APPLY UNDER THE LAW, IT IS MR. LOWE'S POLICY TO USE THE GROUNDS OF EITHER "MENTAL CRUELTY" OR "DESERTION" WHEN PERMITTED BY LAW. IF YOU WOULD LIKE MR. LOWE. TO USE A PARATICULAR GROUND FOR YOUR DIVORCE BE CERTAIN TO DISCUSS THIS WITH MR. LOWE'S STAFF AT THE TIME OF YOUR INITIAL INTERVIEW.

NAMES AND BIRTH DATES OF ALL CHILDREN BORN TO WIFE DURING THIS
MARRIAGE REGARDLESS OF WHETHER THE FATHER IS THE SPOUSE OR NOT.
YOU MUST LIST BOTH MINORS AND ADULTS.

NAME BIRTH DATE DISABLED CHILD OF BOTH PARENTS?

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

YES NO YES NO

NAME	BIRTH DATE	DISABLED	CHILD OF BOTH PARENTS?
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO
		YES NO	YES NO

CHILDREN - PATERNITY - CUSTODY

FROM THE DATE OF YOUR MARRIAGE THROUGH TODAY, WERE ANY CHILDREN
BORN TO THE WIFE WHO WERE NOT FATHERED BY THE HUSBAND? YES NO

IS THE WIFE PREGNANT NOW? YES NO

IF WIFE IS PREGNANT, IS IT BY HUSBAND (OR) NOT BY HUSBAND

WHO GETS PERMANENT CUSTODY OF CHILDREN? HUSBAND WIFE

(JUDGE MAKES FINAL DECISION ON CUSTODY AND IS NOT BOUND BY THE PARENTS WISHES)

IF THE WIFE IS NOW PREGNANT THERE IS A SMALL, ADDITIONAL TYPING FEE AT OUR HOURLY RATE FOR THE ADDITIONAL LANGUAGE THAT IS REQUIRED BY ILLINOIS LAW.

PLEASE NOTE THAT ILLINOIS LAW REQUIRES A JOINT PARENTING AGREEMENT IN CASES OF JOINT CUSTODY AND THERE IS AN ADDITIONAL CHARGE FOR THIS SERVICE AT OUR HOURLY RATE.

CHILD VISITATION

SHALL WE SPECIFY "ALTERNATE WEEKENDS, SCHOOL VACATIONS, HOLIDAYS
& TWO WEEKS EACH SUMMER" OR IF YOU WANT A DIFFERENT SCHEDULE
YOU MUST TELL US. THERE IS AN EXTRA CHARGE FOR OTHER PLANS!

IF YOU WANT THE STANDARD TERMS, FILL IN THE FOLLOWING DAYS & TIMES.
FROM - - .M. UNTIL -.M.

IF YOU WANT MORE OR LESS THAN TWO WEEKS DURING THE SUMMER SCHOOL VACATIONS, PLEASE FILL IN THE BOX AND NOTE: THERE WILL BE A $25.00 CHARGE FOR TYPING: NUMBER OF WEEKS DURING THE SUMMER SCHOOL VACATION:

CHILD SUPPORT

HOW MUCH IS TAKE HOME PAY FOR THE SPOUSE WHO WILL PAY CHILD SUPPORT?

$ PER: WEEK / TWO WEEKS / BI-MONTHLY / MONTH (Check ONE)

IS THE PARENT WHO WILL HAVE CUSTODY ON PUBLIC AID? YES NO

IS THERE A COURT ORDER FOR SUPPORT AT THIS TIME? YES NO

DO YOU HAVE AN AGREEMENT FOR CHILD SUPPORT? YES NO

IF THERE IS AN AGREEMENT OR COURT ORDER FOR SUPPORT WHAT IS IT?
$ PER WEEK

(NOTE: AGREEMENTS WHICH DO NOT FOLLOW THE LAW MAY NOT BE
HONORED BY THE JUDGE. IT IS UP TO THE JUDGE IN EVERY CASE.)

WHICH PARTY IS GOING TO COURT (OUR "CLIENT")? HUSBAND WIFE

DOES WIFE WANT TO CHANGE BACK TO HER MAIDEN NAME? YES NO

WHAT IS WIFE'S MAIDEN NAME? (REQUIRED INFORMATION BY LAW)

IS YOUR SPOUSE GOING TO SIGN THE DIVORCE PAPERS VOLUNTARILY? YES NO

IF NOT, SHALL WE USE A PROCESS SERVER? YES NO

IF WE DO NOT KNOW WHERE YOUR SPOUSE IS OR IF YOUR SPOUSE RESIDES OUTSIDE OF THE U.S.A. WE MUST USE PUBLICATION. YES NO

ALIMONY NOW CALLED MAINTENANCE

ARE BOTH PARTIES GIVING UP THEIR RIGHTS TO MAINTENANCE (ALIMONY)
FROM EACH OTHER? YES NO
(IF NOT, THERE WILL BE AN ADDITIONAL CHARGE AT OUR HOURLY RATE, BASED ON THE INTERVIEW AND TYPING TIME AND YOU MUST SPEAK WITH ONE OF THE LAWYERS.)

HOW THE PARTIES SUPPORT THEMSELVES

HUSBAND'S TYPE OF WORK?
WHERE?
STUDENT YES NO
IF UNEMPLOYED, HOW ARE YOU SUPPORTED NOW?

WIFE'S TYPE OF WORK?
WHERE?
STUDENT YES NO
IF UNEMPLOYED, HOW ARE YOU SUPPORTED NOW?

