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Marital Settlement Agreement Questionnaire
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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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
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Illinois
Indiana
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Maryland
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South Carolina
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
How do you prefer to be contacted?
*
Phone
Email
Spouse Name
*
First
Last
Spouse Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
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?
*
Yes
No
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?
*
Yes
No
Child or Children's Full Name and Date of Birth
CUSTODY AND VISITATION
Confirmation of prior order?
Yes
No
Type of Custody?
Joint Legal and Physical Custody
Joint Legal and Petitioner Physical Custody
Joint Legal and Respondent Physical Custody
Petitioner Legal and Petitioner Physical Custody
Respondent Legal and Respondent Physical Custody
Other
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.
Yes
No
CHILD SUPPORT
Which party will pay child support?
*
Petitioner
Respondent
None of the above.
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.
SPOUSAL SUPPORT
Which party will pay spousal support?
*
Petitioner
Respondent
No Spousal Support
Please provide details of spousal support payments:
SEPARATE PROPERTY
Husband's separate property:
*
List all of husband's separate property.
Wife's separate property:
*
List all of wife's separate property.
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?
*
Yes
No
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?
*
Google
Yahoo
Bing
Friend
Google Plus
Yelp
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.
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Marital Settlement Agreement
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Marital Settlement Agreement
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