Basic divorce, no real estate or children:
YOUR INFORMATION
First Name
Middle Name
Last Name
Street address
City
Country
State
Zip
Home Phone
Work Phone
Cell phone
Email address
Best Way to contact you:	Telephone Email Mailing address
Name of Employer
Date of Birth
	Please tell us which state you were born, if born in another country select Outside USA
Birth Place	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist 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 -- Outside USA --
Social Security Number
Race
Highest Education Completed
Number of Prior Marriages
Identify year each marriage ended and whether by death or divorce
Who has lived in Missouri for at least 90 days prior to the divorce filing?
	WIFE HUSBAND BOTH
Are you a member of the Armed Services?
	YES NO
Are you interested in avoiding a personal appearance with the Court(additional fees may apply)?
	YES NO

SPOUSE’S INFORMATION
First Name
Middle Name
Last Name
Street address
City
Country
State
Zip
Contact Phone
Name of Employer
Date of Birth
	Please tell us which state your spouse was born, if born in another country select Outside USA
Birth Place	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist 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 -- Outside USA --
Social Security Number
Race
Highest Education Completed
Number of Prior Marriages
Identify year each marriage ended and whether by death or divorce
Is Spouse a member of the Armed Services?
	YES NO
Will spouse accept service of the Petition by mail and sign an Acknowledgment of Receipt and Waiver of Summons?
	YES NO

INFORMATION ABOUT THE MARRIAGE
Date of Marriage
Date of Separation
Place of Marriage (city and state)
Country where Marriage is registered
Does Wife want her maiden name restored to her?
	Yes No
If yes, state maiden name
Is Wife currently pregnant?	Yes No

REAL ESTATE
Real Estate will add $39 to your total
Husband and Wife own real estate.
	YES NO
If yes, State the address of the property:
How will real estate be disposed of?
Husband will be awarded real estate and debt, husband will refinance the home, but no equity will be paid to Wife       Wife will be awarded real estate and debt, Wife will refinance the home, but no equity will be paid to Husband       The real estate will be sold and proceeds split evenly between Husband and Wife. Parties will remain jointly responsible on the debt until the sale       Husband will be awarded real estate and debt. Husband agrees to refinance the home and pay equity to Wife in the amount of       Wife will be awarded real estate and debt. Wife agrees to refinance the home and pay equity to Husband in the amount of
Name of Mortgage Company:
Balance on Mortgage:

PROPERTY AND DEBT INFORMATION
Motor Vehicles (Automobiles, trucks, trailers):
Do you and your spouse own any motor vehicles that are jointly titled?
	YES NO
If yes, list the year, make, and model of each vehicle and to whom the vehicle will be awarded.
Other property
Do you and your spouse own any other property that you feel the need to specifically award to one party in this divorce?
	YES NO
(by checking No, the parties acknowledge they have divided any property on their own and do not need the agreement to be formalized)
If yes, identify the property and the spouse to whom the property will be awarded
Debts
Identify all outstanding debts of the marriage (i.e. credit cards, car loans, student loans, etc) by the company to whom the debt is owed and the amount of the debt. Specify the spouse who will be responsible for the debt.

ALIMONY/MAINTENANCE
Has one spouse agreed to pay the other spouse maintenance or alimony?
	YES NO
If yes, which spouse will be PAYING maintenance:
	HUSBAND WIFE
Amount of maintenance:
Duration of maintenance:

CHILDREN
Children will add $99 to your total
Were any children born into the marriage?
	YES NO
(if no, you may skip this section)   Are the children emancipated?   YES NO   Parenting Plan If yes, you may skip remaining questions in this section. List the names and dates of birth of each child you have with your spouse:   With whom have the children resided for the last 60 days?   WIFE HUSBAND   Has there been any other proceeding in this state or any other concerning custody of the minor children?   YES NO   Have the parties agreed to Joint Physical and Joint Legal Custody?   YES NO   Explain the agreed upon visitation terms, including holidays.     Monthly income of Wife: Monthly Income of Husband:   Is either party paying child support to anyone else?   YES NO   If Husband is paying other child support, state monthly obligation   If Wife is paying other child support, state monthly obligation   Monthly daycare expenses:   Indicate the agreed upon amount for child support per month:     Which party is to pay child support?   HUSBAND WIFE   Which party is to provide health insurance for the minor children?   HUSBAND WIFE   Monthly health insurance premium for all children:     Which party will claim the children as dependents on their taxes?   HUSBAND WIFE

Basic divorce, no real estate or children:

Disclaimer and Agreement

I have read the Disclaimer and Agreement on this site and agree to the terms and conditions set forth

The mere transmission of this form does not constitute the formation of an attorney/client relationship.

Enter Verification Code: