DIVORCE INFORMATION FORM

1)Do you qualify for one (1) of the “Grounds for Divorce” listed on the Uncontested Divorce page:

If Yes, please specify which ground for divorce (i.e. Irretrievable Breakdown in Relationship):

(If No, then do not complete this form because you cannot get a divorce in New York State.)

2)Do you qualify for one (1) of the “Residency Requirements” listed on the Uncontested Divorce page:

If Yes, please specify which one (i.e. Choice 1, 2, 3, 4, or 5):

(If No, then do not complete this form because you cannot get a divorce in New York State.)

3)Have you been married for over six (6) months:

(If No, then depending on your choice for Grounds for Divorce, you may or may not be able to get adivorce in New York State.)

4)Who is going to be the Plaintiff (initiating the divorce):Husband or Wife

5) Husband’s Full MarriedName as it appears on the marriage certificate:

6) Husband’s residential mailing address(please donot provide a PO Box address):

7) Wife’s Full Married Name as it appears on the marriage certificate:

8) Maiden Name(i.e. Wife's last name only prior to marriage):

Note:Please do not provide the wife's full name, just the last name only.

9) Wife’s residential mailing address(please donot provide a PO Box address):

10) Was the marriage Civil or Religious(not both):

Note: Religious is defined as a "Jewish" marriage. If
your marriage was not Jewish, insert CIVIL

11) Are there any Children under 21 years old:Yes or No

If Yes, how many Child(ren) involved _____ and who has to pay child support:Father or Mother

12) Are there any Propertybetween you and your spouse: Yes or No

13) What is the Plaintiff’s contact phone # to put on the documents:

14) Will your spouse sign the divorce papers:Yes or No

15) What is the Plaintiff’s e-mail address:

16) Are you or your spouse asking for Maintenance: Yes or No

Note: If YES, which party (Husband or Wife)?

(“Maintenance” means the amount to be paid to the other spouse for support after the divorce is final.)

If there is a child or children involved, please answer the following (3) questions below:

i) Has either spouse been a party in an Order of Protection: Yes or No

(If Yes, list all Family/Criminal Court Docket #’s and Counties, Supreme Court Index #’s and Counties)

ii) Has either spouse been a party in a Child Abuse/Neglect Proceeding: Yes or No

(If Yes, list all Family Court Docket #’s and Counties)

iii) Is either spouse registered under New York State’s Sex Offender Registration Act: Yes or No

(If Yes, list all names under which either spouse is registered)

IMPORTANT TO DO:Upon completion, please e-mail the form to

Thank you!

Anderson Paralegal Services, Inc.

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