Decree/order Information Form - Property Only

DECREE/ORDER INFORMATION FORM - Property ONLY

YOU:
FULL LEGAL NAME:*
Email*
ADDRESS:*
Street Address APT # City State ZIP Code
TELEPHONE NUMBER:.
BIRTH DATE:
AGE:
RACE:
PLACE OF BIRTH (CITY & STATE):
DL#/STATE:
EMPLOYER:
TELEPHONE NUMBER:
ADDRESS:
Street Address City State ZIP Code
THE OTHER PARTY:
FULL LEGAL NAME:*
ADDRESS:
Street Address APT # City State ZIP Code
TELEPHONE NUMBER:.
BIRTH DATE:
AGE:
RACE:
PLACE OF BIRTH (CITY & STATE):
DL#/STATE:
EMPLOYER:
TELEPHONE NUMBER:
ADDRESS:
Street Address City State ZIP Code
Wife's Maiden Name:
Does Wife Request a Name Change?
- Yes
- No
PROPERTY BOUGHT DURING MARRIAGE:

LAND:

(PLEASE SUPPLY LEGAL DESCRIPTION AND STREET ADDRESS BELOW AND TELL US WHO WILL BE AWARDED THE PROPERTY OR IF IT WILL BE PUT UP FOR SALE. YOU MUST SUPPLY US WITH A COPY OF YOUR DEED OF TRUST FOR EACH PROPERTY.)

INSURANCE:
(TYPE OF COVERAGE, AMOUNT, WHO OR WHAT IS COVERED)
CARS AND TRUCKS:
(YEAR, MODEL, MAKE, VIN AND WHO GETS CAR/TRUCK)
RETIREMENTJPENSION:
(DESCRIPTION, CURRENT BALANCE, IN WHOSE NAME AND IS RETIREMENT/PENSION TO BE SPLIT WITH SPOUSE)
BANK ACCOUNTS:
(BANK, TYPE OF ACCOUNT, ACCOUNT #, WHOSE NAME)
SEPARATE PROPERTY:

(ALL GIFTS, INHERITANCES AND ANYTHING YOU OWNED PRIOR TO THE MARRIAGE)
YOURS:
SPOUSES:
BILLS TO BE PAID:
NAME OF ACCOUNT: ACCT NO: WHO WILL BE RESPONSIBLE? YOU/SPOUSE