Petitioner's Full Legal Name:
E-mail Address:
Phone Number:
Current Address, City, State and Zip Code:
Date of Birth, Age, Sex, Race and Birth State:
Driver License #/State:
Social Security #:
Employer, Address, Phone:
Respondent's Full Legal Name:
E-mail Address: (if known)
Phone Number:
Current Address, City, State and Zip Code:
Date of Birth, Age, Sex, Race and Birth State:
Driver License #/State:
Social Security #:
Employer, Address, Phone:
Information Regarding the Marriage Date of Marriage: City, State and County of Marriage:
Does either party wish to restore a former name? If yes, which party and name?
Yes
No
Are you separated? If yes, date of separation:
Yes
No
Have you or your spouse lived in Washington during your marriage and considered Washington his/her home?
Yes
No
Yes
No
Is wife pregnant?
Is there a prenuptial agreement involved in this case? If yes, please include a copy.
Yes
No
Are you requesting Spousal Support?
Yes
No
Division of Property: * (Real Estate, Community & Separate Property, Furniture, Vehicle, Jewelry, etc)
Who will remain in and take possession of the family home?
Husband
Wife
Both
N/A
Who will continue to make home loan payments? Need Mortgage Company Information.
Does Husband or Wife have a Retirement Plan? If yes, list retirement details below
Yes
No
Community Property: Real Estate, Vehicles, Furniture, etc.
What specific items will husband keep? (Ex: real estate, vehicle, boat, furniture, jewelry, etc)
What specific items will wife keep? (Ex: real estate, vehicle, boat, furniture, jewelry, etc)
Debts/Liabilities: What specific debts will husband take over? Name/address/account number/payment amount and balance:
Debts/Liabilities: What specific debts will wife take over? Name/address/account number/payment amount and balance:
Domestic Violence Protection Order? Additional fee.
Do you want to file a Restraining Order? Additional fee.
Yes
No
Yes
No
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