Marital Settlement Agreement Questionnaire

We do not share your information with any third parties. This questionnaire will take approximately five (5) to ten (10) minutes of your time. Any questions marked with an asterisk (*) require an answer to progress through the questionnaire. If you have any questions about this questionnaire, for an immediate response you may live chat us or call 888-731-1500.
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*

Have you or your spouse been a resident of California for at least six (6) months and the County of Los Angeles for three (3) months?*
Date of Marriage*
MM slash DD slash YYYY
Date of Separation*
MM slash DD slash YYYY
MINOR CHILDREN OF THE MARRIAGE
Are there minor children from this marriage?*
Child or Children's Full Name and Date of Birth
CUSTODY AND VISITATION
Confirmation of prior order?
Type of Custody?
If other, please list all briefly
Parenting Time/Visitation Schedule
List details as to who will have the child and when. Provide days, time and holiday schedule, etc.
Would you like to include a Notice of Change of Residence?
For example, neither party can move with the minor child without providing notice to the other first, etc.

CHILD SUPPORT
Which party will pay child support?*
Please list amount of child support and details:
Maintenance of Health Insurance for the Minor Children:
Who will pay the healthcare coverage for the children? Please provide details.
Payment of Uncovered Health Care Expenses for the Minor Children:
Who will pay the Uncovered healthcare coverage for the children? Please provide details.

COMMUNITY PROPERTY
Husband's share of community property:*
List all community property that will be assigned to husband. For example car, credit cards, etc. Please provide how much is left in terms of payment and value of items.
Wife's share of community property:*
List all community property that will be assigned to wife. For example car, credit cards, etc. Please provide how much is left in terms of payment and value of items.

Division of debt:*
List how all debt will be divided between husband and wife. List the exact debt, amount and who will be responsible for it.
Is their a family residence, purchased during the marriage?*
If yes, please explain address, and how it will be divided or maintained?
RETIREMENT BENEFITS
Please explain if there will be equal distribution of retirement benefits?*
Retirement benefits through employer, etc. Provide details.
How Did You Learn About Us?*

YOU ARE ALMOST DONE, click submit, wait a second, and electronically initial and sign the agreement to complete the process. Thank you for choosing Superior Court Docs.
Hidden
Marital Settlement Agreement*

MINOR CHILDREN OF THE MARRIAGE