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Court Questionnaire 1.1 - Ohio

Court Questionnaire Form. This is a Ohio form and can be used in Domestic Relations Hamilton County (Court Of Common Pleas) .
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CHECK CAUSE:COURT USE ONLYA/DR E#DATE FILED(A) PREVIOUS UNDISSOLVED MARRIAGE (B) WILLFUL ABSENCE FOR 1 YEAR (C) ADULTERY (D) EXTREME CRUELTY (E) FRAUDULENT CONTRACT (F) GROSS NEGLECT OF DUTY (G) HABITUAL DRUNKENNESS (H) IMPRISONMENT IN PENITENTIARY (I) DEFENDANT DIVORCED IN OTHER STATE (J) LIVING APART FOR 1 YEAR (K) INCOMPATIBILITY (L) OTHERMUST BE TYPED AND COMPLETED IN FULL Court of Common Pleas of Hamilton County Division of Domestic RelationsDIVORCELEGAL SEPARATIONDISSOLUTIONANNULMENTSH. PAR.HUSBANDWIFEPETITIONERNAME:PETITIONERNAME:( LAST/FIRST/ MIDDLE ) ADDRESSFIRST / MIDDLE ) ADDRESS/( LASTCITYSTATEZIPZIP PHONE:STATECITY( ) -EXT:( ) -PHONE:( ) -( ) -EXT:WORK SS#HOMEHOMEWORK SS#D.O.B.PRESENT AGE--PRESENT AGED.O.B.--ATTORNEY'S NAME & PHONE ATTORNEY'S ADDRESS ATTORNEY'S I.D. NUMBERATTORNEY'S NAME & PHONE ATTORNEY'S ADDRESS ATTORNEY'S I.D. NUMBERHUSBANDWIFESOCIAL HISTORYBIRTH PLACE: CityStateStateBIRTH PLACE: CityOther:Other:RACE:RACE:RELIGIOUS AFFILIATION:RELIGIOUS AFFILIATION:EDUCATIONEDUCATIONGrade CompletedHigh School:High School:Grade CompletedCollege(s) Tech. Schools:College(s) Tech. Schools:PRESENT OCCUPATIONPRESENT OCCUPATIONNAME OF EMPLOYER: ADDRESS:POSITION HELD: WEEKLY EARNINGS: Gross $NAME OF EMPLOYER: ADDRESS:POSITION HELD: WEEKLY EARNINGS: Gross $Net $Net $OTHER INCOME (Amount): $ PARENTS NAME: Mother:Father:OTHER INCOME (Amount): $ PARENTS NAME: Mother:Father:Marriage Date:Date: Final Hearing Disposition: Place:Date of Separation:To Whom GrantedDR 1.1TP DEC, 1999Page 12001 © American LegalNet, Inc.MINOR CHILDREN OF PRESENT MARRIAGENAMESEXDATE OF BIRTHSOC. SEC. NO.LIVING WITHREMARKS1:--2:--3:--4:--HUSBAND'S FORMER MARRIAGES / CHILDRENWIFE'S FORMER MARRIAGES / CHILDRENNAMEDivorcedDeadMarriage UndissolvedMarriage UndissolvedDeadDivorcedNAMEHusband's 1:Wife's1:Former2:Former2:Wives3:Husbands3:NAMEOther ParentAgeAgeOther ParentNAMEChildren1:1:Childrenof2:2:ofHusband3:3:WifeTITLE IX: MERITS HEARINGS9.0DecreeCounsel shall have prepared a Decree of Divorce or Dissolution at the time of the final merits hearing together with all necessary income and expense forms. Said Decree shall be costed out the with the Clerk of Courts and filed with the Decree Specialist Office, after the final merits hearing, in Room 2-29.Hearing Date A final merits hearing will not be scheduled until all issues concerning property division, allocation of parental rights and responsibilities and support have been resolved either by agreement or by court order. A Request for Merit Setting entry must be filed with the Domestic Relations Docket Clerk in Room 2-40 prior to the date being set for the final merits hearing 9.1RONALD A. PANIOTO, Administrative Judge PENELOPE R. CUNNINGHAM, Judge SUSAN LAKER TOLBERT, JudgeDR 1.1TP DEC, 1999Page 22001 © American LegalNet, Inc.
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