Washington > Local County > Jefferson > Superior Court
Domestic Relations Information Form - Washington
| Domestic Relations Information Form Form. This is a Washington form and can be used in Superior Court Jefferson Local County . |
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DOMESTIC RELATIONS INFORMATION FORM Date: ____________________________ Cause No.: _______________________ PARTIES: Husband Wife Petitioner Respondent HUSBAND/FATHER Name: Age: WIFE/MOTHER Name Age: Address: Address: Date of Marriage: Date of Separation: DEPENDENT CHILDREN: Name Age This Marriage Prior Marriage Percent Residential Time Father % Mother % Since CHILD SUPPORT: 1. NET INCOME Husband/Father: Wife/Mother: SUPPORT $ $ 2. 3. Tax Exemptions allocated as follows: ___________________________________________________________ Exceptional support considerations: ____________________________________________________________ _________________________________________________________________________________________ 4. Child Support presently being paid $______________ per month; since ________________________________ American LegalNet, Inc. www.USCourtForms.com 5. Summary of proposed residential arrangements for the children: ______________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ YOU MUST ATTACH: 1. Proposed Child Support Order, Support Worksheets and current pay stubs. Form WPF DR 01-050. 2. Completed Financial Declaration. Form WPF DR 01-055 3. Proposed Parenting Plan, if disputed. MAINTENANCE: 1. 2. Requested: $_________________ per month, duration: ____________________________________ Presently being paid: $_________________ per month, for __________________________________ months. HUSBAND/FATHER INCOME: Employer/Other Source Length Gross Income Net Income Total Income WIFE/MOTHER INCOME: Employer/Other Source Length Gross Income Net Income Total Income FACTORS RELATING TO AWARD OF MAINTENANCE: ______________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ IF ATTORNEY FEES ARE AT ISSUE: 1. 2. 3. Incurred to Date Ordered to Date Requested to Date $ $ $ Paid To Date Paid to Date Estimate to Trial $ $ $ American LegalNet, Inc. www.USCourtForms.com PROPERTY DIVISION: ASSETS: Real Estate: Home Other Real Property $ $ $ Vehicles (Year/Make): $ $ Household Goods Tools/Equipment Recreational/Hobby Equipment Business/Profession: Husband Wife Investments Life Insurance Cash Value Retirement: Husband Wife IAs T Ps 4 1 ' ec R ' S ' 0 -Ks t : , , ,. Husband Wife Receivables Other Assets: $ $ $ $ Debts: TOTALS ($ $ ) $ $ $ $ ($ $ ) $ $ $ $ ($ $ ) $ $ $ $ ($ $ ) $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Fair Market Value Debt Owed Net to Husband Net to Wife Equalization: $ -$ divided by two (2) =$ Proposed Percentage Division: Effects of Proposed Division: ________ % to Husband $_________ to Husband _________ % to Wife $__________ to Wife American LegalNet, Inc. www.USCourtForms.com
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