INFORMATION NEEDED FOR DIVORCE
			      Wife’s Information			      Husband’s Information
PERSONAL:

Full Name (no initials)-

(Wife's maiden name)-

Address-



phone number-
date of birth-
place of birth-
race-
Social Security #-
occupation(title)-
Employer-

Employer’s address-


work phone #-
work schedule-
employed there since-
monthly income before deductions (gross)-  $
monthly income after deductions (net)- $

Highest grade completed-
Hawaii resident since-
Date and County/State of marriage-
(date of separation)-
prior marriage(s) from/to, state of divorce -

FINANCIAL:   

paid every-  [  ] week   [  ] 2 weeks [  ] twice a month  [  ] month    [  ] other
taxes taken out:(per period):
Fed. - $
State- $
FICA- $
Insurance- $
Retirement- $
other deductions-

Other regular monthly income-

Housing Expenses per month:

rent/mortgage- $
utilities (gas, water, electric, phone)-  $

Transportation Expenses per month:

Car payment-  $
insurance-       $
maintenance-  $
gas/oil-            $

Personal Expenses per month:  (estimates or zero’s are fine)
				   Wife				Husband		
Food……………………….
Clothes…………………....
medical and dental………
laundry/cleaning………....
personal articles…………
recreation…………………
School (include food)……
Household………………..
Bus………………………..
other (                      )……
					Info for Both
Assets:
Credit Union Accts- (branch, balance, who’s name (Husband, Wife, Joint)



Checking and Savings Accts-  (bank, checking / savings, balance, H  W  J)




Stocks, Bonds, CD’s: (company, type, date acquired, value)



Cars, Trucks, Motorcycles, Boats, Campers:
year      make          Title (H, W, J)  Current market value    Debt owed on








Real Property:
address             fee/lease        date acquired  cost           value   debt owed





Life Insurance:
company     insured       face amount    Beneficiary   cash value   debt owed



Retirement; Pension; Profit Sharing accounts:
H or W  company    type     years in    benefits payable when    vested value




all other Major Assets:
description		H,W,J  	value  		debt owed on





property held in trust or by third persons:



All Outstanding Debts:
Creditor    Debtor (H,W,J)  date incurred     balance owed/min. monthly payment












PLEASE COMPLETE THIS FORM AND MAIL TO
MICHAEL A. GLENN
1188 Bishop St. Suite 3101
Honolulu, Hawaii  96813
(808) 523-3079