PENSION PLANS

DO YOU HAVE ANY PROFIT SHARING, 401(k) PLAN, RETIREMENT FUND,
PENSION, IRA, KEOGH PLAN OR THE LIKE? ...................... YES NO

DOES YOUR SPOUSE HAVE ANY OF THE ABOVE? ................ YES NO

ARE BOTH PARTIES GIVING UP THEIR RIGHTS TO THE OTHER'S PROFIT
SHARING, 401(K) PLAN, RETIREMENT FUND, PENSION, ETC.? YES NO

IF YOUR ANSWER TO THE LAST QUESTION IS "NO," A "QDRO" OR A "QILDRO" OR SIMILAR COURT ORDER IS REQUIRED, BY LAW, IN ORDER TO SPLIT A PENSION. THERE IS AN EXTRA CHARGE FOR THIS AT OUR HOURLY RATE.

REAL ESTATE

DO THE PARTIES HAVE THEIR NAMES ON A LEASE TOGETHER? YES NO

IF SO, WHO STAYS ON AFTER THE DIVORCE? ........... WIFE HUSBAND

DOES EITHER PARTY OWN ANY REAL ESTATE NOW? ............. YES NO

WHAT IS THE ADDRESS OF THE PROPERTY?

WHAT IS THE NAME OF THE MORTGAGE HOLDER?

WHAT IS TO BE DONE WITH THE PROPERTY AFTER THE DIVORCE?...

IS HUSBAND TO DEED TO WIFE? YES NO OR BUY HER OUT? YES NO

IS WIFE TO DEED TO HUSBAND? YES NO OR BUY HIM OUT? YES NO

IF ONE SPOUSE IS BUYING THE OTHER OUT, DISCUSS THE TERMS IN THE TEXT BOX BELOW!

IS THE REAL ESTATE TO BE SOLD? ............................... YES NO

IF IT IS SOLD WHAT WILL HAPPEN TO THE MONEY FROM THE SALE?...

PAY DEBTS AND DIVIDE EQUALLY? ............................... YES NO
(IF YOU WANT SOMETHING ELSE, DESCRIBE IT IN THE TEXT BOX BELOW.)

WHO WILL LIVE THERE UNTIL IT IS SOLD? ......... HUSBAND WIFE

DOES EITHER PARTY OWN MORE THAN ONE PROPERTY? ...... YES NO

IF SO, WHERE AND WHO GETS IT - BE CERTAIN TO DESCRIBE IN DETAIL
IN TEXT BOX BELOW!

OTHER NOTES REGARDING REAL ESTATE

DEBTS

ARE THERE ANY OUTSTANDING MARITAL DEBTS? ...... YES NO

DEBTS HUSBAND IS TO PAY - NONE

NAME OF CREDITOR APPROXIMATE BALANCE $

NAME OF CREDITOR APPROXIMATE BALANCE $

NAME OF CREDITOR APPROXIMATE BALANCE $

DEBTS WIFE IS TO PAY - NONE

NAME OF CREDITOR APPROXIMATE BALANCE $

NAME OF CREDITOR APPROXIMATE BALANCE $

NAME OF CREDITOR APPROXIMATE BALANCE $

DEBTS BOTH PARTIES ARE TO SPLIT (EXTRA TYPING CHARGE) - NONE

NAME OF CREDITOR APPROXIMATE BALANCE

$

$

DEBTS HUSBAND IS TO PAY - NONE
NAME OF CREDITOR	APPROXIMATE BALANCE	$
NAME OF CREDITOR	APPROXIMATE BALANCE	$
NAME OF CREDITOR	APPROXIMATE BALANCE	$

DEBTS WIFE IS TO PAY - NONE
NAME OF CREDITOR	APPROXIMATE BALANCE	$
NAME OF CREDITOR	APPROXIMATE BALANCE	$
NAME OF CREDITOR	APPROXIMATE BALANCE	$

DEBTS BOTH PARTIES ARE TO SPLIT (EXTRA TYPING CHARGE) - NONE
NAME OF CREDITOR	APPROXIMATE BALANCE
	$
	$

AUTOMOBILES

WIFE GETS
YEAR MODEL

Leave blank if NO CAR

HUSBAND GETS
YEAR MODEL

Leave blank if NO CAR

CHILDREN'S MEDICAL EXPENSES


WHO WILL PROVIDE / PAY THE CHILDREN'S MEDICAL & LIFE INSURANCE?
BOTH PARTIES SPLIT COST FOR CHILD'S INSURANCE BY A RATIO OF THEIR INCOMES
BOTH PARTIES EQUALLY DIVIDE COST FOR CHILD'S INSURANCE
HUSBAND WILL PROVIDE AND PAY FOR INSURANCE FOR CHILDREN
WIFE WILL PROVIDE AND PAY FOR INSURANCE FOR CHILDREN
NEITHER PARTY CAN AFFORD INSURANCE FOR THE CHILDREN

WHO WILL PAY ANY UNINSURED MEDICAL EXPENSES
FOR THE CHILDREN?


BOTH PARTIES SPLIT COST FOR CHILD'S UNINSURED MEDICAL EXPENSES BY A RATIO OF THEIR INCOMES
BOTH PARTIES EQUALLY DIVIDE COST FOR CHILD'S UNINSURED MEDICAL EXPENSES
HUSBAND WILL PROVIDE AND PAY FOR CHILD'S UNINSURED MEDICAL EXPENSES
WIFE WILL PROVIDE AND PAY FOR CHILD'S UNINSURED MEDICAL EXPENSES

HOME TELEPHONE () - WORK TELEPHONE () -

THANK YOU FOR CHOOSING MY LAW FIRM TO REPRESENT YOU

Barry Lowe (1951-2006)

Designed and implemented by...

YOUR SPOUSE'S ADDRESS:
STREET

CITY
STATE OR COUNTRY
COUNTY
ZIP CODE
SPOUSE SOCIAL SECURITY NUMBER