INFORMATION NEEDED FOR DIVORCE
PERSONAL:	   		Wife’s Information			      Husband’s Info
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 State/County of marriage-
(date of separation)-
prior marriage(s) from/to, state of marriage

Children’s full names and dates of birth-






Children’s schools and grade-


Children’s present address-


Places and people with whom children lived during last five years-


Is wife pregnant?


FINANCIAL:     # of dependents claimed:
paid every-  [ ] week   [ ] 2 weeks  [ ] twice a month  [ ] month  [ ] other    
taxes taken out:(per period)
Fed. - $
State- $
FICA- $
Health Insurance- $
Retirement- $

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:
		           	Wife                   Husband   	Children  (#    )
Food……………………..
Clothes………………….
medical and dental…….
laundry/cleaning……….
personal articles……….
Recreation………………
School (include food)….
Household………………
Bus………………………
Childcare………………..
other (                 )………
					Information for Both
Assets:
Credit Union Accounts- (branch, balance, who’s name  Husband, Wife, Joint)



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



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


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





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




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



Retirement; Pension; Profit Sharing accounts:
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    (H  W  J)    date incurred    balance owed  /  min. monthly payment