Matrimonial intake form

A. Cohen Law Firm Clients

Kindly Fill out the form below

Date

Full Legal Name

Address

Cell

Date Of Birth

SSN

Occupation

Annual Salary

Spouse's Legal Name

Spouse’s Address

Spouse’s DOB

Spouse’s SSN

Spouse’s Occupation

Spouse’s Annual Salary

Spouse’s Attorney Name (if one was retained)

Children/s Name/s and Date/s of Birth:

Date Of Marriage

City & State Of Marriage

Was this a Religious or a Civil Ceremony?

City & State of Property/Properties Owned

Mortgage Principal Amount

Retirement Accounts

Other Assets (i.e. timeshares, real property, artwork, etc.)

Your Debts

Health Insurance (ID, group plan and participant name)

Was this First/Second/Third Marriage? How many ended through divorce? Death? (note: please provide response for you and your spouse)

Highest Level of Education

Race you and your spouse identify with (note: the certificate of dissolution filed with the court asks this)

Comments

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Matrimonial intake form

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